Die Wahrnehmung des Deliriums auf der Intensivstation durch ärztliche und pflegerische Mitarbeiter - Ergebnisse einer nationalen Umfrage
Kosiek, Anna Christin
Background: Delirium is a very complex but common clinical picture in intensive care units. It results in elevated morbidity and mortality as well as in an increased consumption of resources. The current protocols concerning the handling of delirium in ICU from the view point of the physician and nurse is presented. Methods: Questionaires concerning delirium were distributed to ICU physicians and nursing staff in 365 hospitals. The questionaire included 21 questions concerning relevance, incidence, diagnostics, therapy, prophylaxis, analgosedation, and classification of delirium. Results: Questionaires were returned from 48,4 % of the hospitals. There was a significant difference in the assessment of increased mortality in patients experiencing delirium between physicians and nursing staff (89,6 % vs. 66,3 %, respectively). Only 7,2 % of physicians use screening-Tools or Scores and only 4,2 % among nursing staff. The CAM-ICU is significantly more often applied by physicians than by nursing staff (37,6% vs. 12,5 %). There were further significant differences between physicians and nursing staff in their approach to therapy options, verbal and writ en standards, analgosedation, as well as weaning. Conclusion: In patients with delirium close cooperation between physicians and nursing staff is crucial. An early, regularly conducted screening, for instance using the CAM-ICU, is a precondition to early diagnosis and treatment of delirium. The implementation and use of standards and protocols concerning delirium, sedation, and weaning is thus beneficial and desireable.
Subject HeadingsIntensivstation [GND]
Intensive care units [MeSH]