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Advantages of score-based delirium detection compared to a clinical delirium assessment—a retrospective, monocentric cohort study

Markus Jäckel, Nico Aicher, Xavier Bemtgen, Jonathan Rilinger, Viviane Zotzmann, Paul Marc Biever, Alexander Supady, Peter Stachon, Daniel Duerschmied, Tobias Wengenmayer, Christoph Bode and Dawid Leander Staudacher

PLOS ONE, 2021, vol. 16, issue 11, 1-13

Abstract: Purpose: Delirium is an underdiagnosed complication on intensive care units (ICU). We hypothesized that a score-based delirium detection using the Nudesc score identifies more patients compared to a traditional diagnosis of delirium by ICU physicians. Methods: In this retrospective study, all patients treated on a general medical ICU with 30 beds in a university hospital in 2019 were analyzed. Primary outcome was a documented physician diagnosis of delirium, or a delirium score ≥2 using the Nudesc. Results: In 205/943 included patients (21.7%), delirium was diagnosed by ICU physicians compared to 438/943 (46.4%; ratio 2.1) by Nudesc≥2. Both assessments were independent predictors of ICU stay (p

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0259841

DOI: 10.1371/journal.pone.0259841

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