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The objective of this study is to determine the incidence of delirium in adults patients who are admitted at the critical care unit of a Dutch University Hospital.
The primary aim is to determine the incidence of delirium and to determine risk factors for this group of patients to develop a prediction model.
A secondary aim is to find differences between delirious patients and non-delirious patients on different aspects of diagnostics, treatment and care, outcome, length of stay, and inflammation.
According to Dutch law, the need to obtain informed consent was waived by the Committee on Research Involving Human Subjects (CMO) of Nijmegen for this observational study (2007/283).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| delirious patients | minimal one positive CAM-ICU score during ICU admission | ||
| non-delirious patients | without any positive CAM-ICU scores during ICU admission |
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| Measure | Description | Time Frame |
|---|---|---|
| delirium | during admission at the critical care |
| Measure | Description | Time Frame |
|---|---|---|
| markers of inflammation | within 24 hours of delirium diagnosis | |
| biomarkers | within 24 hours of delirium diagnosis |
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Inclusion Criteria:
Exclusion Criteria:
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tertiary care clinic
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| Name | Affiliation | Role |
|---|---|---|
| Hans vd Hoeven, MD, PhD | Radboud University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radboud University Nijmegen Medical Centre, Critical Care | Nijmegen | Gelderland | 6500 | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22323509 | Derived | van den Boogaard M, Pickkers P, Slooter AJ, Kuiper MA, Spronk PE, van der Voort PH, van der Hoeven JG, Donders R, van Achterberg T, Schoonhoven L. Development and validation of PRE-DELIRIC (PREdiction of DELIRium in ICu patients) delirium prediction model for intensive care patients: observational multicentre study. BMJ. 2012 Feb 9;344:e420. doi: 10.1136/bmj.e420. | |
| 22206727 |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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blood, urine
| van den Boogaard M, Kox M, Quinn KL, van Achterberg T, van der Hoeven JG, Schoonhoven L, Pickkers P. Biomarkers associated with delirium in critically ill patients and their relation with long-term subjective cognitive dysfunction; indications for different pathways governing delirium in inflamed and noninflamed patients. Crit Care. 2011;15(6):R297. doi: 10.1186/cc10598. Epub 2011 Dec 29. |
| 21426560 | Derived | van den Boogaard M, van Swelm RP, Russel FG, Heemskerk S, van der Hoeven JG, Masereeuw R, Pickkers P. Urinary protein profiling in hyperactive delirium and non-delirium cardiac surgery ICU patients. Proteome Sci. 2011 Mar 22;9:13. doi: 10.1186/1477-5956-9-13. |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |