학술논문
International Analgesia, Sedation, and Delirium Practices: a prospective cohort study
Document Type
article
Author
Gary D. Owen; Joanna L. Stollings; Shayan Rakhit; Li Wang; Chang Yu; Morgan A. Hosay; James W. Stewart; Fernando Frutos-Vivar; Oscar Peñuelas; Andres Esteban; Antonio R. Anzueto; Konstantinos Raymondos; Fernando Rios; Arnaud W. Thille; Marco González; Bin Du; Salvatore M. Maggiore; Dimitrios Matamis; Fekri Abroug; Pravin Amin; Amine Ali Zeggwagh; Mayur B. Patel
Source
Journal of Intensive Care, Vol 7, Iss 1, Pp 1-7 (2019)
Subject
Language
English
ISSN
2052-0492
Abstract
Abstract Background While understanding of critical illness and delirium continue to evolve, the impact on clinical practice is often unknown and delayed. Our purpose was to provide insight into practice changes by characterizing analgesia and sedation usage and occurrence of delirium in different years and international regions. Methods We performed a retrospective analysis of two multicenter, international, prospective cohort studies. Mechanically ventilated adults were followed for up to 28 days in 2010 and 2016. Proportion of days utilizing sedation, analgesia, and performance of a spontaneous awakening trial (SAT), and occurrence of delirium were described for each year and region and compared between years. Results A total of 14,281 patients from 6 international regions were analyzed. Proportion of days utilizing analgesia and sedation increased from 2010 to 2016 (p