Delirium Prevention Efficacy within Care Bundle in ICU Settings Delirium is classified as an “etiologically nonspecific organic cerebral syndrome characterized by concurrent disturbances of consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-wake schedule” (World Health Organization, 1992). Delirium is a common occurrence among patients in ICU, and is estimated that up to 80% of the ICU patients experience delirium during their stay (Hsieh, 2015, p. 648). Delirium is strongly correlated with significant increase in mortality rates (Salluh et al., 2015, p. 5); therefore, it is one of the top priorities in ICU settings. Since there is no specific treatment for delirium, the prevention is crucial (DiSabatino Smith & Grami, 2017, p. 20). Often delirium prevention is integrated in care bundles for ICU patients in order to improve overall outcomes. Further it will be explored the efficacy of delirium prevention within care bundles and associated
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The search terms were: “delirium”, “ICU”, “bundle” and “prevention”. Also the references from retrieved articles were included in search. The inclusion criteria were: a) publication year 2012 to 2017, b) English language, c) geography limited to continental Europe, US and Canada, d) ICU settings. Qualitative studies and literature reviews were excluded. In total, ten articles met criteria, and five articles were selected. There are several different frameworks and ICU care bundles used to improve the patients’ outcomes. Some are more specific and contain less interventions, but some use multi-dimensional models which target more areas and are meant to prevent bigger variety of complications that can arise during ICU stay. The majority of the ICU care bundles include specific interventions for delirium screening and prevention or the whole care bundle is aiming to decrease the incidence of
The search terms were: “delirium”, “ICU”, “bundle” and “prevention”. Also the references from retrieved articles were included in search. The inclusion criteria were: a) publication year 2012 to 2017, b) English language, c) geography limited to continental Europe, US and Canada, d) ICU settings. Qualitative studies and literature reviews were excluded. In total, ten articles met criteria, and five articles were selected. There are several different frameworks and ICU care bundles used to improve the patients’ outcomes. Some are more specific and contain less interventions, but some use multi-dimensional models which target more areas and are meant to prevent bigger variety of complications that can arise during ICU stay. The majority of the ICU care bundles include specific interventions for delirium screening and prevention or the whole care bundle is aiming to decrease the incidence of