Admission characteristics of trauma patients in whom delirium develops

Richard D. Blondell, Glen E. Powell, Heather N. Dodds, Stephen Warwick Looney, James K. Lukan

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background The purpose of this study was to describe the admission characteristics of trauma victims that are predictive of the development of delirium during hospitalization. Methods In this case-control study, data (demographics, injury type, medical histories, admission laboratory values, medications, and outcomes) were obtained from the records of 120 patients in whom delirium developed and 145 in whom it did not after admission for traumatic injury. Odds ratios were employed to identify significant predictors used in a stepwise logistic regression analysis. Results Admission characteristics, retained after stepwise logistic regression, that were independently predictive of delirium were age more than 45 years, positive admission blood alcohol, and an elevated mean corpuscular volume. Those in whom delirium developed had longer hospital and intensive care unit lengths of stay than in whom it did not. Conclusions Older patients and alcoholics are at increased risk for delirum. Therapies directed at prevention have the potential to improve care and decrease lengths of stay.

Original languageEnglish (US)
Pages (from-to)332-337
Number of pages6
JournalAmerican Journal of Surgery
Volume187
Issue number3
DOIs
StatePublished - Mar 1 2004
Externally publishedYes

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Delirium
Wounds and Injuries
Length of Stay
Logistic Models
Erythrocyte Indices
Alcoholics
Intensive Care Units
Case-Control Studies
Hospitalization
Odds Ratio
Regression Analysis
Alcohols
Demography
Therapeutics

Keywords

  • Age
  • Alcoholism
  • Delirium
  • Injuries
  • Surgery
  • Trauma;Wounds

ASJC Scopus subject areas

  • Surgery

Cite this

Admission characteristics of trauma patients in whom delirium develops. / Blondell, Richard D.; Powell, Glen E.; Dodds, Heather N.; Looney, Stephen Warwick; Lukan, James K.

In: American Journal of Surgery, Vol. 187, No. 3, 01.03.2004, p. 332-337.

Research output: Contribution to journalArticle

Blondell, Richard D. ; Powell, Glen E. ; Dodds, Heather N. ; Looney, Stephen Warwick ; Lukan, James K. / Admission characteristics of trauma patients in whom delirium develops. In: American Journal of Surgery. 2004 ; Vol. 187, No. 3. pp. 332-337.
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