The impact of delirium in the prediction of In-Hospital Mortality in Intensive Care patients

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Title:	The impact of delirium in the prediction of In-Hospital Mortality in Intensive Care patients
Author(s):	Peters, M.J. ; Schoonhoven, Lisette ; Pickkers, Peter ; Leffers, Pieter ; Boogaard, Mark van den ; Hoeven, Hans van der ; Dagnelie, Pieter
Publication year:	2010
Source:	Critical Care, vol. 13, iss. 6, (2010), pp. 341
ISSN:	1466-609X
Related links:	http://ccforum.com/content/14/4/R146
Annotation:	3 augustus 2010
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : https://hdl.handle.net/20.500.12470/535
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Lectorate :	Responsief Beroepsonderwijs
Journal title :	Critical Care
Volume :	vol. 13
Issue :	iss. 6
Page start :	p.341
Abstract:	Predictive models, such as acute physiology and chronic health evaluation II (APACHE-II), are widely used in intensive care units (ICUs) to estimate mortality. Although the presence of delirium is associated with a higher mortality in ICU patients, delirium is not part of the APACHE-II model. The aim of the current study was to evaluate whether delirium, present within 24 hours after ICU admission, improves the predictive value of the APACHE-II score. Delirium in ICU patients present within 24 hours after ICU admission, is associated with increased in-hospital mortality. Adding delirium to the APACHE-II score does not improve its accuracy in predicting in-hospital mortality.