{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:51:41Z","timestamp":1772232701700,"version":"3.50.1"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Abstract  Objective: to detect the incidence of postoperative delirium in critically ill patients admitted to a surgical intensive care unit and to evaluate the predisposing and precipitating factors associated with postoperative delirium in critically ill patients admitted to a surgical intensive care unit.  Method:  this is a prospective cohort study of 157 critically ill surgical patients. Fisher\u2019s exact test and Chi-square test were used for the association between factors and the occurrence of delirium, the Wilcoxon test for numerical variables, and the logistic regression model for the analysis of predisposing and precipitating factors.  Results:  the incidence of delirium was 28% (n=44). Age was a significant predisposing factor (p=0.001), followed by the length of surgery (p&lt;0.001), blood transfusion (p=0.043), administration of crystalloids (p=0.008), and anti-inflammatory drugs (p=0.037), which were the precipitating factors identified. The best-adjusted models were: age, length of surgery, non-administration of anti-emetics, use of sufentanil, and blood transfusion.  Conclusion:  delirium is a frequent condition in critically ill adults undergoing surgery and the existence of precipitating and predisposing factors is relevant to the outcome, with the anesthetic-surgical procedure as the catalyst event.<\/jats:p>","DOI":"10.1590\/1518-8345.7113.4233","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T08:17:52Z","timestamp":1725265072000},"source":"Crossref","is-referenced-by-count":0,"title":["Predisposing and precipitating factors for the development of postoperative delirium in critically ill patients in a university intensive care unit"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3716-2885","authenticated-orcid":false,"given":"Danielle Moreira","family":"Marques","sequence":"first","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro,  Brazil; Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8664-703X","authenticated-orcid":false,"given":"Davi da Silveira Barroso","family":"Alves","sequence":"additional","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3391-7301","authenticated-orcid":false,"given":"Ta\u00eds Veronica Cardoso","family":"Vernaglia","sequence":"additional","affiliation":[{"name":"Universidade Federal do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013","edition":"5"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","DOI":"10.25248\/reamed.e12383.2023","article-title":"Delirium na Unidade de Terapia 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older adults: a secondary analysis following an uncontrolled before-after design","volume":"11","author":"Stuff K","year":"2022","journal-title":"Perioper Med (Lond)"},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1007\/s00068-021-01603-5","article-title":"Delirium in trauma patients: a 1-year prospective cohort study of 2026 patients","volume":"48","author":"Marquetand J","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref11","series-title":"Estat\u00edstica Aplicada \u00e0s Ci\u00eancias Sociais","author":"Barbetta PA","year":"2012","edition":"7"},{"issue":"7","key":"ref12","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1097\/00003246-200107000-00012","article-title":"Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)","volume":"29","author":"Ely EW","year":"2001","journal-title":"Crit Care Med"},{"issue":"2","key":"ref13","article-title":"The Confusion Assessment Method for Intensive Care Unit: A Large Cohort Validation Study in the Emergency Department of a Tertiary Hospital","volume":"29","author":"Mariz JA","year":"2022","journal-title":"RSPMI"},{"issue":"5","key":"ref14","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.bja.2017.11.087","article-title":"Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery-2018","volume":"121","author":"Evered L","year":"2018","journal-title":"Br J Anaesth"},{"issue":"16","key":"ref15","article-title":"Application of logistic regression in the analysis of risk factor associated with arterial hypertension","volume":"10","author":"Silveira MBG","year":"2021","journal-title":"RSD"},{"issue":"5","key":"ref16","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1111\/wvn.12536","article-title":"Postoperative Delirium in Older Patients: A Systematic Review of Assessment and Incidence of Postoperative Delirium","volume":"18","author":"Ho MH","year":"2021","journal-title":"Worldviews Evid Based Nurs"},{"issue":"9","key":"ref17","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1053\/j.jvca.2020.03.011","article-title":"The Prevalence and Impact of Undiagnosed Mild Cognitive Impairment in Elderly Patients Undergoing Thoracic Surgery: A Prospective Cohort Study","volume":"34","author":"Tong C","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.joms.2021.08.153","article-title":"Factors Associated With Postoperative Delirium in Patients Undergoing Complex Head and Neck Flap Surgery","volume":"80","author":"Kolk A","year":"2022","journal-title":"J Oral Maxillofac Surg"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1097\/CCM.0000000000004139","article-title":"Biomarkers of Delirium Duration and Delirium Severity in the ICU","volume":"48","author":"Khan BA","year":"2020","journal-title":"Crit Care Med"},{"key":"ref20","article-title":"Delirium: prevalence and factors associated with postoperative period of cardiovascular surgery in the elderly","volume":"35","author":"Matioli KBB","year":"2021","journal-title":"Rev Baiana Enferm"},{"key":"ref21","article-title":"Accuracy of delirium risk factors in adult intensive care unit patients","volume":"56","author":"Carvalho LAC","year":"2022","journal-title":"Rev Esc Enferm USP"},{"key":"ref22","first-page":"CD002251","article-title":"Techniques for preventing hypotension during spinal anaesthesia for caesarean section","volume":"7","author":"Chooi C","year":"2020","journal-title":"Cochrane Database Sys Rev"},{"issue":"3","key":"ref23","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1213\/ANE.0000000000004517","article-title":"Association Between Perioperative Hypotension and Delirium in PostoperatiQve Critically Ill Patients: A Retrospective Cohort 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universit\u00e1ria"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-11692024000100357&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T08:18:08Z","timestamp":1725265088000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692024000100357&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":24,"alternative-id":["S0104-11692024000100357"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.7113.4233","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1518-8345.7113.4234","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.7113.4232","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.7113.4234","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1518-8345.7113.4232","asserted-by":"object"}]},"ISSN":["1518-8345"],"issn-type":[{"value":"1518-8345","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e4233"}}