Prevalence of Delirium and Its Related Factors in Burn Patients; a Systematic Review and Meta-Analysis
Archives of Academic Emergency Medicine,
Vol. 12 No. 1 (2024),
1 January 2024
,
Page e7
https://doi.org/10.22037/aaem.v12i1.2136
Abstract
Introduction: Considering the importance of delirium disorder in burn patients and its complications, the present systematic review and meta-analysis aimed to determine the prevalence of delirium and its related factors in burn patients.
Methods: A comprehensive, systematic search was performed in different international electronic databases, such as Scopus, PubMed, and Web of Science, as well as Persian electronic databases such as Iranmedex, and Scientific Information Database (SID) using keywords extracted from Medical Subject Headings such as "Prevalence", "Delirium", and "Burns" from the earliest to the 17th of July, 2023.
Results: In total, 2,710 burn patients participated in ten original studies. Among the participants, 64.6% were male. In the ten studies, the reported pooled prevalence of delirium among burn patients was 20.5% (95% CI: 10.9% to 35.0%; I2=96.889%; P<0.001). Also, factors such as total body surface area, duration of hospitalization, mortality, days on ventilator, alcoholism, benzodiazepine dose, methadone dose, age, male gender, ICU days, operation days, wound care under anesthesia, and opioid dose had a significant correlation with the prevalence of delirium in burn patients.
Conclusion: Health managers and policymakers can reduce the prevalence of delirium in burn patients by eliminating or reducing factors associated with it.
- Prevalence
- Delirium
- Burns
- Systematic review
- Meta-analysis
- Risk factors
- Mental disorders
How to Cite
References
Ortega DG, Papathanassoglou E, Norris CM. The lived experience of delirium in intensive care unit patients: a meta-ethnography. Aust Crit Care. 2020;33(2):193-202.
Spiegelberg J, Song H, Pun B, Webb P, Boehm LM. Early identification of delirium in intensive care unit patients: Improving the quality of care. Crit Care Nurse. 2020;40(2):33-43.
Berger E, Wils E-J, Vos P, van Santen S, Koets J, Slooter AJ, et al. Prevalence and management of delirium in intensive care units in the Netherlands: An observational multicentre study. Intensive Crit Care Nurs. 2020;61:102925.
Xiao L, Zhang L, Fang G, Yuhang A. Incidence and risk factors for delirium in older patients following intensive care unit admission: a prospective observational study. J Nurs Res. 2020;28(4):e101.
Bastos AS, Beccaria LM, Silva DCd, Barbosa TP. Prevalence of delirium in intensive care patients and association with sedoanalgesia, severity and mortality. Rev Gaucha Enferm. 2020;41:e20190068.
Depetris N, Raineri S, Pantet O, Lavrentieva A. Management of pain, anxiety, agitation and delirium in burn patients: a survey of clinical practice and a review of the current literature. Ann Burn Fire Disasters. 2018;31(2):97-108.
Farzan R, Parvizi A, Haddadi S, Sadeh Tabarian M, Jamshidbeigi A, Samidoust P, et al. Effects of non-pharmacological interventions on pain intensity of children with burns: A systematic review and meta-analysis. Int Wound J. 2023;20(7):2898-2913.
Farzan R, Parvizi A, Takasi P, Mollaei A, Karkhah S, Firooz M, et al. Caregivers' knowledge with burned children and related factors towards burn first aid: A systematic review. Int Wound J. 2023;20(7):2887-2897.
Alizadeh Otaghvar H, Parvizi A, Ghorbani Vajargah P, Mollaei A, Karkhah S, Takasi P, et al. A systematic review of medical science students' knowledge and related factors towards burns first aids. Int Wound J. 2023;20(8):3380-3390.
Bryant KJ. Pediatric delirium in the cardiac intensive care unit: Identification and intervention. Crit Care Nurse. 2018;38(4):e1-e7.
Agarwal V, O'Neill PJ, Cotton BA, Pun BT, Haney S, Thompson J, et al. Prevalence and risk factors for development of delirium in burn intensive care unit patients. J Burn Care Res. 2010;31(5):706-15.
Abdelrahman I, Vieweg R, Irschik S, Steinvall I, Sjöberg F, Elmasry M. Development of delirium: Association with old age, severe burns, and intensive care. Burns. 2020;46(4):797-803.
Van Yperen DT, Raats JW, Dokter J, Ziere G, Roukema GR, van Baar ME, et al. Prevalence and risk factors for delirium in elderly patients with severe burns: A retrospective cohort study. J Burn Care Res. 2020;41(2):371-6.
Low JA, Meyer III WJ, Willebrand M, Thomas CR. Psychiatric disorders associated with burn injury. Total Burn Care: Elsevier; 2018. p. 700-8. e3.
Wang J, Ji Y, Wang N, Chen W, Bao Y, Qin Q, et al. Risk factors for the incidence of delirium in cerebrovascular patients in a neurosurgery intensive care unit: a prospective study. J Clin Nurs. 2018;27(1-2):407-15.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
Corlett RT. Trouble with the gray literature. Biotropica. 2011;43(1):3-5.
Downes MJ, Brennan ML, Williams HC, Dean RS. Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS). BMJ Open. 2016;6(12):e011458.
Chate S, Bhogale G, Patil N, Nayak R. Psychiatric Morbidity amongst Hospitalized Burns Patients - One year Descriptive Study. Indian J Private Psychiatry. 2010;4(1):59-65.
Perry S, Blank K. Delirium in burn patients. J Burn Care Rehabil. 1984;5(3):210-4.
Kishi Y, Iwasaki Y, Takezawa K, Kurosawa H, Endo S. Delirium in critical care unit patients admitted through an emergency room. Gen Hosp Psychiatry. 1995;17(5):371-9.
Palmu R, Suominen K, Vuola J, Isometsä E. Mental disorders after burn injury: a prospective study. Burns. 2011;37(4):601-9.
Yabanoğlu H, Yağmurdur MC, Taşkıntuna N, Karakayalı H. Early period psychiatric disorders following burn trauma and the importance of surgical factors in the etiology. Ulus Travma Acil Cerrahi Derg. 2012;18(5):436-40.
Holmes EG, Jones SW, Laughon SL. A retrospective analysis of neurocognitive impairment in older patients with burn injuries. Psychosomatics. 2017;58(4):386-94.
Erdoğan E, Delibaş ID DH. Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study. Med J Bakirkoy. 2020;16(1):62-70.
Powell TL, Nolan M, Yang G, Tam M, Metter D, Gibran NS, et al. Nursing Understanding and Perceptions of Delirium: Assessing Current Knowledge, Attitudes, and Beliefs in a Burn ICU. J Burn Care Res. 2019;40(4):471-7.
Krewulak KD, Stelfox HT, Leigh JP, Ely EW, Fiest KM. Incidence and Prevalence of Delirium Subtypes in an Adult ICU: A Systematic Review and Meta-Analysis. Crit Care Med. 2018;46(12):2029-35.
Choy K, Dyamenahalli KU, Khair S, Colborn KL, Wiktor AJ, Idrovo J-P, et al. Aberrant inflammatory responses in intoxicated burn-injured patients parallel impaired cognitive function. Alcohol. 2023;109:35-41.
Ren Y, Zhang Y, Luo J, Liao W, Cheng X, Zhan J. Research progress on risk factors of delirium in burn patients: A narrative review. Front psychiatry. 2022;13:989218.
Williams EC, Estime S, Kuza CM. Delirium in trauma ICUs: a review of incidence, risk factors, outcomes, and management. Curr Opin Anaesthesiol. 2023;36(2):137-46.
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