The American Journal of Surgery
Volume 196, Issue 6 , Pages 864-870 , December 2008

Risk factors for delirium after major trauma

  • Erik M. Angles, B.S.

      Affiliations

    • Department of Surgery, University of Colorado at Denver, Health Sciences Center, 12631 East 17th Ave., Mail Stop C313, PO Box 6511, Aurora, CO, USA
    • ,
  • Thomas N. Robinson, M.D.

      Affiliations

    • Department of Surgery, University of Colorado at Denver, Health Sciences Center, 12631 East 17th Ave., Mail Stop C313, PO Box 6511, Aurora, CO, USA
    • Corresponding Author InformationCorresponding author: Tel.: +1-303-724-2728; fax: +1-303-724-2733
    • ,
  • Walter L. Biffl, M.D.

      Affiliations

    • Department of Surgery, University of Colorado at Denver, Health Sciences Center, 12631 East 17th Ave., Mail Stop C313, PO Box 6511, Aurora, CO, USA
    • Department of Surgery, Denver Health Medical Center, Denver, CO, USA
    • ,
  • Jeff Johnson, M.D.

      Affiliations

    • Department of Surgery, University of Colorado at Denver, Health Sciences Center, 12631 East 17th Ave., Mail Stop C313, PO Box 6511, Aurora, CO, USA
    • Department of Surgery, Denver Health Medical Center, Denver, CO, USA
    • ,
  • Marc Moss, M.D.

      Affiliations

    • Department of Medicine, University of Colorado at Denver, Health Sciences Center, Aurora, CO, USA
    • ,
  • Zung V. Tran, Ph.D.

      Affiliations

    • Department of Biometrics, University of Colorado at Denver, Health Sciences Center, Aurora, CO, USA
    • ,
  • Ernest E. Moore, M.D.

      Affiliations

    • Department of Surgery, University of Colorado at Denver, Health Sciences Center, 12631 East 17th Ave., Mail Stop C313, PO Box 6511, Aurora, CO, USA
    • Department of Surgery, Denver Health Medical Center, Denver, CO, USA

Received 2 May 2008 ,Revised 8 July 2008

References 

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  2. Pandharipande P, Cotton BA, Shintani A, et al. Motoric subtypes of delirium in mechanically ventilated surgical and trauma intensive care unit patients. Intensive Care Med. 2007;33:1726–1731
  3. Dasgupta M, Dumbrell AC. Preoperative risk assessment for delirium after noncardiac surgery: a systematic review. J Am Geriatr Soc. 2006;54:1578–1589
  4. Reinert DF, Allen JP. The alcohol use disorders identification test (AUDIT): a review of recent research. Alcohol Clin Exp Res. 2002;26:272–279
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  8. Baker SP, O'Neill B, Haddon W, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187–196
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  10. Ely EW, Inouye SK, Bernard GR, et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA. 2001;286:2703–2710
  11. Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond agitation-sedation scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002;166:1338–1344
  12. Ely EW, Truman B, Shintani A, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond agitation-sedation scale (RASS). JAMA. 2003;289:2983–2991
  13. Pisani MA, Araujo KL, Van Ness PH, et al. A research algorithm to improve detection of delirium in the intensive care unit. Crit Care. 2006;10:R121
  14. Inouye SK, Leo-Summers L, Zhang Y, et al. A chart-based method for identification of delirium: validation compared with interviewer ratings using the confusion assessment method. J Am Geriatr Soc. 2005;53:312–318
  15. Meagher DJ, Trzepacz PT. Motoric subtypes of delirium. Semin Clin Neuropsychiatr. 2000;5:75–85
  16. Peterson JF, Pun BT, Dittus RS, et al. Delirium and its motoric subtypes: a study of 614 critically ill patients. J Am Geriatr Soc. 2006;54:479–484
  17. Rosner B. Fundamentals of Biostatistics. 6th ed. Belmont, CA: Duxbury Publishing; 2006;
  18. Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New York: John Wiley & Sons; 2000;
  19. Blondell RD, Powell GE, Dodds HN, et al. Admission characteristics of trauma patients in whom delirium develops. Am J Surg. 2004;187:332–337
  20. Milisen K, Foreman MD, Wouters B, et al. Documentation of delirium in elderly patients with hip fracture. J Gerontol Nurs. 2002;28:23–29
  21. Pandharipande P, Shintani A, Peterson J, et al. Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients. Anesthesiology. 2006;104:21–26

PII: S0002-9610(08)00670-3

doi: 10.1016/j.amjsurg.2008.07.037

The American Journal of Surgery
Volume 196, Issue 6 , Pages 864-870 , December 2008

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