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Bullock CR, Richards SB, Winchester JAP, et al. Delirium in critically ill military patients following trauma: A cohort analysis. J Intensive Care Soc. 2015;17(1):12-18doi: 10.1177/1751143715605850.
Bullock, C. R., Richards, S. B., Winchester, J. A. P., Jackson, T. A., & Small, C. L. (2016). Delirium in critically ill military patients following trauma: A cohort analysis. Journal of the Intensive Care Society, 17(1), 12-18. https://doi.org/10.1177/1751143715605850
Bullock, Charlotte R, et al. "Delirium in critically ill military patients following trauma: A cohort analysis." Journal of the Intensive Care Society vol. 17,1 (2016): 12-18. doi: https://doi.org/10.1177/1751143715605850
Bullock CR, Richards SB, Winchester JAP, Jackson TA, Small CL. Delirium in critically ill military patients following trauma: A cohort analysis. J Intensive Care Soc. 2016 Feb;17(1):12-18. doi: 10.1177/1751143715605850. Epub 2015 Oct 01. PMID: 28979453; PMCID: PMC5606384.
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J Intensive Care Soc. 2016 Feb;17(1):12-18. doi: 10.1177/1751143715605850. Epub 2015 Oct 01.

Delirium in critically ill military patients following trauma: A cohort analysis.

Journal of the Intensive Care Society

Charlotte R Bullock, Simon B Richards, James A P Winchester, Thomas A Jackson, Charlotte L Small

Affiliations

  1. Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, UK.
  2. School of Immunity and Infection, University of Birmingham, UK.
  3. Anaesthetics and Intensive Care Medicine, Queen Elizabeth Hospital Birmingham, UK.

PMID: 28979453 PMCID: PMC5606384 DOI: 10.1177/1751143715605850

Abstract

Critically ill military trauma patients have been found to have a high incidence of psychological morbidity following their Intensive Care Unit (ICU) experience, including recall of significant auditory and visual hallucinations. It follows that this may be attributable to delirium, which has not been previously described in a young, previously fit population following trauma. The case-notes of 85 male patients (mean age 26 years), admitted to a single UK ICU following military trauma, were retrospectively assessed for delirium using DSM-IV criteria. Of the 993 ICU days assessed, 13.4% were delirium-positive, with just over half of patients (51.8%) experiencing at least one day of delirium. On delirium-positive days, 69.2% received a documented intervention, with the majority of interventions (66.4%) being pharmacological, commonly with a sedative or anti-psychotic. Presence of delirium was significantly associated with severity of injury, assessed by Injury Severity Score (OR 1.037, 95% CI 1.003-1.072,

Keywords: Delirium; ICU; critical illness; military; trauma

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