Zusammenfassung
Das Delir ist eine der häufigsten akuten Organdysfunktionen während einer intensivrnedizinischen Behandlung. Seine Inzidenz ist mit 50% bei nichtbeatmeten und bis zu 80% bei beatmeten Patienten sehr hoch. Im Rahmen der klinischen Routineversorgung von kritisch kranken Patienten bleibt es, insbesondere wegen der mangelhaften Implementierung valider Messinstrumente, häufig unerkannt. Ein Delir ist mit einer verlängerten Beatmungsdauer, einer verlängerten Krankenhausverweildauer, erhöhten Komplikationsraten, wie nosokomialen Infektionen, und einer erhöhten Mortalität assoziiert. Maßnahmen zur verbesserten Diagnostik und Behandlung können nur erfolgreich sein, wenn Ärzte, Pflegekräfte und medizinisches Personal eng zusammenarbeiten und Strategien gemeinsam umsetzen.
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Luetz, A., Weiss, B., Held, H., Spies, C. (2013). Das Delir auf Intensivstationen. In: Janssens, U., Joannidis, M., Mayer, A. (eds) Weiterbildung Intensivmedizin und Notfallmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40738-3_4
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