Agitation onset, frequency, and associated temporal factors in critically ill adults

Ruth S. Burk, Mary Jo Grap, Cindy Munro, Christine M. Schubert, Curtis N. Sessler

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background Agitation is a frequent complication in critically ill adults, can result in life-threatening events for patients or care providers, and extends the hospital length of stay, thereby increasing hospital costs. Objectives To describe the incidence, onset, and temporal factors related to agitation in critically ill adults. Methods Data were collected for the first 5 days of stay of all adult patients consecutively admitted to a medical respiratory intensive care unit and a surgical trauma intensive care unit during a 2-month period. Agitation was documented by using scores on the Richmond Agitation-Sedation Scale or notation of agitation in the medical record. The hour was used as the documentation epoch, and data were summarized by hour, 4-hour block, and day for each patient. Results Data were collected on 200 patients, 100 from each unit. Among the sample, 118 (59%) were agitated at some time during the 5 days. The overall agitation rate was 7.8% of the total hourly time. Mean onset of agitation was 11.6 hours from time of admission to the unit. Of the 118 patients who were agitated at some time, 102 (86%) had agitation on day 1. Compared with patients in the surgical trauma unit, patients in the medical respiratory unit had significantly more hours of agitation the first day and first hour of admission and significantly earlier onset of agitation. Conclusions Agitation was present in more than one-half of the patients in the sample, typically developed on the first day, and involved consecutive days.

Original languageEnglish (US)
Pages (from-to)296-304
Number of pages9
JournalAmerican Journal of Critical Care
Volume23
Issue number4
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Critical Illness
Intensive Care Units
Length of Stay
Respiratory Care Units
Hospital Costs
Trauma Centers
Critical Care
Documentation
Medical Records
Patient Care
Incidence
Wounds and Injuries

ASJC Scopus subject areas

  • Critical Care

Cite this

Agitation onset, frequency, and associated temporal factors in critically ill adults. / Burk, Ruth S.; Grap, Mary Jo; Munro, Cindy; Schubert, Christine M.; Sessler, Curtis N.

In: American Journal of Critical Care, Vol. 23, No. 4, 01.01.2014, p. 296-304.

Research output: Contribution to journalArticle

Burk, Ruth S. ; Grap, Mary Jo ; Munro, Cindy ; Schubert, Christine M. ; Sessler, Curtis N. / Agitation onset, frequency, and associated temporal factors in critically ill adults. In: American Journal of Critical Care. 2014 ; Vol. 23, No. 4. pp. 296-304.
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