Outcome | Before (n =97) | After (n =102) | P -value |
---|---|---|---|
Level of Sedation | |||
Percentage of RASS scores +4 to +1 | 5% (1 to 11) | 9.5% (3 to 19) | 0.001 |
Percentage of RASS scores +4 | 0% (0 to 0) | 0% (0 to 0) | |
Percentage of RASS scores +3 | 0% (0 to 0) | 0% (0 to 0) | |
Percentage of RASS scores +2 | 0% (0 to 2.7) | 2.3% (0 to 5.4) | |
Percentage of RASS scores +1 | 3.7% (0.9 to 7.6) | 5.3% (1.5 to 12.5) | |
Percentage of RASS scores 0 to −2 | 45% (24 to 64) | 48% (20 to 68) | 0.789 |
Percentage of RASS scores −3 | 30% (15 to 43) | 18% (10 to 36) | 0.049 |
Percentage of RASS scores −4 to −5 | 13% (5 to 23) | 9% (2 to 24) | 0.154 |
Delirium evaluationb | |||
Number of potential evaluations | 1564 | 1,585 | |
Number of evaluations performed | 1,415 (90%) | 1,475 (93%) | |
Number of evaluations NOT performed | 149 (10%) | 110 (7%) | |
Number deemed unassessablec | 161/1,415 (11%) | 262/1,475 (18%) | |
Number of positive CAM-ICU assessments | 693/1,415 (49%) | 806/1,475 (55%) | |
Number of negative CAM-ICU assessments | 561/1,415 (40%) | 407/1,475 (27%) | |
Deliriumb | |||
Delirium at any time during ICU | 79 (81%) | 95 (93%) | 0.013 |
Percentage of days with delirium | 55% (18 to 83) | 71% (45 to 100) | 0.001 |
Median number of positive CAM-ICU assessments | 6 (1.5 to 11) | 5.5 (3 to 12.25) | 0.312 |
Received antipsychotic medicationd | 28 (29%) | 31 (30%) | 0.814 |