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July 1, 2014American Journal of Critical CareOpen Access

Agitation Onset, Frequency, and Associated Temporal Factors in Critically Ill Adults

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Authors

RBRuth S. BurkMGMary Jo GrapCMCindy L. Munro

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Overview

Cohort study reveals high early incidence of agitation in critically ill adults, highlighting rapid onset within the first twenty-four hours of intensive care admission.

Key Points

  • To characterize the incidence, onset timing, and temporal factors associated with agitation in critically ill adults.
  • Conducted a prospective observational study of 200 consecutively admitted adult patients (100 in a medical respiratory ICU and 100 in a surgical trauma ICU) over a 2-month period.
  • Documented agitation during the first 5 days of admission at hourly intervals using Richmond Agitation-Sedation Scale scores or medical record notations.
  • Aggregated data into hourly, 4-hour, and daily epochs to analyze temporal distribution and timing of agitation onset.
  • Agitation occurred in 59% of patients (118/200), spanning 7.8% of all patient-hours evaluated, with a mean onset time of 11.6 hours following ICU admission.
  • Among agitated patients, 86% (102/118) experienced agitation on day 1, with episodes commonly continuing across consecutive days.
  • Medical respiratory ICU patients exhibited significantly earlier onset of agitation and more agitated hours during the first hour and first day than surgical trauma ICU patients.

Cite This Study

Burk et al. (2014) studied this question.

synapsesocial.com/papers/6aa4685de07e96e331b8539chttps://doi.org/10.4037/ajcc2014186
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