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Prevalence of Delirium and Its Related Factors in Burn Patients; a Systematic Review and Meta-Analysis Publisher



Otaghvar HA1 ; Farzan R2 ; Ghaderi A4 ; Najafi M5 ; Tohidian M6 ; Izadi F7 ; Mazhari SA8
Authors
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Authors Affiliations
  1. 1. Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Plastic & Reconstructive Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  3. 3. School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Nursing, Asadabad School of Medical Sciences, Asadabad, Iran
  6. 6. Department of Anatomical Sciences, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Department of Nursing, School of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  8. 8. Student Research Committee, Azerbaijan Medical University, Baku, Azerbaijan

Source: Archives of Academic Emergency Medicine Published:2024


Abstract

Introduction: Considering the importance of deliriumdisorder in burn patients and its complications, the present systematic review andmeta-analysis aimed to determine the prevalence of deliriumand its related factors in burn patients. Methods: A comprehensive, systematic search was performed in different international electronic databases, such as Scopus, PubMed, and Web of Science, as well as Persian electronic databases such as Iranmedex, and Scientific Information Database (SID) using keywords extracted from Medical Subject Headings such as Prevalence, Delirium, and Burns from the earliest to the 17th of July, 2023. Results: In total, 2,710 burn patients participated in ten original studies. Among the participants, 64.6% were male. In the ten studies, the reported pooled prevalence of delirium among burn patients was 20.5% (95% CI: 10.9% to 35.0%; I2=96.889%; P<0.001). Also, factors such as total body surface area, duration of hospitalization, mortality, days on ventilator, alcoholism, benzodiazepine dose, methadone dose, age, male gender, ICU days, operation days, wound care under anesthesia, and opioid dose had a significant correlation with the prevalence of delirium in burn patients. Conclusion: Health managers and policymakers can reduce the prevalence of delirium in burn patients by eliminating or reducing factors associated with it. © (2023), (Shaheed Beheshti University of Medical Sciences and Health Services). All Rights Reserved.