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

Summary: A review found delirium affects about 20% of burn patients, linked to factors like larger burns, ICU stay, and opioids. Research suggests better prevention is needed. #BurnCare #MentalHealth

Otaghvar HA¹ ; Farzan R² ; Ghaderi A⁴ ; Najafi M⁵ ; Tohidian M⁶ ; Izadi F⁷ ; Mazhari SA⁸
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.