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题名

Effect of midazolam on delirium in critically ill patients: a propensity score analysis

作者
通讯作者Hu, An-Min
发表日期
2022-04-01
DOI
发表期刊
ISSN
0300-0605
EISSN
1473-2300
卷号50期号:4
摘要
Objective To observe the association between exposure to midazolam within 24 hours prior to delirium assessment and the risk of delirium. Methods We performed a systematic cohort study with two sets of cohorts to estimate the relative risks of outcomes among patients administered midazolam within 24 hours prior to delirium assessment. Propensity score matching was performed to generate a balanced 1:1 matched cohort and identify potential prognostic factors. The outcomes included the odds of delirium, mortality, length of intensive care unit stay, length of hospitalization, and odds of being discharged home. Results A total of 78,364 patients were included in this study, of whom 22,159 (28.28%) had positive records. Propensity matching successfully balanced covariates for 9348 patients (4674 per group). Compared with no administration of midazolam, midazolam administration was associated with a significantly higher risk of delirium, higher mortality, and a longer intensive care unit stay. Patients treated with midazolam were relatively less likely to be discharged home. There was no significant difference in hospitalization duration. Conclusions Midazolam may be an independent risk factor for delirium in critically ill patients.
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语种
英语
学校署名
通讯
资助项目
Medical Science and Technology Research Fund of Guangdong Province[A2021058] ; Clinical Agent Research Fund of Guangdong Province[2022MZ12]
WOS研究方向
Research & Experimental Medicine ; Pharmacology & Pharmacy
WOS类目
Medicine, Research & Experimental ; Pharmacology & Pharmacy
WOS记录号
WOS:000787546800001
出版者
ESI学科分类
CLINICAL MEDICINE
来源库
Web of Science
引用统计
被引频次[WOS]:8
成果类型期刊论文
条目标识符http://sustech.caswiz.com/handle/2SGJ60CL/333455
专题南方科技大学第一附属医院
作者单位
1.Shenzhen Peoples Hosp, Dept Anesthesiol, 1017 Dongmen St, Shenzhen 518020, Guangdong, Peoples R China
2.Jinan Univ, Clin Med Coll 2, Shenzhen, Peoples R China
3.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen, Peoples R China
第一作者单位南方科技大学第一附属医院
通讯作者单位南方科技大学第一附属医院
推荐引用方式
GB/T 7714
Shi, He-Jie,Yuan, Rui-Xia,Zhang, Jun-Zhi,et al. Effect of midazolam on delirium in critically ill patients: a propensity score analysis[J]. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH,2022,50(4).
APA
Shi, He-Jie,Yuan, Rui-Xia,Zhang, Jun-Zhi,Chen, Jia-Hui,&Hu, An-Min.(2022).Effect of midazolam on delirium in critically ill patients: a propensity score analysis.JOURNAL OF INTERNATIONAL MEDICAL RESEARCH,50(4).
MLA
Shi, He-Jie,et al."Effect of midazolam on delirium in critically ill patients: a propensity score analysis".JOURNAL OF INTERNATIONAL MEDICAL RESEARCH 50.4(2022).
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