The Relationship of Cognitive Test for Delirium (CTD) Score with the Length of Inpatient Period of Patients with Moderate Capitis Trauma in the Hospital
Delirium is a condition that often occurs after a patient has suffered a coma due to head trauma, and usually appears when the patient starts to recover their consciousness. This condition is associated with a variety of serious complications, including increased mortality, extension of inpatient duration in hospitals, and the use of more hospital resources. Understanding the relationship between delirium and the length of inpatient period is crucial in improving the quality of treatment and reducing hospital costs . This study aims to investigate the relationship between the Cognitive Test for Delirium (CTD) score with the duration of inpatients in patients with moderate to severe head injury.
Research Methods This study uses a longitudinal design with non-random sampling using a consecutive method. The study was conducted on patients with moderate to severe head injuries treated in the neurological room of H. Adam Malik Hospital Medan between February and July 2007. Researchers conducted a calculation of Glasgow Coma Scale (GCS) and the CT scan of the head to detect the patient's condition. Furthermore, delirium identification is done using CTD instruments, and the patient's inpatient period is recorded. The use of CTD instruments is a crucial step in identifying delirium and its impact on patient outcomes . Analysis to determine the relationship between CTD scores and the average length of hospital inpatients is carried out with a T-Independent test, with a significant value determined on P <0.05.
Research Result Of the 34 samples of patients with moderate to severe head injuries, consisting of 30 men (88.2%) and 4 women (11.8%), found that 20 patients (58.8%) experienced delirium with a CTD score of less than 19. The high prevalence of delirium in patients with head injuries highlights the need for early identification and intervention . The average CTD score in the whole patient is 16.79 ± 5.17. In groups with GCS 3-8, the average CTD score was recorded at 10.29 ± 6.26, which was lower compared to the GCS 9-12 group which reached 18.48 ± 3.25, although the two groups were both together shows the symptoms of delirium (p = 0.013). Overall, the average length of hospitalization of patients in hospitals is 17.50 ± 5.83 days, with the length of hospital inpatients varying from 10 to 30 days. Patients who experience delirium indicate an average inpatient period of 21.05 ± 4.61 days, compared to patients without delirium which is only 12.43 ± 2.85 days (p = 0,000) .
Conclusion Based on this study, it was found that the average inpatient period in patients with head injuries who suffered delirium was significantly longer than patients who did not experience delirium. This highlights the importance of handling and early identification of delirium in patients with capitis trauma, in order to improve the quality of treatment and shorten the inpatient period in the hospital . Further research is needed to understand the mechanism that underlies this relationship and to formulate the right intervention strategy.
Through this study, we can conclude that the patient's cognitive monitoring after head injury, including the use of CTD, is an important step in clinical management, as well as contributing to the handling of complications that may arise during the inpatient period in hospitals .
Implications of the Study The findings of this study have several implications for clinical practice and research. Firstly, the study highlights the importance of early identification and intervention of delirium in patients with head injuries. Delirium is a preventable and treatable condition, and early identification can lead to improved patient outcomes . Secondly, the study suggests that the use of CTD instruments is a crucial step in identifying delirium and its impact on patient outcomes. The use of CTD instruments can help clinicians to identify patients at risk of delirium and to develop targeted interventions to prevent or treat delirium .
Limitations of the Study This study has several limitations that should be acknowledged. Firstly, the study was conducted on a small sample of patients with moderate to severe head injuries. The findings of this study may not be generalizable to other populations or settings . Secondly, the study used a consecutive sampling method, which may have introduced bias into the study. The use of a random sampling method would have helped to reduce bias and increase the generalizability of the findings .
Future Research Directions This study highlights the need for further research into the relationship between delirium and the length of inpatient period in patients with head injuries. Future studies should aim to replicate the findings of this study and to explore the mechanisms underlying the relationship between delirium and patient outcomes . Additionally, future studies should aim to develop and evaluate interventions to prevent or treat delirium in patients with head injuries.
Conclusion In conclusion, this study found that the average inpatient period in patients with head injuries who suffered delirium was significantly longer than patients who did not experience delirium. The findings of this study highlight the importance of handling and early identification of delirium in patients with capitis trauma, in order to improve the quality of treatment and shorten the inpatient period in the hospital . Further research is needed to understand the mechanism that underlies this relationship and to formulate the right intervention strategy.Frequently Asked Questions (FAQs) about the Relationship of Cognitive Test for Delirium (CTD) Score with the Length of Inpatient Period of Patients with Moderate Capitis Trauma in the Hospital
Q: What is delirium, and how does it affect patients with head injuries?
A: Delirium is a condition that often occurs after a patient has suffered a coma due to head trauma, and usually appears when the patient starts to recover their consciousness. It is associated with a variety of serious complications, including increased mortality, extension of inpatient duration in hospitals, and the use of more hospital resources.
Q: What is the Cognitive Test for Delirium (CTD), and how is it used in this study?
A: The Cognitive Test for Delirium (CTD) is a tool used to identify and assess delirium in patients. In this study, the CTD was used to identify patients with delirium and to assess the severity of their condition.
Q: What were the main findings of this study?
A: The study found that the average inpatient period in patients with head injuries who suffered delirium was significantly longer than patients who did not experience delirium. The study also found that the use of CTD instruments was a crucial step in identifying delirium and its impact on patient outcomes.
Q: What are the implications of this study for clinical practice?
A: The study highlights the importance of early identification and intervention of delirium in patients with head injuries. Delirium is a preventable and treatable condition, and early identification can lead to improved patient outcomes.
Q: What are the limitations of this study?
A: The study was conducted on a small sample of patients with moderate to severe head injuries, and the findings may not be generalizable to other populations or settings. Additionally, the study used a consecutive sampling method, which may have introduced bias into the study.
Q: What are the future research directions for this study?
A: Future studies should aim to replicate the findings of this study and to explore the mechanisms underlying the relationship between delirium and patient outcomes. Additionally, future studies should aim to develop and evaluate interventions to prevent or treat delirium in patients with head injuries.
Q: How can healthcare providers use the findings of this study to improve patient care?
A: Healthcare providers can use the findings of this study to identify patients at risk of delirium and to develop targeted interventions to prevent or treat delirium. They can also use the CTD instrument to assess the severity of delirium and to monitor patient outcomes.
Q: What are the potential benefits of using the CTD instrument in clinical practice?
A: The CTD instrument can help healthcare providers to identify patients at risk of delirium and to develop targeted interventions to prevent or treat delirium. It can also help to improve patient outcomes and reduce the length of hospital stay.
Q: What are the potential limitations of using the CTD instrument in clinical practice?
A: The CTD instrument may not be suitable for all patients, particularly those with severe cognitive impairment or language barriers. Additionally, the instrument may require specialized training to administer and interpret.
Q: How can healthcare providers overcome the limitations of the CTD instrument?
A: Healthcare providers can overcome the limitations of the CTD instrument by using it in conjunction with other assessment tools and by providing specialized training to administer and interpret the instrument.
Q: What are the potential future directions for research on delirium and the CTD instrument?
A: Future research should aim to replicate the findings of this study and to explore the mechanisms underlying the relationship between delirium and patient outcomes. Additionally, future research should aim to develop and evaluate interventions to prevent or treat delirium in patients with head injuries.
Q: How can healthcare providers stay up-to-date with the latest research on delirium and the CTD instrument?
A: Healthcare providers can stay up-to-date with the latest research on delirium and the CTD instrument by attending conferences and workshops, reading peer-reviewed journals, and participating in online forums and discussions.