ICU sedation, delirium & recovery

Windows in the ICU and Postoperative Delirium: A Retrospective Cohort Study

Crit Care MedPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 1.29 95% CI 1.07–1.56

Authors' conclusion

The current study provides insightful information regarding associations between a component of the ICU built environment, specifically the presence or absence of windows, and the frequency of delirium.

Study context

Population
ICU patients, January 1, 2020, to September 1, 2023
Participants
3,527 patient encounters
Exposure
ICU rooms with windows vs without windows
  • Windowedn = 2,235
  • Nonwindowedn = 1,292reference
Outcome
Delirium (CAM-ICU) at any time during ICU stay
Methodological detailssingle institution
  • Single institution

Main finding

As reported in the abstract

Odds ratio

1.29

95% CI 1.07–1.56

P = 0.008

Events by group

Windowed vs Nonwindowed
OR 1.29 (95% CI 1.07–1.56); P = 0.008

Observational data: associations, not effects.

Secondary outcomes

OutcomeaHR (95% CI)P value
Hospital LOS0.94 (0.87–1.00)P = 0.06
ICU LOS0.93 (0.87–1.00)0.05
  • Hospital LOS: longer in windowed rooms; not statistically significant in adjusted analyses
  • ICU LOS: longer in windowed rooms; not statistically significant in adjusted analyses

Other secondary outcomes (delirium in first 7 days, in-hospital mortality, pain scores, RASS scores)

No statistically significant difference

Original publication

Windows in the ICU and Postoperative Delirium: A Retrospective Cohort Study. Crit Care Med. Published 8 January 2025. doi:10.1097/ccm.0000000000006557

Composed by AI from the published abstract and checked against it. How Briefs are made →

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