Oversedation has adverse effects on critically ill patients. The Analgosedation and Delirium Committee of the FEPIMCTI (Pan-American and Iberian Federation of Critical Care Medicine and Intensive Care) conducted a cross-sectional study through a survey addressed to ICU physicians: PANDEMIC (Pan-American and Iberian Study on the Management of Analgosedation and Delirium in Critical Care [fepImCti]).
HypothesisWorsening of these practices in the course of the pandemic and that continued afterwards, with further oversedation.
ObjectivesPerception of analgosedation and delirium practices in Pan-American and Iberian ICUs before, during and after the COVID-19 pandemic, and factors associated with persistent oversedation after the pandemic.
Of the 1008 respondents, 25% perceived oversedation after the pandemic (95%CI 22.4–27.8). This perception was higher in South America (35.8%, P&#¿;<&#¿;.001). Main risk factor: habit acquired during the pandemic (adjusted OR [aOR] 3.16, 95%CI 2.24–4.45, P&#¿;<&#¿;.001). Main protective factor: delirium monitoring before the pandemic (aOR 0.70, 95%CI 0.50−0.98, P&#¿;=&#¿;.038).
The factors identified in this study provide a basis for targeting future interventions.
La sobresedación tiene consecuencias negativas en pacientes críticos. Desde el Comité de Analgosedación y Delirium de la FEPIMCTI (Federación Panamericana e Ibérica de Medicina Crítica y Terapia Intensiva) diseñamos estudio transversal mediante encuesta dirigida a médicos/as de UCI: PANDEMIC [estudio Panamericano e Ibérico sobre manejo de ANalgosedación y DEliriuM en Cuidados Críticos (fepImCti)].
HipótesisEmpeoramiento de dichas prácticas durante la pandemia que persistieron tras ella, con mayor sobresedación.
ObjetivosPercepción de prácticas de analgosedación y delirium en las UCI de la región Panamericana e Ibérica, antes, durante y después de la pandemia COVID-19 y factores asociados a persistencia sobresedación post-pandemia.
De los 1008 encuestados, 25% informó percepción de sobresedación tras la pandemia (IC95% 22.4%–27.8%), mayor en Sudamérica (35.8%, P&#¿;<&#¿;.001). Principal factor riesgo: hábito adquirido durante la pandemia (OR ajustado [aOR] 3.16, IC95% 2.24–4.45, P&#¿;<&#¿;.001). Principal factor protector: monitorización delirium (aOR 0.70, IC95% 0.50−0.98, P&#¿;=&#¿;.038) previo a la pandemia.
Estos factores identificados en el estudio ofrecen una base para dirigir intervenciones futuras.
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