Exploring the Documentation of Delirium in Patients After Cardiac Surgery : A Retrospective Patient Record Study

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dc.contributorAalto-yliopistofi
dc.contributorAalto Universityen
dc.contributor.authorPoikajärvi, Satuen_US
dc.contributor.authorPeltonen, Laura-Mariaen_US
dc.contributor.authorSiirala, Eriikkaen_US
dc.contributor.authorHeimonen, Juhoen_US
dc.contributor.authorMoen, Hansen_US
dc.contributor.authorSalanterä, Sannaen_US
dc.contributor.authorJunttila, Kristiinaen_US
dc.contributor.departmentDepartment of Computer Scienceen
dc.contributor.groupauthorProfessorship Marttinen P.en
dc.contributor.groupauthorProfessorship Kaski Samuelen
dc.contributor.organizationUniversity of Turkuen_US
dc.contributor.organizationTurku University Hospitalen_US
dc.date.accessioned2024-01-04T08:43:53Z
dc.date.available2024-01-04T08:43:53Z
dc.date.issued2023en_US
dc.description.abstractDelirium is a common disorder for patients after cardiac surgery. Its manifestation and care can be examined through EHRs. The aim of this retrospective, comparative, and descriptive patient record study was to describe the documentation of delirium symptoms in the EHRs of patients who have undergone cardiac surgery and to explore how the documentation evolved between two periods (2005-2009 and 2015-2020). Randomly selected care episodes were annotated with a template, including delirium symptoms, treatment methods, and adverse events. The patients were then manually classified into two groups: nondelirious (n = 257) and possibly delirious (n = 172). The data were analyzed quantitatively and descriptively. According to the data, the documentation of symptoms such as disorientation, memory problems, motoric behavior, and disorganized thinking improved between periods. Yet, the key symptoms of delirium, inattention, and awareness were seldom documented. The professionals did not systematically document the possibility of delirium. Particularly, the way nurses recorded structural information did not facilitate an overall understanding of a patient's condition with respect to delirium. Information about delirium or proposed care was seldom documented in the discharge summaries. Advanced machine learning techniques can augment instruments that facilitate early detection, care planning, and transferring information to follow-up care.en
dc.description.versionPeer revieweden
dc.format.mimetypeapplication/pdfen_US
dc.identifier.citationPoikajärvi, S, Peltonen, L-M, Siirala, E, Heimonen, J, Moen, H, Salanterä, S & Junttila, K 2023, ' Exploring the Documentation of Delirium in Patients After Cardiac Surgery : A Retrospective Patient Record Study ', Computers, Informatics, Nursing, vol. 42, no. 1, pp. 27-34 . https://doi.org/10.1097/CIN.0000000000001039en
dc.identifier.doi10.1097/CIN.0000000000001039en_US
dc.identifier.issn1538-2931
dc.identifier.issn1538-9774
dc.identifier.otherPURE UUID: 15f1aa6b-e1b9-4e27-98c9-5ee3d49a0a66en_US
dc.identifier.otherPURE ITEMURL: https://research.aalto.fi/en/publications/15f1aa6b-e1b9-4e27-98c9-5ee3d49a0a66en_US
dc.identifier.otherPURE LINK: http://www.scopus.com/inward/record.url?scp=85182091176&partnerID=8YFLogxKen_US
dc.identifier.otherPURE LINK: https://journals.lww.com/cinjournal/fulltext/9900/exploring_the_documentation_of_delirium_in.107.aspxen_US
dc.identifier.otherPURE FILEURL: https://research.aalto.fi/files/130651436/Exploring_the_Documentation_of_Delirium_in_Patients_After_Cardiac_Surgery.pdfen_US
dc.identifier.urihttps://aaltodoc.aalto.fi/handle/123456789/125358
dc.identifier.urnURN:NBN:fi:aalto-202401041047
dc.language.isoenen
dc.publisherLippincott Williams and Wilkins Ltd.
dc.relation.ispartofseriesComputers, Informatics, Nursingen
dc.rightsopenAccessen
dc.subject.keywordCardiac surgeryen_US
dc.subject.keywordDeliriumen_US
dc.subject.keywordDocumentationen_US
dc.subject.keywordEHRsen_US
dc.subject.keywordNursingen_US
dc.titleExploring the Documentation of Delirium in Patients After Cardiac Surgery : A Retrospective Patient Record Studyen
dc.typeA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessäfi
dc.type.versionpublishedVersion
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