What is the Delirium Bibliography? The searchable Delirium Bibliography page is one of our most popular features, allowing you to quickly gain access to the literature on delirium and acute care of older persons. It is primarily intended for clinicians and researchers interested in exploring these topics. The NIDUS team keeps it updated for you on a monthly basis!
How to Search for Articles: Search by author, title, year, and/or keywords. Each article is indexed by keywords taken from MEDLINE and other relevant databases. Click on the title of the article to read the abstract, journal, etc.
Reference Information
- Title
- Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery.
- Authors
- Miller, D. Lewis, S. R. Pritchard, M. W. Schofield-Robinson, O. J. Shelton, C. L. Alderson, P. Smith, A. F.
- Year
- 2018
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
BACKGROUND: The use of anaesthetics in the elderly surgical population (more than 60 years of age) is increasing. Postoperative delirium, an acute condition characterized by reduced awareness of the environment and a disturbance in attention, typically occurs between 24 and 72 hours after surgery and can affect up to 60% of elderly surgical patients. Postoperative cognitive dysfunction (POCD) is a new-onset of cognitive impairment which may persist for weeks or months after surgery.Traditionally, surgical anaesthesia has been maintained with inhalational agents. End-tidal concentrations require adjustment to balance the risks of accidental awareness and excessive dosing in elderly people. As an alternative, propofol-based total intravenous anaesthesia (TIVA) offers a more rapid recovery and reduces postoperative nausea and vomiting. Using TIVA with a target controlled infusion (TCI) allows plasma and effect-site concentrations to be calculated using an algorithm based on age, gender, weight and height of the patient.TIVA is a viable alternative to inhalational maintenance agents for surgical anaesthesia in elderly people. However, in terms of postoperative cognitive outcomes, the optimal technique is unknown. OBJECTIVES: To compare maintenance of general anaesthesia for elderly people undergoing non-cardiac surgery using propofol-based TIVA or inhalational anaesthesia on postoperative cognitive function, mortality, risk of hypotension, length of stay in the postanaesthesia care unit (PACU), and hospital stay. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2017, Issue 11), MEDLINE (1946 to November 2017), Embase (1974 to November 2017), PsycINFO (1887 to November 2017). We searched clinical trials registers for ongoing studies, and conducted backward and forward citation searching of relevant articles. SELECTION CRITERIA: We included randomized controlled trials (RCTs) with participants over 60 years of age scheduled for non-cardiac surgery under general anaesthesia. We planned to also include quasi-randomized trials. We compared maintenance of anaesthesia with propofol-based TIVA versus inhalational maintenance of anaesthesia. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed studies for inclusion, extracted data, assessed risk of bias, and synthesized findings. MAIN RESULTS: We included 28 RCTs with 4507 randomized participants undergoing different types of surgery (predominantly cardiovascular, laparoscopic, abdominal, orthopaedic and ophthalmic procedures). We found no quasi-randomized trials. Four studies are awaiting classification because we had insufficient information to assess eligibility.All studies compared maintenance with propofol-based TIVA versus inhalational maintenance of anaesthesia. Six studies were multi-arm and included additional TIVA groups, additional inhalational maintenance or both. Inhalational maintenance agents included sevoflurane (19 studies), isoflurane (eight studies), and desflurane (three studies), and was not specified in one study (reported as an abstract). Some studies also reported use of epidural analgesia/anaesthesia, fentanyl and remifentanil.We found insufficient reporting of randomization methods in many studies and all studies were at high risk of performance bias because it was not feasible to blind anaesthetists to study groups. Thirteen studies described blinding of outcome assessors. Three studies had a high of risk of attrition bias, and we noted differences in the use of analgesics between groups in six studies, and differences in baseline characteristics in five studies. Few studies reported clinical trials registration, which prevented assessment of risk of selective reporting bias.We found no evidence of a difference in incidences of postoperative delirium according to type of anaesthetic maintenance agents (odds ratio (OR) 0.59, 95% confidence interval (CI) 0.15 to 2.26; 321 participants; five studies; very low-certainty evidence); we noted during sensitivity analysis that using different time points in one study may influence direction of this result. Thirteen studies (3215 participants) reported POCD, and of these, six studies reported data that could not be pooled; we noted no difference in scores of POCD in four of these and in one study, data were at a time point incomparable to other studies. We excluded one large study from meta-analysis because study investigators had used non-standard anaesthetic management and this study was not methodologically comparable to other studies. We combined data for seven studies and found low-certainty evidence that TIVA may reduce POCD (OR 0.52, 95% CI 0.31 to 0.87; 869 participants).We found no evidence of a difference in mortality at 30 days (OR 1.21, 95% CI 0.33 to 4.45; 271 participants; three studies; very low-certainty evidence). Twelve studies reported intraoperative hypotension. We did not perform meta-analysis for 11 studies for this outcome. We noted visual inconsistencies in these data, which may be explained by possible variation in clinical management and medication used to manage hypotension in each study (downgraded to low-certainty evidence); one study reported data in a format that could not be combined and we noted little or no difference between groups in intraoperative hypotension for this study. Eight studies reported length of stay in the PACU, and we did not perform meta-analysis for seven studies. We noted visual inconsistencies in these data, which may be explained by possible differences in definition of time points for this outcome (downgraded to very low-certainty evidence); data were unclearly reported in one study. We found no evidence of a difference in length of hospital stay according to type of anaesthetic maintenance agent (mean difference (MD) 0 days, 95% CI -1.32 to 1.32; 175 participants; four studies; very low-certainty evidence).We used the GRADE approach to downgrade the certainty of the evidence for each outcome. Reasons for downgrading included: study limitations, because some included studies insufficiently reported randomization methods, had high attrition bias, or high risk of selective reporting bias; imprecision, because we found few studies; inconsistency, because we noted heterogeneity across studies. AUTHORS’ CONCLUSIONS: We are uncertain whether maintenance with propofol-based TIVA or with inhalational agents affect incidences of postoperative delirium, mortality, or length of hospital stay because certainty of the evidence was very low. We found low-certainty evidence that maintenance with propofol-based TIVA may reduce POCD. We were unable to perform meta-analysis for intraoperative hypotension or length of stay in the PACU because of heterogeneity between studies. We identified 11 ongoing studies from clinical trials register searches; inclusion of these studies in future review updates may provide more certainty for the review outcomes.
- PMID
- Keywords
Aged
Anesthesia, Inhalation
Anesthesia, Intravenous
Anesthetics, Inhalation
Anesthetics, Intravenous/*adverse effects
Cognition/*drug effects
Cognition Disorders/chemically induced
Delirium/chemically induced
Desflurane
Humans
Hypotension/chemically induced
Isoflurane/adverse effects/analogs & derivatives
Methyl Ethers/adverse effects
Middle Aged
Postoperative Complications/chemically induced/mortality
Propofol/*adverse effects
Randomized Controlled Trials as Topic
Sevoflurane
*Surgical Procedures, Operative
- Page(s)
- Volume
- 8
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| High ASA Physical Status and Low Serum Uric Acid to Creatinine Ratio are Independent Risk Factors for Postoperative Delirium Among Older Adults Undergoing Urinary Calculi Surgery | Liu, J. Li, J. Gao, D. Wang, J. Liu, M. Yu, D. | Clin Interv Aging | 2023 |
Humans |
| Dexmedetomidine administration during brain tumour resection for prevention of postoperative delirium: a randomised trial | Li, S. Li, R. Li, M. Cui, Q. Zhang, X. Ma, T. Wang, D. Zeng, M. Li, H. Bao, Z. Peng, Y. Sessler, D. I. | Br J Anaesth | 2023 |
Humans |
| Effect of a repeated verbal reminder of orientation on emergence agitation after general anaesthesia for minimally invasive abdominal surgery: a randomised controlled trial | Lee, S. Sohn, J. Y. Hwang, I. E. Lee, H. J. Yoon, S. Bahk, J. H. Kim, B. R. | Br J Anaesth | 2023 |
delirium |
| A pilot study testing the iOS UB-CAM delirium app | Kuzmik, A. Hannan, J. Boltz, M. Shrestha, P. Husser, E. K. Fick, D. M. Marcantonio, E. R. | J Am Geriatr Soc | 2023 | |
| Use of a nursing-led geriatrics consult service to deliver age-friendly care | Kuntz, A. A. Stumm, E. K. Anderson, T. C. Ibarra, S. J. Markart, M. R. Haske-Palomino, M. | Geriatr Nurs | 2023 |
Acute care |
| Relationship between body mass index and risk of delirium in an intensive care unit | Ko, Y. Kim, H. E. Park, J. Y. Kim, J. J. Cho, J. Oh, J. | Arch Gerontol Geriatr | 2023 |
Body mass index |
| Occurrence of Postoperative Delirium and the Use of Different Assessment Tools | Kirfel, A. Jossen, D. Menzenbach, J. Mayr, A. Wittmann, M. | Geriatrics (Basel) | 2023 |
comparison of postoperative delirium assessments |
| Association of C-reactive protein to albumin ratio with postoperative delirium and mortality in elderly patients undergoing hip fracture surgery: A retrospective cohort study in a single large center | Kim, H. J. Lee, S. Kim, S. H. Lee, S. Sim, J. H. Ro, Y. J. | Exp Gerontol | 2023 |
Aged |
| Relationship Among Clinically Obtained Biomarkers of Inflammation, Hypercoagulability, and Macrophage Activation, and Delirium in Critically Ill Patients With COVID-19 | Khan, S. H. Perkins, A. J. Chi, R. Seyffert, S. Conrad, P. Lindroth, H. Wang, S. Mulkey, M. Gao, S. Khan, B. | Crit Care Explor | 2023 |
Covid-19 |
| Lower Preoperative Verbal Memory Performance Is Associated with Delirium after Coronary Artery Bypass Graft Surgery: A Prospective Cohort Study | Kaźmierski, J. Miler, P. Pawlak, A. Woźniak, J. Frankowska, E. Nowakowska, K. Kuchta, K. Pazdrak, M. Woźniak, K. Magierski, R. Krejca, M. Wilczyński, M. | Arch Clin Neuropsychol | 2023 |
Humans |
| Postoperative Delirium After Intracranial Surgery: A Retrospective Cohort Study | Kappen, P. R. Kappen, H. J. Dirven, C. M. F. Klimek, M. Jeekel, J. Andrinopoulou, E. R. Osse, R. J. Vincent, Ajpe | World Neurosurg | 2023 |
Health outcomes |
| Actigraphy-based sleep and activity measurements in intensive care unit patients randomized to ramelteon or placebo for delirium prevention | Jaiswal, S. J. Bagsic, S. R. S. Takata, E. Kamdar, B. B. Ancoli-Israel, S. Owens, R. L. | Sci Rep | 2023 |
Humans |
| Visualizing how to use antipsychotics for agitated delirium in the last days of life | Imai, K. Morita, T. Mori, M. Kikuchi, D. Yokomichi, N. Miwa, S. Okamoto, S. I. Yamauchi, T. Naito, A. S. D. Matsuda, Y. Maeda, I. Sugano, K. Inanga, M. Inoue, S. Satomi, E. | J Pain Symptom Manage | 2023 |
antipsychotics |
| Is postoperative delirium an independent risk factor for poorer quality of life with long-term cognitive and functional decline after cardiac surgery? | Hu, F. H. Chen, H. L. | J Clin Anesth | 2023 | |
| Diagnostic accuracy of the 4AT for delirium: A systematic review and meta-analysis | Hou, L. Zhang, Q. Cao, L. Chen, M. Wang, Q. Li, Y. Li, S. Ge, L. Yang, K. | Asian J Psychiatr | 2023 |
Humans |
| Several reasons why ketamine as a neuroplastic agent may have failed to prevent postoperative delirium: Implications for future protocols | Horacek, J. Janda, R. Görnerova, N. Jajcay, L. Andrashko, V. | Neurosci Lett | 2023 |
Anesthesia |
| Evaluation of Education and Patient Screening for Delirium Among Patients With Stroke: Knowledge, Confidence, and Patient Outcomes | Herrera, E. Rutherford, W. Plume, T. Fields, W. Mollon, D. | J Contin Educ Nurs | 2023 |
Humans |
| The kynurenine pathway implicated in patient delirium: possible indications for indoleamine 2,3 dioxygenase inhibitors | Heimberger, A. B. Lukas, R. V. | J Clin Invest | 2023 |
Humans |
| Family presence during critical illness may protect against delirium | Hart, J. L. | Evid Based Nurs | 2023 |
Critical Care Nursing |
| Risk factors for delirium in advanced cancer patients: A systematic review and meta-analysis | Guo, Y. Mu, Y. Wu, T. Xu, Q. Lin, X. | Eur J Oncol Nurs | 2023 |
Advanced cancer |
| Prevention of physical restraints in the acute care setting (PROTECT): study protocol for a cluster-randomised controlled pilot study | Gottschalk, S. Meyer, G. Haastert, B. Abraham, J. | BMJ Open | 2023 |
Humans |
| Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients: A Systematic Review and Meta-Analysis | Gong, S. Qian, D. Riazi, S. Chung, F. Englesakis, M. Li, Q. Huszti, E. Wong, J. | Anesth Analg | 2023 |
Humans |
| Phenobarbital to manage severe gamma-hydroxybutyrate withdrawal: A case series | Freeman, G. Siefried, K. J. Roberts, D. M. Rodgers, C. Nic Ionmhain, U. Ramanathan, J. Ezard, N. Brett, J. | Drug Alcohol Rev | 2023 |
Humans |
| The Modified and Extended Hospital Elder Life Program: A remote model of care to expand delirium prevention | Fong, T. G. Albaum, J. A. Anderson, M. L. Cohen, S. G. Johnson, S. Supiano, M. A. Vlisides, P. E. Wade, H. L. Weinberg, L. Wierman, H. R. Zachary, W. Inouye, S. K. | J Am Geriatr Soc | 2023 |
Covid-19 |
| Contribution of intraoperative electroencephalogram suppression to frailty-associated postoperative delirium: mediation analysis of a prospective surgical cohor | Fang, P. P. Shang, Z. X. Xu, J. Hu, J. Zhang, S. C. Fan, Y. G. Lu, Y. Liu, X. S. Maze, M. | Br J Anaesth | 2023 |
Humans |
| Nighttime dexmedetomidine for postoperative delirium prevention: a promising step forward | Devlin, J. W. Hughes, C. G. | EClinicalMedicine | 2023 |
CI, Confidence Intervals |
| Intraoperative infusion of dexmedetomidine for prevention of postoperative delirium in elderly patients undergoing craniotomy: a protocol of randomised clinical trial | Cui, Q. Ma, T. Liu, M. Shen, Z. Li, S. Zeng, M. Liu, X. Zhang, L. Peng, Y. | BMJ Open | 2023 |
Humans |
| Evaluating Implementation and Outcomes of a Person-Centered Care Model for People with Dementia in the Rehabilitation In-Patient Setting: Project Protocol | Chenoweth, L. Williams, A. McGuire, J. Reyes, P. Maiden, G. Brodaty, H. Liu, Z. Cook, J. McCade, D. Taylor-Rubin, C. Freeman, M. Burley, C. | J Alzheimers Dis | 2023 |
Delirium |
| Statin Use and Delirium Risk: An Updated Systematic Review and Meta-Analysis | Chang, Y. H. Wang, J. Y. Peng, T. R. Lian, J. H. Lee, M. C. Chen, H. M. | Am J Ther | 2023 | |
| Utility of head computed tomography for older adults with suspected delirium in the emergency department: A retrospective observational study | Butcher, J. D. Smith, M. C. Roberts, L. Ellis, B. | Acad Emerg Med | 2023 |
Humans |
| Hypomagnesemia and incident delirium in hospitalized older persons | Boccardi, V. Ercolani, S. Serra, R. Bubba, V. Piccolo, A. Scamosci, M. Villa, A. Ruggiero, C. Mecocci, P. | Aging Clin Exp Res | 2023 |
Delirium |
| Delirium secondary to anticholinergics | Bellizzi, A. Mercieca, E. Dimech, C. | BMJ Case Rep | 2023 |
Male |
| The Effectiveness of Dexmedetomidine as a Prophylactic Treatment for Emergence Delirium Among Combat Veterans With High Anxiety: A Randomized Placebo-Controlled Trial | Bartoszek, M. McGuire, J. M. Wilson, J. T. Sorensen, J. S. Vice, T. F. R. Hudson, A. J. | Mil Med | 2023 |
Humans |
| Implementing an intervention to enhance care delivery and consistency for people with hip fracture and cognitive impairment in acute hospital wards: a mixed methods process evaluation of a randomised controlled feasibility trial (PERFECTED) | Backhouse, T. Fox, C. Hammond, S. P. Poland, F. McDermott-Thompson, V. Penhale, B. Cross, J. L. | BMJ Open | 2023 |
Humans |
| Association of delirium with increased short-term mortality among older emergency department patients: A cohort study | Arneson, M. L. Oliveira, J. E. Silva L. Stanich, J. A. Jeffery, M. M. Lindroth, H. L. Ginsburg, A. D. Bower, S. M. Mullan, A. F. Bellolio, F. | Am J Emerg Med | 2023 |
Delirium |
| Catatonia and Delirium: Assessment of Comorbidity, Prevalence, and Therapeutic Response in Medically Ill Inpatients From a University Hospital | Appiani, F. J. Duarte, J. M. Sauré, M. Rodríguez Cairoli, F. Momeño, V. Yaryour, C. Sarotto, L. | J Clin Psychopharmacol | 2023 |
Humans |
| The Relationship between Delirium and Statin Use According to Disease Severity in Patients in the Intensive Care Unit | An, J. Y. Park, J. Y. Cho, J. Kim, H. E. Park, J. Oh, J. | Clin Psychopharmacol Neurosci | 2023 |
APACHE II score |
| Delirium and Healthcare Utilization in Patients Undergoing Hematopoietic Stem Cell Transplantation | Amonoo, H. L. Markovitz, N. H. Johnson, P. C. Kwok, A. Dale, C. Deary, E. C. Daskalakis, E. Choe, J. J. Yamin, N. Gothoskar, M. Cronin, K. G. Fernandez-Robles, C. Pirl, W. F. Chen, Y. B. Cutler, C. Lindvall, C. El-Jawahri, A. | Transplant Cell Ther | 2023 | |
| Comparison of Prognostic Accuracy of 3 Delirium Prediction Models | Amerongen, H. V. N. Stapel, S. Spijkstra, J. J. Ouweneel, D. Schenk, J. | Am J Crit Care | 2023 |
Adult |
| Melatonin or Ramelteon for Delirium Prevention in the Intensive Care Unit: A Systematic Review and Meta-Analysis of Randomized Controlled Trials | Aiello, G. Cuocina, M. La Via, L. Messina, S. Attaguile, G. A. Cantarella, G. Sanfilippo, F. Bernardini, R. | J Clin Med | 2023 |
agonist |
| The Role of Insulin-Like Growth Factor 1 in Delirium: A Systematic Review and Meta-Analysis | Adamis, D. Eikelenboom, P. | Dement Geriatr Cogn Disord | 2023 |
Biomarkers |
| Influence of dosing pattern of antipsychotics on treatment outcome of delirium in patients with advanced cancer | Abe, A. Fujisawa, D. Miyajima, K. Takeuchi, E. Takeuchi, M. Mimura, M. Imai, K. Uemura, K. Watanabe, H. Matsuo, N. Matsuda, Y. Maeda, I. Ogawa, A. Yoshiuchi, K. Iwase, S. | Jpn J Clin Oncol | 2023 |
antipsychotics |
| Prone positioning reduces frontal and hippocampal neuronal dysfunction in a murine model of ventilator-induced lung injury | Sparrow, N. A. Guidry, G. Anwar, F. Darwish, S. Kelly, S. A. Karumanchi, S. A. Lahiri, S. | Front Med (Lausanne) | 2022 |
delirium |
| Association between the reactivity of local cerebral oxygen saturation after hypo-to-hypercapnic tests and delirium after abdominal surgery in older adults: A prospective study | Song, J. Cheng, C. Sheng, K. Jiang, L. L. Li, Y. Xia, X. Q. Hu, X. W. | Front Psychiatry | 2022 |
abdominal surgery |
| Cardiac surgery, ICU sedation, and delirium: is dexmedetomidine the silver bullet | Smith, W. Whitlock, E. L. | Curr Opin Anaesthesiol | 2022 | |
| In pursuit of inter-specialty consensus on excited delirium syndrome: a scoping literature review | Slocum, S. Fiorillo, M. Harding, E. Owen, J. Long, R. Dunn, T. Martin, I. | Forensic Sci Med Pathol | 2022 |
Agitation |
| Magnitude and associated factors of delirium among patients attending emergency department at Jimma medical center, Jimma, southwest Ethiopia, 2022 | Sileshy, B. Hailesilasiie, H. Tesfaye, Y. Ababu, H. | BMC Psychiatry | 2022 |
Humans |
| Impact of Subsyndromal Delirium Occurrence and Its Trajectory during ICU Stay | Serafim, R. B. Dal-Pizzol, F. Souza-Dantas, V. Soares, M. Bozza, F. A. Póvoa, P. Luiz, R. R. Lapa, E. Silva J. R. Salluh, J. I. F. | J Clin Med | 2022 |
Icu |
| Association between frailty, delirium, and mortality in older critically ill patients: a binational registry study | Sahle, B. W. Pilcher, D. Litton, E. Ofori-Asenso, R. Peter, K. McFadyen, J. Bucknall, T. | Ann Intensive Care | 2022 |
Clinical decision-making |
| Pharmacologic treatment of delirium symptoms: A systematic review | Sadlonova, M. Duque, L. Smith, D. Madva, E. N. Amonoo, H. L. Vogelsang, J. Staton, S. C. von Arnim, C. A. F. Huffman, J. C. Celano, C. M. | Gen Hosp Psychiatry | 2022 |
Adult |
| Haloperidol Versus Atypical Antipsychotics for Treating Delirium in Intensive Care Unit Patients: A Systematic Review | Sadhu, A. Valencia, C. Fatima, H. Nwankwo, I. Anam, M. Maharjan, S. Amjad, Z. Abaza, A. Vasavada, A. M. Khan, S. | Cureus | 2022 |
atypicalantipsychotics |
| Reporting of outcomes and measures in studies of interventions to prevent and/or treat delirium in older adults resident in long-term care: a systematic review | Russell, G. Rana, N. Watts, R. Roshny, S. Siddiqi, N. Rose, L. | Age Ageing | 2022 |
Humans |
| Research progress on risk factors of delirium in burn patients: A narrative review | Ren, Y. Zhang, Y. Luo, J. Liao, W. Cheng, X. Zhan, J. | Front Psychiatry | 2022 |
burn injury |
| Association of delirium and spatial neglect in right-hemisphere stroke patients | Ott, J. Oh-Park, M. Boukrina, O. | Pm r | 2022 | |
| A quality improvement project addressing the underreporting of delirium in hip fracture patients | Onizuka, N. Huyke-Hernández, F. A. Roby, M. A. Martell, T. F. Scislow, R. M. Jones, S. C. Olson, A. James, N. Switzer, J. A. | Int J Orthop Trauma Nurs | 2022 | |
| Anesthesia and Postoperative Cognitive Impairment: Types of Knowing | Mutch, W. A. C. | Anesth Analg | 2022 |
Humans |
| Delirium detection using GAMMA wave and machine learning: A pilot study | Mulkey, M. Albanese, T. Kim, S. Huang, H. Yang, B. | Res Nurs Health | 2022 |
Humans |
| Cohort profile: the Norwegian Registry of Persons Assessed for Cognitive Symptoms (NorCog) - a national research and quality registry with a biomaterial collection | Medbøen, I. T. Persson, K. Nåvik, M. Totland, T. H. Bergh, S. Treviño, C. S. Ulstein, I. Engedal, K. Knapskog, A. B. Brækhus, A. Øksengård, A. R. Horndalsveen, P. O. Saltvedt, I. Lyngroth, A. L. Ranhoff, A. H. Skrettingland, D. B. Naik, M. Soares, J | BMJ Open | 2022 |
Humans |
| Evaluation of Suvorexant and Lemborexant for the Prevention of Delirium in Adult Critically Ill Patients at an Advanced Critical Care Center: A Single-Center, Retrospective, Observational Study | Matsuoka, A. Tobita, S. Sogawa, R. Shinada, K. Murakawa-Hirachi, T. Shimanoe, C. Monji, A. Mizoguchi, Y. Miike, T. Sakamoto, Y. | J Clin Psychiatry | 2022 |
Adult |
| Managing delirium in acute inpatient units: A cross-sectional study of nursing teams' knowledge and perceived limitations | Martínez-García, M. Sánchez-López, E. Fernández-Trinidad, M. | Nurs Open | 2022 |
delirium |
| Delirium prevalence, risk factors and outcomes among patients with acute stroke: A multi-centre observational study | Mansutti, I. Saiani, L. Cargnelutti, D. Petrucco, S. Giannina, V. Di Domenico, C. Passadore, P. Palese, A. | J Vasc Nurs | 2022 |
United States |
| DEX, Delirium and Dilemma | Magoon, R. Mahajan, S. Jose, J. | Braz J Cardiovasc Surg | 2022 |
Cardiac Surgery |
| Three key areas in progressing delirium practice and knowledge: recognition and relief of distress, new directions in delirium epidemiology and developing better research assessments | MacLullich, A. M. J. Hosie, A. Tieges, Z. Davis, D. H. J. | Age Ageing | 2022 |
Humans |
| Postoperative delirium after transcatheter aortic valve replacement: An updated systematic review and meta-analysis | Ma, X. Chu, H. Han, K. Shao, Q. Yu, Y. Jia, S. Wang, D. Wang, Z. Zhou, Y. | J Am Geriatr Soc | 2022 |
incidence |
| Effect of Anaesthesia Depth on Postoperative Delirium and Postoperative Cognitive Dysfunction in High-Risk Patients: A Systematic Review and Meta-Analysis | Ling, L. Yang, T. X. Lee, S. W. K. | Cureus | 2022 |
bispectral index monitoring |
| Potential value of cerebrospinal fluid α-synuclein in the identification of postoperative delirium undergoing knee/hip arthroplasty: The perioperative neurocognitive disorder and biomarker lifestyle study | Lin, X. Guo, Y. Dong, R. Wang, B. Bi, Y. | Front Neurosci | 2022 |
biomarker |
| Association between preoperative dementia and hospital mortality in old old patients undergoing elective gastrointestinal surgery | Li, M. Liu, M. Li, C. Zhang, G. Wei, Y. Xu, Y. Li, T. | Aging Clin Exp Res | 2022 |
Humans |
| Effect of remimazolam on the incidence of delirium after transcatheter aortic valve implantation under general anesthesia: a retrospective exploratory study | Kaneko, S. Morimoto, T. Ichinomiya, T. Murata, H. Yoshitomi, O. Hara, T. | J Anesth | 2022 |
Aortic stenosis |
| A survey study of delirium attitudes and knowledge among hospital medicine clinicians | Kaiksow, F. A. Gilmore-Bykovskyi, A. Golden, B. P. | J Am Geriatr Soc | 2022 | |
| Mid- and Long-Term Surgical Outcomes Due to Infective Endocarditis in Elderly Patients: A Retrospective Cohort Study | Jussli-Melchers, J. Salem, M. A. Schoettler, J. Friedrich, C. Huenges, K. Elke, G. Puehler, T. Cremer, J. Haneya, A. | J Clin Med | 2022 |
cardiac surgery |
| Effect of inpatient antibiotic treatment among older adults with delirium found with a positive urinalysis: a health record review | Joo, P. Grant, L. Ramsay, T. Nott, C. Zvonar, R. Jia, J. Yadav, K. Mollanji, E. He, W. Eagles, D. | BMC Geriatr | 2022 |
Humans |
| Correlation Analysis of Inflammatory Markers CRP and IL-6 and Postoperative Delirium (POD) in Elderly Patients: A Meta-Analysis of Observational Studies | Huang, X. Li, L. Feng, Q. | J Environ Public Health | 2022 |
Aged |
| One-year Medicare costs associated with delirium in older hospitalized patients with and without Alzheimer's disease dementia and related disorders | Hshieh, T. T. Gou, R. Y. Jones, R. N. Leslie, D. L. Marcantonio, E. R. Xu, G. Travison, T. G. Fong, T. G. Schmitt, E. M. Inouye, S. K. | Alzheimers Dement | 2022 |
Alzheimer’s dementia |
| Nurses' competence in recognition and management of delirium in older patients: development and piloting of a self-assessment tool | Hoch, J. Bauer, J. M. Bizer, M. Arnold, C. Benzinger, P. | BMC Geriatr | 2022 |
Humans |
| Scoping review of the use of virtual reality in intensive care units | Hill, J. E. Twamley, J. Breed, H. Kenyon, R. Casey, R. Zhang, J. Clegg, A. | Nurs Crit Care | 2022 |
Humans |
| Real-time location systems technology in the care of older adults with cognitive impairment living in residential care: A scoping review | Haslam-Larmer, L. Shum, L. Chu, C. H. McGilton, K. McArthur, C. Flint, A. J. Khan, S. Iaboni, A. | Front Psychiatry | 2022 |
RTLS (Real-time location system) |
| Exercise for acutely hospitalised older medical patients | Hartley, P. Keating, J. L. Jeffs, K. J. Raymond, M. J. Smith, T. O | Cochrane Database Syst Rev | 2022 |
Aged |
| Predictors of hospital readmission for patients diagnosed with delirium: An electronic health record data analysis in South London | Friedrich, M. E. Perera, G. Leutgeb, L. Haardt, D. Frey, R. Stewart, R. Mueller, C. | Acta Psychiatr Scand | 2022 |
30-day readmission rates |
| The impact of ABCDE bundle implementation on patient outcomes: A nationwide cohort study | Frade-Mera, M. J. Arias-Rivera, S. Zaragoza-García, I. Martí, J. D. Gallart, E. San José-Arribas, A. Velasco-Sanz, T. R. Blazquez-Martínez, E. Raurell-Torredà, M. | Nurs Crit Care | 2022 |
Adult |
| Pre- and intraoperative cerebral near-infrared spectroscopy and postoperative delirium: Results of a prospective cross-sectional trial | Fischer-Kumbruch, M. Jung, C. Hinken, L. Trübenbach, D. Fielbrand, R. Schenk, I. Diegmann, O. Krauß, T. Scheinichen, D. Schultz, B. | Medicine (Baltimore) | 2022 |
Aged |
| Filiatreault, S. Grimshaw, J. M. Kreindler, S. A. Chochinov, A. Linton, J. Doupe, M. B. | A critical appraisal of delirium clinical practice guidelines relevant to the care of older adults in the emergency department with a synthesis of recommendations: an umbrella review protocol | Syst Rev | 2022 |
Humans |
| Delirium as late manifestation of infective endocarditis after transcatheter aortic valve implantation | Fantinati, J. Rossi, P. D. Conte, G. Cesari, M. Lucchi, T. Ciccone, S. | Age Ageing | 2022 |
Humans |
| Cognitive function and delirium following sevoflurane or propofol anesthesia for valve replacement surgery: A multicenter randomized controlled trial | Duan, G. Y. Duan, Z. X. Chen, H. Chen, F. Chen, F. Du, Z. Y. Chen, L. Y. Lu, K. Z. Zuo, Z. Y. Li, H. | Kaohsiung J Med Sci | 2022 |
multicenter randomized controlled trial |
| Delirium in the intensive care unit: identifying difficulties in applying the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU | Dos Santos, F. C. M. Rêgo, A. S. Montenegro, W. S. de Carvalho, Strf Cutrim, R. C. Júnior, A. A. M. Pereira, F. H. F. Dibai-Filho, A. V. Bassi-Dibai, D. | BMC Nurs | 2022 |
Intensive care units |
| Aren't you forgetting something? Cognitive screening beyond delirium in the emergency department | de Moraes, G. S. Curiati, P. K. Avelino-Silva, T. J. Morinaga, C. V. Apolinário, D. Suemoto, C. K. Aliberti, M. J. R. | J Am Geriatr Soc | 2022 | |
| Postoperative delirium: An independent risk factor for poorer quality of life with long-term cognitive and functional decline after cardiac surgery | de la Varga-Martínez, O. Gutiérrez-Bustillo, R. Muñoz-Moreno, M. F. López-Herrero, R. Gómez-Sánchez, E. Tamayo, E. | J Clin Anesth | 2022 |
Cardiac surgery |
| Brain-penetrant calcium channel blockers are associated with a reduced incidence of neuropsychiatric disorders | Colbourne, L. Harrison, P. J. | Mol Psychiatry | 2022 |
Humans |
| Gender differences in the correlation between body mass index and cognitive impairment among the community-dwelling oldest-old in China: a cross-sectional study | Chen, N. Cao, J. Zhang, W. Chen, Y. Xu, L. | BMJ Open | 2022 |
Male |
| Association between preoperative on-site CCU visits and postoperative delirium in patients undergoing cardiac surgery: A retrospective cohort study | Chen, B. Wu, L. Fang, Z. Zheng, J. Dong, W. Hong, X. Jin, P. | Nurs Crit Care | 2022 |
cardiac surgery |
| Language discordance in emergency department delirium screening: Results from a qualitative interview-based study | Chary, A. N. Torres, B. Brickhouse, E. Santangelo, I. Godwin, K. M. Naik, A. D. Carpenter, C. R. Liu, S. W. Kennedy, M. | J Am Geriatr Soc | 2022 | |
| Impact of early mobilization on the duration of delirium in elderly hospitalized patients: A retrospective cohort pilot study | Anada, S. Iigaya, M. Takahashi, M. Soda, K. Wada, N. | Medicine (Baltimore) | 2022 |
Male |
| A Recipe for Delirium: Community-Acquired Pneumonia and Sickle Cell Anemia With Moyamoya Disease | Alier, F. Santana, L. Wasey, W. Grubb, L. Satti, A. | Cureus | 2022 |
and transient ischemic attack (tia) |
| Does time to surgery for traumatic hip fracture impact the efficacy of fascia iliaca blocks? A brief report | Akinola, K. Salottolo, K. Meinig, R. Fine, L. Madayag, R. M. Ekengren, F. Tanner, A., 2nd Bar-Or, D. | Trauma Surg Acute Care Open | 2022 |
delirium |
| Longitudinal Profiling of Plasma Cytokines and Its Association With Postoperative Delirium in Elderly Patients Undergoing Major Lower Limb Surgery: A Prospective Observational Study | Zhang, Y. Hu, J. Zuo, W. He, P. Xue, Q. Feng, X. Zhang, Y. Maze, M. | Anesth Analg | 2023 |
Humans |
| The implementation of nUrsiNg DEliRium preventive INterventions in the Intensive Care Unit (UNDERPIN-ICU): A qualitative evaluation | Tilburgs, B. Rood, P. J. T. Zegers, M. van den Boogaard, M. | Int J Nurs Stud | 2023 |
Humans |
| Cardiac surgery, ICU sedation, and delirium: is dexmedetomidine the silver bullet? | Smith, W. Whitlock, E. L. | Curr Opin Anaesthesiol | 2023 |
Humans |
| Inpatient GHB withdrawal management in an inner-city hospital in Sydney, Australia: a retrospective medical record review | Siefried, K. J. Freeman, G. Roberts, D. M. Lindsey, R. Rodgers, C. Ezard, N. Brett, J. | Psychopharmacology (Berl) | 2023 |
Humans |
| Delirium-associated medication in people at risk: A systematic update review, meta-analyses, and GRADE-profiles | Reisinger, M. Reininghaus, E. Z. Biasi, J. Fellendorf, F. T. Schoberer, D. | Acta Psychiatr Scand | 2023 |
Adult |
| Sleep quality and quantity determined by polysomnography in mechanically ventilated critically ill patients randomized to dexmedetomidine or placebo | Oxlund, J. Knudsen, T. Sörberg, M. Strøm, T. Toft, P. Jennum, P. J. | Acta Anaesthesiol Scand | 2023 |
Humans |
| Falls Incidence Compared Between a Multibedded Ward Hospital and a 100% Single-Occupancy Room Hospital: An Uncontrolled Before-After Study | Hussain, F. van Dijk, M. Oudshoorn, C. Ista, E. | Herd | 2023 |
Humans |