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
- Interventions for preventing intensive care unit delirium in adults.
- Authors
- Herling, S. F. Greve, I. E. Vasilevskis, E. E. Egerod, I. Bekker Mortensen, C. Møller, A. M. Svenningsen, H. Thomsen, T.
- Year
- 2018
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
Background: Delirium is defined as a disturbance in attention, awareness and cognition with reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the environment. Critically ill patients in the intensive care unit (ICU) frequently develop ICU delirium. It can profoundly affect both them and their families because it is associated with increased mortality, longer duration of mechanical ventilation, longer hospital and ICU stay and long-term cognitive impairment. It also results in increased costs for society. Objectives: To assess existing evidence for the effect of preventive interventions on ICU delirium, in-hospital mortality, the number of delirium- and coma-free days, ventilator-free days, length of stay in the ICU and cognitive impairment. Search methods: We searched CENTRAL, MEDLINE, Embase, BIOSIS, International Web of Science, Latin American Caribbean Health Sciences Literature, CINAHL from 1980 to 11 April 2018 without any language limits. We adapted the MEDLINE search for searching the other databases. Furthermore, we checked references, searched citations and contacted study authors to identify additional studies. We also checked the following trial registries: Current Controlled Trials; ClinicalTrials.gov; and CenterWatch.com (all on 24 April 2018). Selection criteria: We included randomized controlled trials (RCTs) of adult medical or surgical ICU patients receiving any intervention for preventing ICU delirium. The control could be standard ICU care, placebo or both. We assessed the quality of evidence with GRADE. Data collection and analysis: We checked titles and abstracts to exclude obviously irrelevant studies and obtained full reports on potentially relevant ones. Two review authors independently extracted data. If possible we conducted meta-analyses, otherwise we synthesized data narratively. Main results: The electronic search yielded 8746 records. We included 12 RCTs (3885 participants) comparing usual care with the following interventions: commonly used drugs (four studies); sedation regimens (four studies); physical therapy or cognitive therapy, or both (one study); environmental interventions (two studies); and preventive nursing care (one study). We found 15 ongoing studies and five studies awaiting classification. The participants were 48 to 70 years old; 48% to 74% were male; the mean acute physiology and chronic health evaluation (APACHE II) score was 14 to 28 (range 0 to 71; higher scores correspond to more severe disease and a higher risk of death). With the exception of one study, all participants were mechanically ventilated in medical or surgical ICUs or mixed. The studies were overall at low risk of bias. Six studies were at high risk of detection bias due to lack of blinding of outcome assessors. We report results for the two most commonly explored approaches to delirium prevention: pharmacologic and a non-pharmacologic intervention. Haloperidol versus placebo (two RCTs, 1580 participants) The event rate of ICU delirium was measured in one study including 1439 participants. No difference was identified between groups, (risk ratio (RR) 1.01, 95% confidence interval (CI) 0.87 to 1.17) (moderate-quality evidence). Haloperidol versus placebo neither reduced or increased in-hospital mortality, (RR 0.98, 95% CI 0.80 to 1.22; 2 studies; 1580 participants (moderate-quality evidence)); the number of delirium- and coma-free days, (mean difference (MD) -0.60, 95% CI -1.37 to 0.17; 2 studies, 1580 participants (moderate-quality of evidence)); number of ventilator-free days (mean 23.8 (MD -0.30, 95% CI -0.93 to 0.33) 1 study; 1439 participants, (high-quality evidence)); length of ICU stay, (MD 0.18, 95% CI -0.60 to 0.97); 2 studies, 1580 participants; high-quality evidence). None of the studies measured cognitive impairment. In one study there were three serious adverse events in the intervention group and five in the placebo group; in the other there were five serious adverse events and three patients died, one in each group. None of the serious adverse eve ts were judged to be related to interventions received (moderate-quality evidence). Physical and cognitive therapy interventions (one study, 65 participants) The study did not measure the event rate of ICU delirium. A physical and cognitive therapy intervention versus standard care neither reduced nor increased in-hospital mortality, (RR 0.94, 95% CI 0.40 to 2.20, I2; = 0; 1 study, 65 participants; very low-quality evidence); the number of delirium- and coma-free days, (MD -2.8, 95% CI -10.1 to 4.6, I2; = 0; 1 study, 65 participants; very low-quality evidence); the number of ventilator-free days (within the first 28/30 days) was median 27.4 (IQR 0 to 29.2) and 25 (IQR 0 to 28.9); 1 study, 65 participants; very low-quality evidence, length of ICU stay, (MD 1.23, 95% CI -0.68 to 3.14, I2; = 0; 1 study, 65 participants; very low-quality evidence); cognitive impairment measured by the MMSE: Mini-Mental State Examination with higher scores indicating better function, (MD 0.97, 95% CI -0.19 to 2.13, I2; = 0; 1 study, 30 participants; very low-quality evidence); or measured by the Dysexecutive questionnaire (DEX) with lower scores indicating better function (MD -8.76, 95% CI -19.06 to 1.54, I2; = 0; 1 study, 30 participants; very low-quality evidence). One patient experienced acute back pain accompanied by hypotensive urgency during physical therapy. Authors’ conclusions: There is probably little or no difference between haloperidol and placebo for preventing ICU delirium but further studies are needed to increase our confidence in the findings. There is insufficient evidence to determine the effects of physical and cognitive intervention on delirium. The effects of other pharmacological interventions, sedation, environmental, and preventive nursing interventions are unclear and warrant further investigation in large multicentre studies. Five studies are awaiting classification and we identified 15 ongoing studies, evaluating pharmacological interventions, sedation regimens, physical and occupational therapy combined or separately, and environmental interventions, that may alter the conclusions of the review in future.
- PMID
- Keywords
ISRCTN83567338
NCT00095251
NCT00466492
NCT00675363
NCT00824239
NCT01270269
NCT01274819
NCT01739933
NCT01785290
NCT01791296
NCT0196768
NCT01983800
NCT02245256
NCT02548923
NCT02612948
NCT02615340
NCT02932358
NCT03002701
NCT03095443
NCT03125252
NCT03172897
NCT03215745
dexmedetomidine
haloperidol
lorazepam
placebo
adult
APACHE
artificial ventilation
bradycardia
cognitive defect
cognitive therapy
coma
critically ill patient
delirium
environmental intervention
health care cost
hospital mortality
human
intensive care unit
intention to treat analysis
intervention study
length of stay
nursing intervention
outcome assessment
physiotherapy
priority journal
randomized controlled trial (topic)
review
sedation
seizure
sensitivity analysis
treatment duration
ventilator weaning
- Page(s)
- Volume
- 2018
- Issue
- 11
| 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 |