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
- Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) for the diagnosis of delirium in adults in critical care settings
- Authors
- Miranda, F. Gonzalez, F. Plana, M. N. Zamora, J. Quinn, T. J. Seron, P.
- Year
- 2023
- Journal
- Cochrane Database Syst Rev
- Abstract
BACKGROUND: Delirium is an underdiagnosed clinical syndrome typified by an acute alteration of mental state. It is an important problem in critical care and intensive care units (ICU) due to its high prevalence and its association with adverse outcomes. Delirium is a very distressing condition for patients, with a huge impact on their well-being. Diagnosis of delirium in the critical care setting is challenging. This is especially true for patients who are mechanically ventilated and are therefore unable to engage in a verbal interview. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a tool specifically designed to assess for delirium in the context of ICU patients, including those on mechanical ventilation. CAM-ICU can be administered by non-specialists to give a dichotomous delirium present/absent result. OBJECTIVES: To determine the diagnostic accuracy of the CAM-ICU for the diagnosis of delirium in adult patients in critical care units. SEARCH METHODS: We searched MEDLINE (Ovid SP, 1946 to 8 July 2022), Embase (Ovid SP, 1982 to 8 July 2022), Web of Science Core Collection (ISI Web of Knowledge, 1945 to 8 July 2022), PsycINFO (Ovid SP, 1806 to 8 July 2022), and LILACS (BIREME, 1982 to 8 July 2022). We checked the reference lists of included studies and other resources for additional potentially relevant studies. We also searched the Health Technology Assessment database, the Cochrane Library, Aggressive Research Intelligence Facility database, WHO ICTRP, ClinicalTrials.gov, and websites of scientific associations to access any annual meetings and abstracts of conference proceedings in the field. SELECTION CRITERIA: We included diagnostic studies enrolling adult ICU patients assessed using the CAM-ICU tool, regardless of language or publication status and reporting sufficient data on delirium diagnosis for the construction of 2 x 2 tables. Eligible studies evaluated the diagnostic performance of the CAM-ICU versus a clinical reference standard based on any iteration of the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria applied by a clinical expert. DATA COLLECTION AND ANALYSIS: Two review authors independently selected and collated study data. We assessed the methodological quality of studies using the QUADAS-2 tool. We used two univariate fixed-effect or random-effects models to determine summary estimates of sensitivity and specificity. We performed sensitivity analyses that excluded studies considered to be at high risk of bias and high concerns in applicability, due mainly to the target population included (e.g. patients with traumatic brain injury). We also investigated potential sources of heterogeneity, assessing the effect of reference standard diagnosis and proportion of patients ventilated. MAIN RESULTS: We included 25 studies (2817 participants). The mean age of participants ranged from 48 to 69 years; 15 of the studies included critical care units admitting mixed populations (e.g. medical, trauma, surgery patients). The percentage of patients receiving mechanical ventilation ranged from 11.8% to 100%. The prevalence of delirium in the studies included ranged from 12.5% to 83.9%. Presence of delirium was determined by the application of DSM-IV criteria in 13 out of 25 included studies. We assessed 13 studies as at low risk of bias and low applicability concerns for all QUADAS-2 domains. The most common issue of concern was flow and timing of the tests, followed by patient selection. Overall, we estimated a pooled sensitivity of 0.78 (95% confidence interval (CI) 0.72 to 0.83) and a pooled specificity of 0.95 (95% CI 0.92 to 0.97). Sensitivity analysis restricted to studies at low risk of bias and without any applicability concerns (n = 13 studies) gave similar summary accuracy indices (sensitivity 0.80 (95% CI 0.72 to 0.86), specificity 0.95 (95% CI 0.93 to 0.97)). Subgroup analyses based on diagnostic assessment found summary estimates of sensitivity and specificity for studies using DSM-IV of 0.79 (95% CI 0.72 to 0.85) and 0.94 (95% CI 0.90 to 0.96). For studies that used DSM-5 criteria, summary estimates of sensitivity and specificity were 0.75 (95% CI 0.67 to 0.82) and 0.98 (95% CI 0.95 to 0.99). DSM criteria had no significant effect on sensitivity (P = 0.421), but the specificity for detection of delirium was higher when DSM-5 criteria were used (P = 0.024). The relative specificity comparing DSM-5 versus DSM-IV criteria was 1.05 (95% CI 1.02 to 1.08). Summary estimates of sensitivity and specificity for studies recruiting < 100% of patients with mechanical ventilation were 0.81 (95% CI 0.75 to 0.85) and 0.95 (95% CI 0.91 to 0.98). For studies that exclusively recruited patients with mechanical ventilation, summary estimates of sensitivity and specificity were 0.91 (95% CI 0.76 to 0.97) and 0.98 (95% CI 0.92 to 0.99). Although there was a suggestion of differential performance of CAM-ICU in ventilated patients, the differences were not significant in sensitivity (P = 0.316) or in specificity (P = 0.493). AUTHORS’ CONCLUSIONS: The CAM-ICU tool may have a role in the early identification of delirium, in adult patients hospitalized in intensive care units, including those on mechanical ventilation, when non-specialized, properly trained clinical personnel apply the CAM-ICU. The test is most useful for exclusion of delirium. The test may miss a proportion of patients with incident delirium, therefore in situations where detection of all delirium cases is desirable, it may be best to repeat the test or combine CAM-ICU with another assessment. Future studies should compare different screening tests proposed for bedside assessment of delirium, as this approach will reveal which tool yields superior accuracy. In addition, future studies should consider and report the flow and timing of the tests and clearly report key characteristics related to patient selection. Finally, future research should focus on the impact of CAM-ICU screening on patient outcomes.
- PMID
PMID: 37987526
- Keywords
Adult
Humans
Middle Aged
Aged
*Intensive Care Units
Sensitivity and Specificity
*Delirium/diagnosis
Critical Care
- Page(s)
- Volume
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Nomogram Models for Predicting Delirium of Patients in Emergency Intensive Care Unit: A Retrospective Cohort Study | Shi, Y. Wang, H. Zhang, L. Zhang, M. Shi, X. Pei, H. Bai, Z. | Int J Gen Med | 2022 |
area under curve |
| Effect of midazolam on delirium in critically ill patients: a propensity score analysis | Shi, H. J. Yuan, R. X. Zhang, J. Z. Chen, J. H. Hu, A. M. | J Int Med Res | 2022 |
Midazolam delirium critical care propensity score analysis cohort study risk factor |
| Prediction of Postoperative Delirium After Cardiac Surgery with A Quick Test of Cognitive Speed, Mini-Mental State Examination and Hospital Anxiety and Depression Scale | Segernäs, A. Skoog, J. Ahlgren Andersson, E. Almerud Österberg, S. Thulesius, H. Zachrisson, H. | Clin Interv Aging | 2022 |
Aged |
| A retrospective comparison of haloperidol and hydroxyzine combination therapy with haloperidol alone in the treatment of overactive delirium | Sato, J. Tanaka, R. | Support Care Cancer | 2022 |
*Antipsychotic Agents/therapeutic use |
| Serum folate deficiency and the risks of dementia and all-cause mortality: a national study of old age | Rotstein, A. Kodesh, A. Goldberg, Y. Reichenberg, A. Levine, S. Z. | Evid Based Ment Health | 2022 |
Aged |
| Incidence of Postoperative Delirium Is Similar with Regional and General Anesthesia | Rosenberg, K. | Am J Nurs | 2022 |
Aged |
| Delirium and Delirium Severity Predict the Trajectory of the Hierarchical Assessment of Balance and Mobility in Hospitalized Older People: Findings From the DECIDE Study | Richardson, S. Murray, J. Davis, D. Stephan, B. C. M. Robinson, L. Brayne, C. Barnes, L. Parker, S. Sayer, A. A. Dodds, R. M. Allan, L. | J Gerontol A Biol Sci Med Sci | 2022 |
Aged |
| Anesthetic Practice Trends and Perceptions Toward Postoperative Delirium: A Mixed-Methods Analysis | Ragheb, J. Norcott, A. E. Iskander, M. Brooks, J. McKinney, A. Mentz, G. Vlisides, P. E | Anesth Analg | 2022 | |
| Preoperative Vitamin D Deficiency Is Associated With Postoperative Delirium in Critically Ill Patients | Qiu, Y. Sessler, D. I. Chen, L. Halvorson, S. Cohen, B. Bravo, M. Ince, I. Maheshwari, K. Kurz, A. | J Intensive Care Med | 2022 |
Adult |
| Physicians' beliefs and attitudes toward hypoactive delirium in the last days of life | Oya, K. Morita, T. Tagami, K. Matsuda, Y. Naito, A. S. Kashiwagi, H. Otani, H. | J Pain Symptom Manage | 2022 |
antipsychotic |
| Evidence-Based Guideline on Management of Postoperative Delirium in Older People for Low Resource Setting: Systematic Review Article | Mossie, A. Regasa, T. Neme, D. Awoke, Z. Zemedkun, A. Hailu, S. | Int J Gen Med | 2022 |
delirium prevention |
| Delirium diagnosis without a gold standard: Evaluating diagnostic accuracy of combined delirium assessment tools | Moss, S. J. Hee Lee, C. Doig, C. J. Whalen-Browne, L. Stelfox, H. T. Fiest, K. M. | PLoS One | 2022 |
Adult |
| Steroid dosing and delirium after lung transplant surgery | Mody, G. N. Choi, B. Townsend, K. Kerwin, C. Larios, D. Boukedes, S. Coppolino, A. Singh, S. Jin, G. Wolfe, D. Mallidi, H. Goldberg, H. | Gen Hosp Psychiatry | 2022 |
*Delirium/etiology |
| A systematic review of strategies for preventing delirium in patients undergoing vascular surgery | Meulenbroek, A. L. van Mil, S. R. Faes, M. C. Mattace-Raso, F. U. S. Fourneau, I. van der Laan, L. | Ann Vasc Surg | 2022 |
Aneurysm of the abdominal aorta |
| The impact of perioperative stroke and delirium on outcomes after surgical aortic valve replacement | Messé, S. R. Overbey, J. R. Thourani, V. H. Moskowitz, A. J. Gelijns, A. C. Groh, M. A. Mack, M. J. Ailawadi, G. Furie, K. L. Southerland, A. M. James, M. L. Moy, C. S. Gupta, L. Voisine, P. Perrault, L. P. Bowdish, M. E. Gillinov, A. M. O'Gara, P. T. Ou | J Thorac Cardiovasc Surg | 2022 |
aortic valve |
| Tau as a serum biomarker of delirium after major cardiac surgery: a single centre case-control study | McKay, T. B. Qu, J. Liang, F. Mueller, A. Wiener-Kronish, J. Xie, Z. Akeju, O. | Br J Anaesth | 2022 |
Alzheimer’s disease |
| Insulinoma: an uncommon cause of delirium | McComb, K. Roulston, G. Armstrong, L. | Age Ageing | 2022 |
Aged |
| The Twilight Zone: Oxybutynin Overuse Exacerbating Delirium | Marthi, S. Pomerantz, M. A. Mernan, A. J. Berlow, Y. A. | J Geriatr Psychiatry Neurol | 2022 |
anticholinergic medications |
| Corrigendum: Risk Factors for Delirium Are Different in the Very Old: A Comparative One-Year Prospective Cohort Study of 5,831 Patients | Marquetand, J. Bode, L. Fuchs, S. Hildenbrand, F. Ernst, J. von Känel, R. Boettger, S. | Front Psychiatry | 2022 |
comparison |
| The development of the MENTOR_D nursing intervention: Supporting family involvement in delirium management | Mailhot, T. Cossette, S. Lavoie, P. Maheu-Cadotte, M. A. Fontaine, G. Bourbonnais, A. Côté, J. | Int J Older People Nurs | 2022 |
delirium |
| Factors Associated With Severity of Delirium Complicating COVID-19 in Intensive Care Units | Madonna, D. Enrico, P. Ciappolino, V. Boscutti, A. Colombo, E. Turtulici, N. Cantù, F. Cereda, G. Delvecchio, G. De Falco, S. Chierichetti, M. Savioli, M. Grasselli, G. Brambilla, P. | Front Neurol | 2022 |
Ards |
| An open-label clinical trial of oral transmucosal haloperidol and oral transmucosal olanzapine in the treatment of terminal delirium at home | Lyu, X. J. Kan, A. D. Chong, P. H. Lin, K. Koh, Y. H. Yeo, Z. Z. | Trials | 2022 |
*Antipsychotic Agents/adverse effects |
| Family-centred care interventions to reduce the delirium prevalence in critically ill patients: A systematic review and meta-analysis | Lin, L. Peng, Y. Zhang, H. Huang, X. Chen, L. Lin, Y. | Nurs Open | 2022 |
delirium |
| White-Cell Derived Inflammatory Biomarkers in Prediction of Postoperative Delirium in Elderly Patients Undergoing Surgery for Lower Limb Fracture Under Non-General Anaesthesia | Li, X. Wang, G. He, Y. Wang, Z. Zhang, M. | Clin Interv Aging | 2022 |
Aged |
| Comparative salary-related costs of a brief app-directed delirium identification protocol by hospitalists, nurses, and nursing assistants | Leslie, D. L. Fick, D. M. Moore, A. Inouye, S. K. Jung, Y. Ngo, L. H. Boltz, M. Husser, E. Shrestha, P. Boustani, M. Marcantonio, E. R. | J Am Geriatr Soc | 2022 |
cost-analysis |
| Investigation and treatment of asymptomatic bacteriuria in older patients with delirium: a cross-sectional survey of Canadian physicians | Laguë, A. Boucher, V. Joo, P. Yadav, K. Morasse, C. Émond, M. | Cjem | 2022 |
Aged |
| APOE e4 Genotypes Increase Risk of Delirium During COVID-19-Related Hospitalizations: Evidence From a Large UK Cohort | Kuo, C. L. Pilling, L. C. Atkins, J. L. Fortinsky, R. H. Kuchel, G. A. Melzer, D. | J Gerontol A Biol Sci Med Sci | 2022 |
Alleles |
| Nurses' Knowledge about Delirium in the Group of Intensive Care Units Patients | Krupa, S. Friganović, A. Oomen, B. Benko, S. Mędrzycka-Dąbrowska, W. | Int J Environ Res Public Health | 2022 |
Clinical Competence |
| Early Ambulation to Prevent Delirium After Long-Time Head and Neck Cancer Surgery | Kim, J. H. Lee, Y. S. Kim, Y. H. Cho, K. J. Jung, Y. H. Choi, S. H. Nam, S. Y. Kim, S. Y. | Front Surg | 2022 |
ambulation |
| The effect of regional nerve block on perioperative delirium in hip fracture surgery for the elderly: A systematic review and meta-analysis of randomized controlled trials | Kim, C. H. Yang, J. Y. Min, C. H. Shon, H. C. Kim, J. W. Lim, E. J. | Orthop Traumatol Surg Res | 2022 |
Aged |
| Role of multicomponent non-pharmacological nursing interventions on delirium prevention: A randomized controlled study | Kasapoğlu, E. S. Enç, N. | Geriatr Nurs | 2022 |
Critical Illness |
| Early Intervention of Perioperative Delirium in Older Patients (>60 years) with Hip Fracture: A Randomized Controlled Study | Jing, G. W. Xie, Q. Tong, J. Liu, L. Z. Jiang, X. Si, L. | Orthop Surg | 2022 |
Delirium |
| Functional Outcome in Patients with Chronic Subdural Hematoma: Postoperative Delirium and Operative Procedure | Ishida, T. Inoue, T. Inoue, T. Saito, A. Suzuki, S. Uenohara, H. Tominaga, T. | Neurol Med Chir (Tokyo) | 2022 |
*Delirium/etiology |
| Delirium in geriatric patients | Iglseder, B. Frühwald, T. Jagsch, C. | Wien Med Wochenschr | 2022 |
Aged |
| Recognizing Intensive Care Unit Delirium: Are Critical Care Nurses Ready? | Ho, M. H. Chang, H. R. Liu, M. F. Chen, K. H. Shen Hsiao, S. T. Traynor, V. | J Nurs Res | 2022 | |
| Effect of an evidence-based poster on the knowledge of delirium and its prevention in student nurses: A quasi-experimental study | Glass, G. F. Tan, H. Chan, E. Y. | Contemp Nurse | 2022 |
Aged |
| Lack of Association Between Perioperative Medication and Postoperative Delirium in Hip Fracture Patients in an Orthogeriatric Care Pathway | Genet, B. Lamy, T. Cohen-Bittan, J. Glasman, P. Verny, M. Riou, B. Boddaert, J. Zerah, L. | J Am Med Dir Assoc | 2022 |
Aged |
| Dexmedetomidine after Cardiac Surgery for Prevention of Delirium (EXACTUM) trial protocol: a multicentre randomised, double-blind, placebo-controlled trial | Gargadennec, T. Oilleau, J. F. Rozec, B. Nesseler, N. Lasocki, S. Futier, E. Amour, J. Durand, M. Bougle, A. Kerforne, T. Consigny, M. Eddi, D. Huet, O. | BMJ Open | 2022 |
Aged |
| Validation of E-PRE-DELIRIC in cardiac surgical ICU delirium: A retrospective cohort study | Gao, W. Zhang, Y. Jin, J. | Nurs Crit Care | 2022 |
Adult |
| Association Between Sedative Medication Administration and Delirium Development in a Medical Intensive Care Unit | Franz, N. D. Alaniz, C. Miller, J. T. Farina, N. | J Pharm Pract | 2022 |
benzodiazepine |
| Nurse-Driven Assessment, Prevention, and Management of Delirium on an Acute Inpatient Neurology Unit | Francisco, M. A. Gesell, T. Meletis, S. Bohr, N. L. Gleason, L. J. | J Nurs Care Qual | 2022 | |
| Delirium the next frontier | Fong, T. G. Inouye, S. K. | J Gerontol A Biol Sci Med Sci | 2022 |
*Delirium/diagnosis/etiology |
| Presurgical Thalamus Volume in Postoperative Delirium: A Longitudinal Observational Cohort Study in Older Patients | Fislage, M. Feinkohl, I. Pischon, T. Spies, C. D. Borchers, F. Winterer, G. Zacharias, N. | Anesth Analg | 2022 | |
| The association between preoperative Mini-Cog© score and postoperative delirium (POD): a retrospective cohort study | Fiamanya, S. Ma, S. Yates, D. R. A. | Perioper Med (Lond) | 2022 |
Cognitive impairment |
| Delirium severity in critical patients with COVID-19 from an Infectious Disease Intensive Care Unit | Dias, R. Caldas, J. P. Silva-Pinto, A. Costa, A. Sarmento, A. Santos, L. | Int J Infect Dis | 2022 |
*COVID-19/complications |
| Health-Related Quality of Life Following Delirium in the PICU | Dervan, L. A. Killien, E. Y. Smith, M. B. Watson, R. S. | Pediatr Crit Care Med | 2022 |
Aftercare |
| Cuartas, C. F. Davis, M. | Valproic Acid in the Management of Delirium | Am J Hosp Palliat Care | 2022 |
Adult |
| Assessing the Accuracy of International Classification of Diseases (ICD) Coding for Delirium | Chuen, V. L. Chan, A. C. H. Ma, J. Alibhai, S. M. H. Chau, V. | J Appl Gerontol | 2022 |
*Delirium/diagnosis |
| Evaluation of the Impact of Prior-to-Admission Sleep Aid Prescribing Practices on Sleep and Delirium in the Intensive Care Unit | Chudow, M. Paradiso, V. Silva, N. Collette, J. | Ann Pharmacother | 2022 |
Adult |
| Chou, S. T. Pogach, M. Rock, L. K. | Less pharmacotherapy is more in delirium | Intensive Care Med | 2022 | |
| A randomized trial: bispectral-guided anesthesia decreases incidence of delayed neurocognitive recovery and postoperative neurocognitive disorder but not postoperative delirium | Chen, X. Li, L. Yang, L. Li, A. Wu, M. Yu, D. | Am J Transl Res | 2022 |
BIS monitoring |
| Comparative effectiveness of non-pharmacological interventions for preventing delirium in critically ill adults: A systematic review and network meta-analysis | Chen, T. J. Traynor, V. Wang, A. Y. Shih, C. Y. Tu, M. C. Chuang, C. H. Chiu, H. Y. Chang, H. R. | Int J Nurs Stud | 2022 |
Delirium |
| Influence of Renin-Angiotensin System Inhibitors on Postoperative Delirium in Patients With Pulmonary Arterial Hypertension: A Secondary Analysis of a Retrospective Cohort Study | Chen, G. Zhou, S. Deng, F. | Front Psychiatry | 2022 |
ACEIs |
| Delirium in COVID‑19 pneumonia: looking inside the geriatric unit-reply | Callea, A. Conti, G. Caporotundo, S. Della Marca, G. Rollo, E. | Intern Emerg Med | 2022 | |
| Postoperative delirium in the elderly: time to focus on pre- and postoperative management | Bruder, N. | Minerva Anestesiol | 2022 |
Aged |
| Improving ABCDEF Bundle Compliance and Clinical Outcomes in the ICU: Randomized Control Trial to Assess the Impact of Performance Measurement, Feedback, and Data Literacy Training | Brown, J. C. Querubin, J. A. Ding, L. Mack, W. J. Chen-Chan, K. Perez, F. Barr, J. Peden, C. J. Cobb, J. P. | Crit Care Explor | 2022 |
ABCDEF bundle compliance |
| Impact of Cerebral Embolic Protection Devices on the Incidence and Outcomes of Delirium After Transcatheter Aortic Valve Implantation | Bansal, A. Kumar, A. Reed, G. W. Puri, R. Krishnaswamy, A. Linke, A. Yun, J. Kapadia, S. R. | Am J Cardiol | 2022 | |
| Postoperative delirium in older patients after undergoing pelvic organ prolapse surgery | Ackenbom, M. F. Zyczynski, H. M. Butters, M. A. Lopa, S. Orris, S. R. Davis, E. M. | nt Urogynecol J | 2022 |
Cognitive impairment |
| Use of naldemedine is associated with reduced incidence of hyperactive delirium in cancer patients with opioid-induced constipation: a nationwide retrospective cohort study in Japan | Abe, H. Sumitani, M. Matsui, H. Inoue, R. Fushimi, K. Uchida, K. Yasunaga, H. | Pharmacotherapy | 2022 |
delirium |
| Effect of light therapy on delirium in older patients with Alzheimer's disease-related dementia | Zou, C. Mei, X. Li, X. Hu, J. Xu, T. Zheng, C. | J Psychiatr Res | 2022 |
Alzheimer’s disease |
| Association of antipsychotic dose with survival of advanced cancer patients with delirium | Yokomichi, N. Maeda, I. Morita, T. Yoshiuchi, K. Ogawa, A. Hisanaga, T. Sakashita, A. Nakahara, R. Kaneishi, K. Iwase, S. | Ann Palliat Med | 2022 |
Advanced cancer |
| Systematic review and meta-analysis on the incidence of delirium in intensive care unit inpatients after cognitive exercise intervention | Xu, C. Chen, Z. Zhang, L. Guo, H. | Ann Palliat Med | 2022 |
Cognition |
| Electroencephalography in delirium assessment: a scoping review | Wiegand, T. L. T. Rémi, J. Dimitriadis, K. | BMC Neurol | 2022 |
*Delirium/diagnosis/etiology |
| Prophylactic melatonin for delirium in intensive care (Pro-MEDIC): a randomized controlled trial | Wibrow, B. Martinez, F. E. Myers, E. Chapman, A. Litton, E. Ho, K. M. Regli, A. Hawkins, D. Ford, A. van Haren, F. M. P. Wyer, S. McCaffrey, J. Rashid, A. Kelty, E. Murray, K. Anstey, M. | Intensive Care Med | 2022 |
Australia |
| Effect of Electroencephalography Spectral Edge Frequency (SEF) and Patient State Index (PSI)-Guided Propofol-Remifentanil Anesthesia on Delirium After Laparoscopic Surgery: The eMODIPOD Randomized Controlled Trial | Wang, E. Wang, L. Ye, C. Luo, N. Zhang, Y. Zhong, Y. Zhu, M. Zou, Y. Li, Q. Li, L. Song, Z. Luo, H. Dai, F. Liu, H. Gelb, A. W. Guo, Q. Meng, L. | J Neurosurg Anesthesiol | 2022 |
*Anesthesia/adverse effects |
| Hospitalisation costs and Health Related Quality of Life in delirious patients; a scoping review | van Lieshout, C. Schuit, E. Hermes, C. Kerrigan, M. Frederix, G. W. J. | Z Evid Fortbild Qual Gesundhwes | 2022 |
Cost Analysis |
| Rapid cognitive assessment tools for screening of mild cognitive impairment in the preoperative setting: A systematic review and meta-analysis | Tran, J. Nimojan, T. Saripella, A. Tang-Wai, D. F. Butris, N. Kapoor, P. Berezin, L. Englesakis, M. Chung, F. | J Clin Anesth | 2022 |
Cognition |
| Physostigmine for Facilitation of Care in Clozapine-Associated Anticholinergic Delirium | Spring, J. D. Goldstein, B. N. Buster, M. Mahmoud, A. A. Hamm, B. | J Clin Psychopharmacol | 2022 | |
| Relationship between no-visitation policy and the development of delirium in patients admitted to the intensive care unit | Shinohara, F. Unoki, T. Horikawa, M. | PLoS One | 2022 |
Apache |
| USING A REAL-TIME ABCDEF COMPLIANCE TOOL TO UNDERSTAND THE ROLE OF BUNDLE ELEMENTS IN MORTALITY AND DELIRIUM | Shampo, J. C. Wenszell, K. Luo-Owen, X. Mukherjee, N. Cochran-Yu, M. Swentek, L. Burruss, S. K. Markovich, S. Turay, D. Dorotta, I. R. Mukherjee, K. | J Trauma Acute Care Surg | 2022 | |
| Post-discharge Mortality in Patients With Delirium and Dementia: A 3-Year Follow Up Study | Schnorr, T. Fleiner, T. Schroeder, H. Reupke, I. Woringen, F. Trumpf, R. Schroeder, S. Zijlstra, W. Haussermann, P. | Front Psychiatry | 2022 |
aftercare |
| Effects of Physical Exercise on the Incidence of Delirium and Cognitive Function in Acutely Hospitalized Older Adults: A Systematic Review with Meta-Analysis | Sáez de Asteasu, M. L. Cuevas-Lara, C. García-Hermoso, A. Ramírez-Vélez, R. Martínez-Velilla, N. Zambom-Ferraresi, F. Cadore, E. L. Izquierdo, M. | J Alzheimers Dis | 2022 |
Physical exercise |
| Associations Between Stroke Localization and Delirium: A Systematic Review and Meta-Analysis | Rhee, J. Y. Colman, M. A. Mendu, M. Shah, S. J. Fox, M. D. Rost, N. S. Kimchi, E. Y. | J Stroke Cerebrovasc Dis | 2022 |
*Delirium/epidemiology |
| The family in preventing delirium in the intensive care unit: Scoping review | Pabón-Martínez, B. A. Rodríguez-Pulido, L. I. Henao-Castaño, A. M. | Enferm Intensiva (Engl Ed) | 2022 |
Adult |
| The effect of delirium preventive measures on the occurrence of postoperative cognitive dysfunction in older adults undergoing cardiovascular surgery. The DelPOCD randomised controlled trial | Olotu, C. Ascone, L. Wiede, J. Manthey, J. Kuehn, S. Scherwath, A. Kiefmann, R. | J Clin Anesth | 2022 |
Aged |
| Pharmacotherapy for elderly patients with delirium in a general ward setting: A retrospective study | Ohsako, N. Hashimoto, T. Shiko, Y. Kawasaki, Y. Nakagawa, M. Okuma, T. Kurata, T. Suzuki, H. Ishige, M. Kikuchi, S. | Asian J Psychiatr | 2022 |
Aged |
| Regional cerebral hypometabolism on 18F-FDG PET/CT scan in delirium is independent of acute illness and dementia | Nitchingham, A. Pereira, J. V. Wegner, E. A. Oxenham, V. Close, J. Caplan, G. A. | Alzheimers Dement | 2022 |
18F-fluorodeoxyglucose positron emission tomography |
| Delirium screening with 4AT in patients aged 65 years and older admitted to the Emergency Department with suspected sepsis: a prospective cohort study | Myrstad, M. Kuwelker, K. Haakonsen, S. Valebjørg, T. Langeland, N. Kittang, B. R. Hagberg, G. Neerland, B. E. Bakken, M. S. | Eur Geriatr Med | 2022 |
Aged |
| The DEMS-DOSS study: validating a delirium monitoring tool in hospitalised older adults | Montgomery, A. Todd, J. A. Jones, C. Koroitamana, J. Grealish, L. Wand, A. Billett, S. Teodorczuk, A. | Age Ageing | 2022 |
Aged |
| Effectiveness of Interprofessional Consultation-Based Interventions for Delirium: A Scoping Review | Monaghan, C. Martin, G. Kerr, J. Peters, M. L. Versloot, J. | J Appl Gerontol | 2022 |
Accidental Falls/prevention & control |
| PRe-Operative Prediction of postoperative DElirium by appropriate SCreening (PROPDESC) development and validation of a pragmatic POD risk screening score based on routine preoperative data | Menzenbach, J. Kirfel, A. Guttenthaler, V. Feggeler, J. Hilbert, T. Ricchiuto, A. Staerk, C. Mayr, A. Coburn, M. Wittmann, M. | J Clin Anesth | 2022 |
*Delirium/diagnosis/epidemiology/etiology |
| Behavioral Variant Frontotemporal Dementia and Social and Criminal Transgressions | Mendez, M. F. | J Neuropsychiatry Clin Neurosci | 2022 |
Cognition |
| Effects of Abdominal Wall Blocks on Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Study | Liu, T. Tuo, J. Wei, Q. Sun, X. Zhao, H. Zhao, X. Qu, M. | Med Sci Monit | 2022 |
Aged |
| Preoperative Status of Gut Microbiota Predicts Postoperative Delirium in Patients With Gastric Cancer | Liu, H. Cheng, G. Xu, Y. L. Fang, Q. Ye, L. Wang, C. H. Liu, X. S. | Front Psychiatry | 2022 |
Shigella |
| Nurses' experiences in the management of delirium among older persons in acute care ward settings: A qualitative systematic review and meta-aggregation | Lim, X. M. Lim, Z. H. T. Ignacio, J. | Int J Nurs Stud | 2022 |
Aged |
| Predicting hospital mortality and length of stay: A prospective cohort study comparing the Intensive Care Delirium Screening Checklist versus Confusion Assessment Method for the Intensive Care Unit | Li, H. C. Chen, C. C. Yeh, T. Y. Liao, S. C. Hsu, A. S. Wei, Y. C. Shun, S. C. Ku, S. C. Inouye, S. K. | Aust Crit Care | 2022 |
CAM-ICU (Confusion Assessment Method for Intensive Care Unit) |
| Can we improve delirium prevention and treatment in the emergency department? A systematic review | Lee, S. Chen, H. Hibino, S. Miller, D. Healy, H. Lee, J. S. Arendts, G. Han, J. H. Kennedy, M. Carpenter, C. R. | J Am Geriatr Soc | 2022 |
delirium |
| Prevalence, management and outcomes of unrecognized delirium in a National Sample of 1,493 older emergency department patients: how many were sent home and what happened to them? | Lee, J. S. Tong, T. Chignell, M. Tierney, M. C. Goldstein, J. Eagles, D. Perry, J. J. McRae, A. Lang, E. Hefferon, D. Rose, L. Kiss, A. Borgundvaag, B. McLeod, S. Melady, D. Boucher, V. Sirois, M. J. Émond, M. | Age Aging | 2022 |
*Aftercare |
| COVID-19 severity and age increase the odds of delirium in hospitalized adults with confirmed SARS-CoV-2 infection: a cohort study | LaHue, S. C. Escueta, D. P. Guterman, E. L. Patel, K. Harrison, K. L. Boscardin, W. J. Douglas, V. C. Newman, J. C. | BMC Psychiatry | 2022 |
Adult |
| Outcomes in heart failure patients discharged to skilled nursing facilities with delirium | Lafo, J. Singh, M. Jiang, L. Correia, S. Madrigal, C. Clements, R. Wu, W. C. Erqou, S. Rudolph, J. L. | ESC Heart Fail | 2022 |
Delirium |
| Distribution of delirium motor subtypes in the intensive care unit: a systematic scoping review | la Cour, K. N. Andersen-Ranberg, N. C. Weihe, S. Poulsen, L. M. Mortensen, C. B. Kjer, C. K. W. Collet, M. O. Estrup, S. Mathiesen, O. | Crit Care | 2022 |
Aged |
| Factors associated with post-operative delirium in hip fracture patients: what should we care | Kong, D. Luo, W. Zhu, Z. Sun, S. Zhu, J. | Eur J Med Res | 2022 |
Aged |
| Factors Associated With Postoperative Delirium in Patients Undergoing Complex Head and Neck Flap Surgery | Kolk, A. Schwarzer, C. Wolff, K. D. Grill, F. Weingart, J. | J Oral Maxillofac Surg | 2022 |
Adolescent |
| Increased postoperative myeloperoxidase concentration associated with low baseline antioxidant capacity as the risk factor of delirium after cardiac surgery | Kaźmierski, J. Miler, P. Pawlak, A. Jerczyńska, H. Nowakowska, K. Walkiewicz, G. Woźniak, K. Krejca, M. Wilczyński, M. | Ann Med | 2022 |
Antioxidants |
| Could neutrophil-to-lymphocyte ratio predict mortality in community-dwelling older people with delirium superimposed on dementia? | Katipoglu, B. Naharci, M. I. | Aging Clin Exp Res | 2022 |
Delirium |
| The efficacy and safety of nurse-initiated sedation management in an intensive care unit: A two-phase prospective study in Japan | Kanda, N. Nakano, H. Naraba, H. Kawasaki, A. Ohno, N. Yoshikawa, Y. Sakuramoto, H. Takahashi, Y. Sonoo, T. Hashimoto, H. Nakamura, K. | Jpn J Nurs Sci | 2022 |
Richmond Agitation-Sedation Scale |
| Albumin/fibrinogen ratio, an independent risk factor for postoperative delirium after total joint arthroplasty | Jiang, L. Lei, G. | Geriatr Gerontol Int | 2022 |
albumin/fibrinogen ratio |
| Association of preoperative vitamin D deficiency with the risk of postoperative delirium and cognitive dysfunction: A meta-analysis | Hung, K. C. Wang, L. K. Lin, Y. T. Yu, C. H. Chang, C. Y. Sun, C. K. Chen, J. Y. | J Clin Anesth | 2022 |
Postoperative cognitive dysfunction |
| Sailing in a sea of perplexity: Family caregivers' experience of patients with delirium | Huang, L. J. Tsai, H. H. Wang, Y. W. Chou, C. L. | Nurs Crit Care | 2022 |
*Caregivers |
| Association Between Hypernatremia and Delirium After Cardiac Surgery: A Nested Case-Control Study | Hong, L. Shen, X. Shi, Q. Song, X. Chen, L. Chen, W. Chen, S. Xue, Y. Zhang, C. Zhou, J. | Front Cardiovasc Med | 2022 |
cardiac surgery |