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 |
|---|---|---|---|---|
| Evaluating Pain, Opioids, and Delirium in Critically Ill Older Adults | Pavone, K. J. Jablonski, J. Cacchione, P. Z. Polomano, R. C. Compton, P. | Clin Nurs Res | 2021 |
Aged |
| Optimizing the Recognition and Treatment of In-Hospital Stroke: Evaluation of the 2CAN Score | Parrino, C. R. Noles, A. Lalla, R. Mehndiratta, P. Phipps, M. Cronin, C. Cole, J. Wozniak, M. Yarbrough, K. Chaturvedi, S. | J Stroke Cerebrovasc Dis | 2021 |
Aged |
| Cohort Analysis of the Association of Delirium Severity with Cerebrospinal Fluid Amyloid-Tau-Neurodegeneration Pathologies | Parker, M. White, M. Casey, C. Kunkel, D. Bo, A. Blennow, K. Zetterberg, H. Pearce, R. A. Lennertz, R. Sanders, R. D. | J Gerontol A Biol Sci Med Sci | 2021 |
Biology of aging, Biomarkers, Dementia |
| The Delirium Observation Screening Scale: A Systematic Review and Meta-Analysis of Diagnostic Test Accuracy | Park, J. Jeong, E. Lee, J | Clin Nurs Res | 2021 |
*Delirium/diagnosis |
| Higher neutrophil-to-lymphocyte ratio, mean platelet volume, and platelet distribution width are associated with postoperative delirium in patients undergoing esophagectomy: a retrospective observational study | Oyama, T. Kinoshita, H. Takekawa, D. Saito, J. Kushikata, T. Hirota, K. | J Anesth | 2021 |
Esophagectomy |
| The predictive value of the 'VMS frail older patients' for adverse outcomes in geriatric inpatients | Oud, F. M. M. Wolzak, N. K. Spies, P. E. Zaag-Loonen, H. J. V. van Munster, B. C. | Arch Gerontol Geriatr | 2021 |
Aged |
| Impact of ABCDE Bundle Implementation in the Intensive Care Unit on Specific Patient Costs | Otusanya, O. T. Hsieh, S. J. Gong, M. N. Gershengorn, H. B. | J Intensive Care Med | 2021 |
cost and cost analysis |
| Use of Suvorexant and Antipsychotics in the Treatment of Delirium After Infectious Diseases: A Retrospective Study | Okino, K. Yamada, H. Tomioka, H. Nozaki, S. Iwanami, A. Inamoto, A. | J Clin Psychopharmacol | 2021 |
Antipsychotics, Suvorexant, Delirium, Infectious Disease, C-reactive protein, White blood cell count |
| The assessment of risk factors for postoperative delirium using cubic spline curves in gastroenterological surgery | Okawa, Y. Tanaka, K. Nakanishi, Y. Asano, T. Noji, T. Ebihara, Y. Kurashima, Y. Nakamura, T. Murakami, S. Tsuchikawa, T. Okamura, K. Shichinohe, T. Hirano, S. | Surg Today | 2021 |
Cubic spline curve |
| Delirium and Long-Term Outcomes among Survivors of Extracorporeal Membrane Oxygenation Therapy: A Nationwide Cohort Study in South Korea | Oh, T. K. Park, H. Y. Song, I. A. | J Intensive Care Med | 2021 |
Critical Care |
| The Impact of Earplugs and Eye Masks on Sleep Quality in Surgical ICU Patients at Risk for Frequent Awakenings | Obanor, O. O. McBroom, M. M. Elia, J. M. Ahmed, F. Sasaki, J. D. Murphy, K. M. Chalk, S. Menard, G. A. Pratt, N. V. Venkatachalam, A. M. Romito, B. T. | Crit Care Med | 2021 |
Adult |
| Interventions to support recovery following an episode of delirium: A realist synthesis | O'Rourke, G. Parker, D. Anderson, R. Morgan-Trimmer, S. Allan, L | Aging Ment Health | 2021 |
Aged |
| Preoperative inflammatory mediators and postoperative delirium: systematic review and meta-analysis | Noah, A. M. Almghairbi, D. Evley, R. Moppett, I. K. | Br J Anaesth | 2021 |
Aged |
| Development of an algorithm for assessing fall risk in a Japanese inpatient population | Nakanishi, T. Ikeda, T. Nakamura, T. Yamanouchi, Y. Chikamoto, A. Usuku, K. | Sci Rep | 2021 |
Disease prevention, Geriatrics, Public health |
| Relationship among melatonin, postoperative delirium, and postoperative cognitive dysfunction | Mu, S. Wu, Y. Wu, A. | Ann Palliat Med | 2021 |
*Cognition Disorders |
| Hospital complications among older adults: Better processes could reduce the risk of delirium | Moura Junior, V. Westover, M. B. Li, F. Kimchi, E. Kennedy, M. Benson, N. M. Moura, L. M. Hsu, J. | Health Serv Manage Res | 2021 |
access/demand/utilization of services |
| Precipitated Withdrawal, Delirium, and Cerebellar Stroke: The Pharmacology of Buprenorphine Induction in Non-pharmaceutical Fentanyl and the Neuropsychiatric Manifestations of Cerebellar Stroke | Montalvo, C. von Horn, A. Lane, C. E. Weinstein, Z. M. Sharma, M. Suzuki, J. | Harv Rev Psychiatry | 2021 | |
| The effect of foot massage on the level of consciousness and delirium of intensive care patients: A randomized single-blind controlled trial | Momeni, M. Arab, M. Dehghan, M. Ahmadinejad, M. | J Bodyw Mov Ther | 2021 |
*Consciousness |
| Intravenous patient-controlled analgesia does not increase the risk of postoperative delirium compared to patient-controlled epidural analgesia: a propensity score-matched retrospective cohort study | Miyoshi, H. Nakamura, R. Noda, Y. Yokomi, H. Kamiya, S. Morio, A. Watanabe, T. Narasaki, S. Toyota, Y. Saeki, N. Hamada, H. Tsutsumi, Y. M. | Ann Palliat Med | 2021 |
Patient-controlled analgesia (PCA) |
| Standardized Semistructured Psychosocial Evaluation Before Stem Cell Transplantation Predicts Delirium After Transplant | Mishkin, A. D. Schmajuk, M. Reshef, R. Lopez-Pintado, S. Mapara, M. Y. Shapiro, P. A. | J Acad Consult Liaison Psychiatry | 2021 |
*cancer (PSY0140) |
| Pattern of Brain Injury in Patients With Thrombotic Thrombocytopenic Purpura in the Precaplacizumab Era | Mirouse, A. Legriel, S. Dumas, G. Labro, G. Veyradier, A. Zafrani, L. Valade, S. Hourmant, Y. Boutboul, D. Darmon, M. Coppo, P. Mariotte, E. Azoulay, E. | Crit Care Med | 2021 |
Adult |
| Postoperative delirium is a risk factor for complications and poor outcome after total hip and knee arthroplasty | Meyer, M. Götz, J. Parik, L. Renkawitz, T. Grifka, J. Maderbacher, G. Kappenschneider, T. Weber, M. | Acta Orthop | 2021 |
Geriatrics, Surgery, Postoperative delirium, Elective joint replacement |
| Why should you stay one night? Prospective observational study of enhanced recovery in elderly patients | Melegari, G. Albertini, G. Romani, A. Malaguti, S. Traccitto, F. Giuliani, E. Cavallini, G. M. Bertellini, E. Barbieri, A. | Aging Clin Exp Res | 2021 |
Aged |
| Inhaled isoflurane via the anaesthetic conserving device versus propofol for sedation of invasively ventilated patients in intensive care units in Germany and Slovenia: an open-label, phase 3, randomised controlled, non-inferiority trial | Meiser, A. Volk, T. Wallenborn, J. Guenther, U. Becher, T. Bracht, H. Schwarzkopf, K. Knafelj, R. Faltlhauser, A. Thal, S. C. Soukup, J. Kellner, P. Drüner, M. Vogelsang, H. Bellgardt, M. Sackey, P. | Lancet Respir Med | 2021 |
Isoflurane, ICU, Propofol, Invasive ventilation, RASS |
| Perioperative Considerations for Patients with a Known Diagnosis of Dementia | McSwain, J. R. Sirianni, J. M. Wilson, S. H. | Adv Anesth | 2021 |
Alzheimer’s dementia |
| The relationship between frailty and delirium: insights from the 2017 Delirium Day study | Mazzola, P. Tassistro, E. Di Santo, S. Rossi, E. Andreano, A. Valsecchi, M. G. Cherubini, A. Marengoni, A. Mossello, E. Bo, M. Inzitari, M. Di Bari, M. Udina, C. Latronico, N. Paolillo, C. Morandi, A. Bellelli, G. | Age Ageing | 2021 |
Aged |
| Absence of Longer Reorientation Times in Patients Undergoing Electroconvulsive Therapy and Concomitant Treatment with Lithium | Martins-Ascencao, R. Rodrigues-Silva, N. Trovão, N. | Clin Psychopharmacol Neurosci | 2021 |
Cognitive dysfunction |
| Period-Prevalence and Risk Factors for Delirium in a Tertiary Referral ICU: A prospective cohort study | Martinez, F. E. Ho, V. W. Brogan, G. Pickering, C. Leung, G. Parrey, J. Charlton, A. | Acute Med | 2021 |
Adult |
| Cross-Cultural Adaptation and Validation of the Italian Version of the Observational Scale of Level of Arousal | Martella, L. A. Carmisciano, L. Giannotti, C. Signori, A. Pontremoli, R. Giusti, M. Gualco, E. Beccati, V. Marengoni, A. Nencioni, A. Monacelli, F. | J Am Med Dir Assoc | 2021 |
Aged |
| Prevalence and management of delirium in community dwelling older people with dementia referred to a memory clinic | Manni, B. Federzoni, L. Zucchi, P. Mussi, C. Inzitari, M. Carda, C. A. Fabbo, A. Morandi, A. | Aging Clin Exp Res | 2021 |
Aged |
| Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients | Mancheril, B. Kram, B. Schultheis, J. Kram, S. Trammel, M. Liu, B. Jordan, W. Cox, C. E. | J Nurs Care Qual | 2021 |
*Analgesia |
| A New ICU Delirium Prevention Bundle to Reduce the Incidence of Delirium: A Randomized Parallel Group Trial | Malik, A. K. Baidya, D. K. Anand, R. K. Subramaniam, R. | Indian J Crit Care Med | 2021 |
Delirium |
| Risk factors associated with the development of delirium in general ICU patients. A prospective observational study | Lobo-Valbuena, B. Gordo, F. Abella, A. Garcia-Manzanedo, S. Garcia-Arias, M. M. Torrejón, I. Varillas-Delgado, D. Molina, R. | PLoS One | 2021 |
Delirium, ICU Delirium, CAM-ICU, Clinical Frailty Scale, Length of stay, Readmission rate |
| Incidence, Predictors and Outcomes of Delirium in Complicated Type B Aortic Dissection Patients After Thoracic Endovascular Aortic Repai | Liu, J. Yang, F. Luo, S. Li, C. Liu, W. Liu, Y. Huang, W. Xie, E. Chen, L. Su, S. Yang, X. Geng, Q. Luo, J. | Clin Interv Aging | 2021 |
*Aneurysm, Dissecting/surgery |
| Dynamic Delirium Severity Trajectories and Their Association With 2-Year Healthcare Utilization and Mortality Outcomes | Lindroth, H. Mohanty, S. Ortiz, D. Gao, S. Perkins, A. J. Khan, S. H. Boustani, M. A. Khan, B. A. | Crit Care Explor | 2021 |
delirium |
| Intraoperative Oxygen Concentration and Postoperative Delirium After Laparoscopic Gastric and Colorectal Malignancies Surgery: A Randomized, Double-Blind, Controlled Trial | Lin, X. Wang, P. Liu, D. W. Guo, Y. W. Xie, C. H. Wang, B. Dong, R. Sun, L. X. Wang, M. S. Bi, Y. L. | Clin Interv Aging | 2021 |
Aged |
| Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality | Lima, B. R. Nunes, B. K. G. Guimarães, Lcdc Almeida, L. F. Pagotto, V. | Rev Esc Enferm USP | 2021 |
Aged |
| Regional Nerve Block Decreases the Incidence of Postoperative Delirium in Elderly Hip Fracture | Lim, E. J. Koh, W. U. Kim, H. Kim, H. J. Shon, H. C. Kim, J. W. | J Clin Med | 2021 |
delirium |
| Effects of perioperative interventions for preventing postoperative delirium: A protocol for systematic review and meta-analysis of randomized controlled trials | Li, X. Wang, Y. Liu, J. Xiong, Y. Chen, S. Han, J. Xie, W. Wu, Q. | Medicine (Baltimore) | 2021 |
Delirium/*prevention & control |
| Developing a machine learning model to identify delirium risk in geriatric internal medicine inpatients | Li, Q. Zhao, Y. Chen, Y. Yue, J. Xiong, Y. | Eur Geriatr Med | 2021 |
Delirium |
| Development and validation of a risk score for predicting postoperative delirium after major abdominal surgery by incorporating preoperative risk factors and surgical Apgar score | Li, G. H. Zhao, L. Lu, Y. Wang, W. Ma, T. Zhang, Y. X. Zhang, H. | J Clin Anesth | 2021 |
Bootstrapping |
| Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials | Lee, Y. Lee, J. Kim, J. Jung, Y. | Int J Environ Res Public Health | 2021 |
Adult |
| Association of natural light exposure and delirium according to the presence or absence of windows in the intensive care unit | Lee, H. J. Bae, E. Lee, H. Y. Lee, S. M. Lee, J. | Acute Crit Care | 2021 |
delirium |
| Knowledge, barriers, and training needs of nurses working in delirium care | Lee, G. Roh, Y. S | Nurs Crit Care | 2021 |
barrier |
| Causes and Predictors of 30-Day Readmission in Elderly Patients With Delirium | Lau, H. L. Patel, S. D. Garg, N. | Neurol Clin Pract | 2021 |
Readmission rate, Delirium, Hospitalization, Length of stay, Post discharge care |
| Comparison of Antipsychotics for the Treatment of Patients With Delirium and QTc Interval Prolongation: A Clinical Decision Analysis | Kurisu, K. Yoshiuchi, K. | Front Psychiatry | 2021 |
QTc prolongation |
| The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit | Krupa, S. Dorota, O. Friganovic, A. Mędrzycka-Dąbrowska, W. Jurek, K. | Int J Environ Res Public Health | 2021 |
Cardiac Surgical Procedures/adverse effects |
| Associations of delirium with urinary tract infections and asymptomatic bacteriuria in adults aged 65 and older: A systematic review and meta-analysis | Krinitski, D. Kasina, R. Klöppel, S. Lenouvel, E. | J Am Geriatr Soc | 2021 |
asymptomatic bacteriuria |
| Prevalence and Factors Affecting Postoperative Delirium in a Neurosurgical Intensive Care Unit | Kose, G. Şirin, K. Inel, M. B. Mertoglu, S. Aksakal, R. Kurucu, Ş | J Neurosci Nurs | 2021 |
Cross-Sectional Studies |
| Effect of hypertension and medication use regularity on postoperative delirium after maxillofacial tumors radical surgery | Kong, S. Wang, J. Xu, H. Wang, K. | Oncotarget | 2021 |
hypertension |
| Perioperative Electroencephalogram Spectral Dynamics Related to Postoperative Delirium in Older Patients | Koch, S. Windmann, V. Chakravarty, S. Kruppa, J. Yürek, F. Brown, E. N. Winterer, G. Spies, C. | Anesth Analg | 2021 |
Electroencephalography, Postoperative delirium, Surgery, Spectral edge frequency |
| Is dislocation following total hip arthroplasty caused while suffering from delirium? | Kobayashi, T. Morimoto, T. Sonohata, M. Mawatari, M. | Nagoya J Med Sci | 2021 |
dislocation |
| Availability of preoperative neutrophil-lymphocyte ratio to predict postoperative delirium after head and neck free-flap reconstruction: A retrospective study | Kinoshita, H. Saito, J. Takekawa, D. Ohyama, T. Kushikata, T. Hirota, K. | PLoS One | 2021 |
Postoperative delirium, ICU delirium, Neutrophil-lymphocyte ratio, Surgery, Length of Stay |
| Delirium risk of histamine-2 receptor antagonists and proton pump inhibitors: A study based on the adverse drug event reporting database in Japan | Kikkawa, N. Sogawa, R. Monji, A. Sumi, S. Murakawa-Hirachi, T. Kubo, T. Eguchi, Y. Miyamoto, Y. Kamo, M. Tobita, S. Yukawa, M. Uchida, R. Egoshi, M. Shimanoe, C. | Gen Hosp Psychiatry | 2021 |
Delirium |
| Delirium in neurosurgery: a systematic review and meta-analysis | Kappen, P. R. Kakar, E. Dirven, C. M. F. van der Jagt, M. Klimek, M. Osse, R. J. Vincent, Apje | Neurosurg Rev | 2021 |
Delirium |
| Risk factors for postoperative delirium and subsyndromal delirium in older patients in the surgical ward: A prospective observational study | Kanno, M. Doi, M. Kubota, K. Kanoya, Y. | PLoS One | 2021 |
Postoperative delirium, Subsyndromal delirium, Surgery, CAM |
| Diagnostic accuracy and clinical applicability of the Swedish version of the 4AT assessment test for delirium detection, in a mixed patient population and setting | Johansson, Y. A. Tsevis, T. Nasic, S. Gillsjö, C. Johansson, L. Bogdanovic, N. Kenne Sarenmalm, E | BMC Geriatr | 2021 |
Aged |
| In-Hospital Delirium as a Prognostic Factor for New Cognitive Disorder in a 1-Year Post-Hip Fracture Follow-Up | Jaatinen, R. Luukkaala, T. Hongisto, M. T. Helminen, H. Nuotio, M. S. | Dement Geriatr Cogn Disord | 2021 |
Cognition |
| Italian version of the short 10/66 dementia diagnostic schedule: a validation study | Ibnidris, A. Piumatti, G. Carlevaro, F. Fadda, M. Magno, F. Magistro, D. Albanese, E. | BMJ Open | 2021 |
Aged |
| A Machine Learning-Based Algorithm for the Prediction of Intensive Care Unit Delirium (PRIDE): Retrospective Study | Hur, S. Ko, R. E. Yoo, J. Ha, J. Cha, W. C. Chung, C. R. | JMIR Med Inform | 2021 |
clinical prediction |
| The effect of evidence-based cluster nursing intervention on the incidences of delirium and the prognoses of ICU patients | Huang, S. Xu, J. Du, Y. Wang, Y. Wei, H. Wei, G. Hu, M. | Am J Transl Res | 2021 |
Evidence-based medicine |
| Impact of dexmedetomidine supplemented analgesia on delirium in patients recovering from orthopedic surgery: A randomized controlled tria | Hong, H. Zhang, D. Z. Li, M. Wang, G. Zhu, S. N. Zhang, Y. Wang, D. X. Sessler, D. I. | BMC Anesthesiol | 2021 |
Delirium |
| Effects of a simulation-based education programme on delirium care for critical care nurses: A randomized controlled trial | Ho, M. H. Yu, L. F. Lin, P. H. Chang, H. R. Traynor, V. Huang, W. C. Montayre, J. Chen, K. H. | J Adv Nurs | 2021 |
Clinical Competence |
| Postoperative Delirium in Older Patients: A Systematic Review of Assessment and Incidence of Postoperative Delirium | Ho, M. H. Nealon, J. Igwe, E. Traynor, V. Chang, H. R. Chen, K. H. Montayre, J. | Worldviews Evid Based Nurs | 2021 |
Aged |
| Harmonization of Four Delirium Instruments: Creating Crosswalks and the Delirium Item-Bank (DEL-IB) | Helfand, B. K. I. Detroyer, E. Milisen, K. Adamis, D. Metzger, E. D. Boudreaux, E. D. Inouye, S. K. Jones, R. N. | Am J Geriatr Psychiatry | 2021 | |
| Association between genetic variants of the cholinergic system and postoperative delirium and cognitive dysfunction in elderly patients | Heinrich, M. Sieg, M. Kruppa, J. Nürnberg, P. Schreier, P. H. Heilmann-Heimbach, S. Hoffmann, P. Nöthen, M. M. Janke, J. Pischon, T. Slooter, A. J. C. Winterer, G. Spies, C. D. | BMC Med Genomics | 2021 |
Chrm2 |
| Risk of delirium and impaired neurological outcome associated with delay in neurorehabilitation after acquired brain injury | Hansen, P. M. Lauridsen, J. T. Frandsen, N. S. | Dan Med J | 2021 |
*Brain Injuries |
| Prevalence, Risk Factors, and Impact of Delirium on Hospitalized Older Adults With Dementia: A Systematic Review and Meta-Analysis | Han, Q. Y. C. Rodrigues, N. G. Klainin-Yobas, P. Haugan, G. Wu, X. | J Am Med Dir Assoc | 2021 |
Dementia |
| Urinary albumin creatinine ratio associated with postoperative delirium in elderly patients undergoing elective non-cardiac surgery: A prospective observational study | Guan, H. L. Liu, H. Hu, X. Y. Abdul, M. Dai, M. S. Gao, X. Chen, X. F. Zhou, Y. Sun, X. Zhou, J. Li, X. Zhao, Q. Zhang, Q. Q. Wang, J. Han, Y. Cao, J. L. | CNS Neurosci Ther | 2021 |
delirium |
| Cognitive Impairment and Delirium in Older Patients Undergoing Major Head and Neck Surgery | Goldstein, D. P. Blasco, M. de Almeida, J. Su, J. Xu, W. Cohen, M. Sklar, M. Alibhai, S | Otolaryngol Head Neck Surg | 2021 |
clock draw test |
| What prompts patients to present with delirium? | Gibb, K. Krywonos, A. Shah, R. Jha, A. Davis, D. | Eur Geriatr Med | 2021 |
Adult |
| Admission Systolic Blood Pressure Predicts Post-Operative Delirium of Acute Aortic Dissection Patients in the Intensive Care Unit | Fu, Z. Xu, Q. Zhang, C. Bai, H. Chen, X. Zhang, Y. Luo, W. Lin, G. | Int J Gen Med | 2021 |
acute Stanford type A aortic dissection |
| Postoperative Delirium in Patients After Brain Tumor Surgery | French, J. Weber, T. Ge, B. Litofsky, N. S. | World Neurosurg | 2021 |
Confusion assessment method |
| Physical Restraints and Post-Traumatic Stress Disorder in Survivors of Critical Illness. A Systematic Review and Meta-analysis | Franks, Z. M. Alcock, J. A. Lam, T. Haines, K. J. Arora, N. Ramanan, M. | Ann Am Thorac Soc | 2021 |
Adult |
| Long-Term Outcomes in ICU Patients with Delirium: A Population-based Cohort Study | Fiest, K. M. Soo, A. Hee Lee, C. Niven, D. J. Ely, E. W. Doig, C. J. Stelfox, H. T. | Am J Respir Crit Care Med | 2021 |
Adolescent |
| The effect of foot reflexology massage on delirium and sleep quality following cardiac surgery: A randomized clinical trial | Fazlollah, A. Babatabar Darzi, H. Heidaranlu, E. Moradian, S. T. | Complement Ther Med | 2021 |
*Cardiac Surgical Procedures/adverse effects |
| A delirium prevalence audit and a pre and post evaluation of an interprofessional education intervention to increase staff knowledge about delirium in older adults | Ewens, B. Seaman, K. Whitehead, L. Towell-Barnard, A. Young, M. | BMC Nurs | 2021 |
Delirium |
| Anaesthetic depth and delirium after major surgery: a randomised clinical trial | Evered, L. A. Chan, M. T. V. Han, R. Chu, M. H. M. Cheng, B. P. Scott, D. A. Pryor, K. O. Sessler, D. I. Veselis, R. Frampton, C. Sumner, M. Ayeni, A. Myles, P. S. Campbell, D. Leslie, K. Short, T. G. | Br J Anaesth | 2021 |
anaesthesia |
| Association of preoperative frailty with postoperative delirium in elderly orthopedic trauma patients | Esmaeeli, S. Franco-Garcia, E. Akeju, O. Heng, M. Zhou, C. Azocar, R. J. Quraishi, S. A. | Aging Clin Exp Res | 2021 |
Cognition |
| Prevention of postoperative delirium after cardiovascular surgery: A team-based approach | Enomoto, K. Kosaka, S. Kimura, T. Matsubara, M. Kitada, Y. Mieno, M. Okamura, H. | J Thorac Cardiovasc Surg | 2021 |
Delirium Team Approach program |
| Serum Levels of S100β, Neuron-Specific Enolase, Glial Fibrillary Acidic Protein in Kidney Transplant Recipients and Donors: A Prospective Cohort Study | Dinc, B. Yılmaz, V. T. Aslan, M. Aycan, I. O. Kiraz, N. Kisaoglu, A. Dandin, O. Hadimioglu, N. Ertug, Z. | Transplant Proc | 2021 |
Nephrectomy, Kidney transplant, Neuromarkers, Postoperative delirium |
| Delirium and Its Pharmacological Causes in Older People, Part 1 | DeMaagd, G. A. DeMaagd, D. R. Philip, A. Coalter, C. F. | Sr Care Pharm | 2021 |
Aged |
| Potentially inappropriate prescribing in dementia, multi-morbidity and incidence of adverse health outcomes | Delgado, J. Jones, L. Bradley, M. C. Allan, L. M. Ballard, C. Clare, L. Fortinsky, R. H. Hughes, C. M. Melzer, D. | Age Ageing | 2021 |
Aged |
| The Nexus Between Sleep Disturbance and Delirium Among Intensive Care Patients | Delaney, L. J. Litton, E. Van Haren, F. | Crit Care Nurs Clin North Am | 2021 |
Critical Care |
| Opportunities for quality improvement in the morbidity pattern of older adults undergoing pulmonary lobectomy for cancer | De León, L. E. Rochefort, M. M. Bravo-Iñiguez, C. E. Fox, S. W. Tarascio, J. N. Cardin, K. DuMontier, C. Frain, L. N. Jaklitsch, M. T. | J Geriatr Oncol | 2021 |
Aged |
| Palliative sedation in patients with advanced cancer in a specialized unit in a middle-income country: A retrospective cohort study | de Araujo, C. Z. S. de Araújo, L. Z. S. Nassar Junior, A. P. | Palliat Support Care | 2021 |
Cancer |
| Development and Implementation of a Multicomponent Protocol to Promote Sleep and Reduce Delirium in a Medical Intensive Care Unit | Darby, A. Northam, K. Austin, C. A. Chang, L. Campbell-Bright, S | Ann Pharmacother | 2021 |
critical care |
| Effect of Interventions With a Clinical Decision Support System for Hospitalized Older Patients: Systematic Review Mapping Implementation and Design Factors | Damoiseaux-Volman, B. A. van der Velde, N. Ruige, S. G. Romijn, J. A. Abu-Hanna, A. Medlock, S. | JMIR Med Inform | 2021 |
aged |
| Sevoflurane-Remifentanil Versus Propofol-Remifentanil Anesthesia During Noncardiac Surgery for Patients with Coronary Artery Disease - A Prospective Study Between 2016 and 2017 at a Single Center | Dai, Z. Lin, M. Li, Y. Gao, W. Wang, P. Lin, J. Wan, Z. Jiang, Y. | Med Sci Monit | 2021 |
Acute Coronary Syndrome, Coronary Artery Disease, Propofol |
| Symptom trajectories for palliative care inpatients with and without hyperactive delirium in the last week of life | Dai, Y. Walpole, G. Ding, J. Scanlon, C. Ho, L. Khoo, R. H. Huang, C. Cook, A. William, L. Johnson, C. E. | J Adv Nurs | 2021 |
end of life |
| Subtypes of delirium after ischaemic stroke-predisposing factors and outcomes: a prospective observational study (PROPOLIS) | Czyzycki, M. Klimiec-Moskal, E. Chrobak, A. A. Pera, J. Slowik, A. Dziedzic, T. | Eur J Neurol | 2021 |
delirium |
| Effectiveness of a Delirium Prevention Initiative on an Inpatient Neuroscience Unit | Cyrus, T. Wenthold, R. Hall, B. Tu, L. Hedquist, K. Omodt, J. Kozub, E. Guthrie, P. F. | J Neurosci Nurs | 2021 |
Clinical Competence |
| Association Between Cerebral Desaturation and Postoperative Delirium in Thoracotomy With One-Lung Ventilation: A Prospective Cohort Study | Cui, F. Zhao, W. Mu, D. L. Zhao, X. Li, X. Y. Wang, D. X. Jia, H. Q. Dai, F. Meng, L. | Anesth Analg | 2021 |
Aged |
| Factors for Timely Identification of Possible Occurrence of Delirium in Palliative Care: A Prospective Observational Study | Corli, O. Santucci, C. Uggeri, S. Bosetti, C. Cattaneo, M. Ermolli, D. Varrassi, G. Myrcik, D. Paladini, A. Rekatsina, M. Gerosa, C. Ornaghi, M. Roccasalva, A. Santambrogio, P. Beretta, M. | Adv Ther | 2021 |
*Delirium/chemically induced/diagnosis/epidemiology |
| A Processed Electroencephalogram-Based Brain Anesthetic Resistance Index Is Associated With Postoperative Delirium in Older Adults: A Dual Center Study | Cooter Wright, M. Bunning, T. Eleswarpu, S. S. Heflin, M. T. McDonald, S. R. Lagoo-Deenadalayan, S. Whitson, H. E. Martinez-Camblor, P. Deiner, S. G. Berger, M. | Anesth Analg | 2021 |
age factors, anesthesia, methods, delirium, surgery/prevention & control, Electroencephalography, drug effects |
| Implementation and Routinization of the ABCDE Bundle: A Mixed Methods Evaluation | Collinsworth, A. W. Brown, R. Cole, L. Jungeblut, C. Kouznetsova, M. Qiu, T. Richter, K. M. Smith, S. Masica, A. L. | Dimens Crit Care Nurs | 2021 |
Adult |
| Prediction of delirium using data mining: A systematic review | Chua, S. J. Wrigley, S. Hair, C. Sahathevan, R | J Clin Neurosci | 2021 |
Area Under Curve |
| Determinants of Non-emergency Use of Control Interventions in Older Canadian Psychiatric Inpatients: Analysizing the InterRAI Mental Health Electronic Health Records | Cheung, G. Mah, T. M. Barak, Y. Hirdes, J. P. | Front Psychiatry | 2021 |
aggression |
| Assessment of preoperative frailty and identification of patients at risk for postoperative delirium in cardiac intensive care units: a prospective observational study | Cheng, H. W. Liu, C. Y. Chen, Y. S. Shih, C. C. Chen, W. Y. Chiou, A. F. | Eur J Cardiovasc Nurs | 2021 |
Anxiety |
| Preoperative prognostic nutritional index is useful factor for predicting postoperative delirium after primary total joint arthroplasty | Chen, J. Zheng, C. Zhong, J. Zhao, G. Shi, J. Huang, G. Wei, Y. Wang, S. Yu, J. Xia, J. | BMC Musculoskelet Disord | 2021 |
Aged |