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
- Non-pharmacological interventions for preventing delirium in hospitalised non-ICU patients (Review)
- Authors
- Burton JK, Craig LE, Yong SQ, Siddiqi N, Teale EA, Woodhouse R, Barugh AJ, Shepherd AM, Brunton A, Freeman SC, Sutton AJ, Quinn TJ
- Year
- 2021
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
Background: Delirium is an acute neuropsychological disorder that is common in hospitalised patients. It can be distressing to patients and carers and it is associated with serious adverse outcomes. Treatment options for established delirium are limited and so prevention of delirium is desirable. Non-pharmacological interventions are thought to be important in delirium prevention. OBJECTIVES: To assess the effectiveness of non-pharmacological interventions designed to prevent delirium in hospitalised patients outside intensive care units (ICU).
Search methods: We searched ALOIS, the specialised register of the Cochrane Dementia and Cognitive Improvement Group, with additional searches conducted in MEDLINE, Embase, PsycINFO, CINAHL, LILACS, Web of Science Core Collection, ClinicalTrials.gov and the World Health Organization Portal/ICTRP to 16 September 2020. There were no language or date restrictions applied to the electronic searches, and no methodological filters were used to restrict the search.
Selection criteria: We included randomised controlled trials (RCTs) of single and multicomponent non-pharmacological interventions for preventing delirium in hospitalised adults cared for outside intensive care or high dependency settings. We only included non-pharmacological interventions which were designed and implemented to prevent delirium. DATA COLLECTION AND ANALYSIS: Two review authors independently examined titles and abstracts identified by the search for eligibility and extracted data from full-text articles. Any disagreements on eligibility and inclusion were resolved by consensus. We used standard Cochrane methodological procedures. The primary outcomes were: incidence of delirium; inpatient and later mortality; and new diagnosis of dementia. We included secondary and adverse outcomes as pre-specified in the review protocol. We used risk ratios (RRs) as measures of treatment effect for dichotomous outcomes and between-group mean differences for continuous outcomes. The certainty of the evidence was assessed using GRADE. A complementary exploratory analysis was undertaker using a Bayesian component network meta-analysis fixed-effect model to evaluate the comparative effectiveness of the individual components of multicomponent interventions and describe which components were most strongly associated with reducing the incidence of delirium.
Main results: We included 22 RCTs that recruited a total of 5718 adult participants. Fourteen trials compared a multicomponent delirium prevention intervention with usual care. Two trials compared liberal and restrictive blood transfusion thresholds. The remaining six trials each investigated a different non-pharmacological intervention. Incidence of delirium was reported in all studies. Using the Cochrane risk of bias tool, we identified risks of bias in all included trials. All were at high risk of performance bias as participants and personnel were not blinded to the interventions. Nine trials were at high risk of detection bias due to lack of blinding of outcome assessors and three more were at unclear risk in this domain. Pooled data showed that multi-component non-pharmacological interventions probably reduce the incidence of delirium compared to usual care (10.5% incidence in the intervention group, compared to 18.4% in the control group, risk ratio (RR) 0.57, 95% confidence interval (CI) 0.46 to 0.71, I2 = 39%; 14 studies; 3693 participants; moderate-certainty evidence, downgraded due to risk of bias). There may be little or no effect of multicomponent interventions on inpatient mortality compared to usual care (5.2% in the intervention group, compared to 4.5% in the control group, RR 1.17, 95% CI 0.79 to 1.74, I2 = 15%; 10 studies; 2640 participants; low-certainty evidence downgraded due to inconsistency and imprecision). No studies of multicomponent interventions reported data on new diagnoses of dementia. Multicomponent interventions may result in a small reduction of around a day in the duration of a delirium episode (mean difference (MD) -0.93, 95% CI -2.01 to 0.14 days, I2 = 65%; 351 participants; low-certainty evidence downgraded due to risk of bias and imprecision). The evidence is very uncertain about the effect of multicomponent interventions on delirium severity (standardised mean difference (SMD) -0.49, 95% CI -1.13 to 0.14, I2=64%; 147 participants; very low-certainty evidence downgraded due to risk of bias and serious imprecision). Multicomponent interventions may result in a reduction in hospital length of stay compared to usual care (MD -1.30 days, 95% CI -2.56 to -0.04 days, I2=91%; 3351 participants; low-certainty evidence downgraded due to risk of bias and inconsistency), but little to no difference in new care home admission at the time of hospital discharge (RR 0.77, 95% CI 0.55 to 1.07; 536 participants; low-certainty evidence downgraded due to risk of bias and imprecision). Reporting of other adverse outcomes was limited. Our exploratory component network meta-analysis found that re-orientation (including use of familiar objects), cognitive stimulation and sleep hygiene were associated with reduced risk of incident delirium. Attention to nutrition and hydration, oxygenation, medication review, assessment of mood and bowel and bladder care were probably associated with a reduction in incident delirium but estimates included the possibility of no benefit or harm. Reducing sensory deprivation, identification of infection, mobilisation and pain control all had summary estimates that suggested potential increases in delirium incidence, but the uncertainty in the estimates was substantial. Evidence from two trials suggests that use of a liberal transfusion threshold over a restrictive transfusion threshold probably results in little to no difference in incident delirium (RR 0.92, 95% CI 0.62 to 1.36; I2 = 9%; 294 participants; moderate-certainty evidence downgraded due to risk of bias). Six other interventions were examined, but evidence for each was limited to single studies and we identified no evidence of delirium prevention. AUTHORS’ CONCLUSIONS: There is moderate-certainty evidence regarding the benefit of multicomponent non-pharmacological interventions for the prevention of delirium in hospitalised adults, estimated to reduce incidence by 43% compared to usual care. We found no evidence of an effect on mortality. There is emerging evidence that these interventions may reduce hospital length of stay, with a trend towards reduced delirium duration, although the effect on delirium severity remains uncertain. Further research should focus on implementation and detailed analysis of the components of the interventions to support more effective, tailored practice recommendations.
- PMID
- Keywords
- Page(s)
- Volume
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Postoperative delirium is an independent factor influencing the length of stay of elderly patients in the intensive care unit and in hospital | Kirfel, A. Guttenthaler, V. Mayr, A. Coburn, M. Menzenbach, J. Wittmann, M. | J Anesth | 2022 |
Aged |
| Cost-effectiveness of clinical interventions for delirium: A systematic literature review of economic evaluations | Kinchin, I. Edwards, L. Hosie, A. Agar, M. Mitchell, E. Trepel, D. | Acta Psychiatr Scand | 2022 |
cost-effectiveness |
| Effects of non-pharmacological interventions for preventing delirium in general ward inpatients: A systematic review & meta-analysis of randomized controlled trials | Kim, Y. H. Kim, N. Y. Ryu, S. | PLoS One | 2022 |
Adult |
| Analysis of the Incidence and Risk Factors of Postoperative Delirium in Patients With Degenerative Cervical Myelopathy | Kim, N. Kim, T. H. Oh, J. K. Lim, J. Lee, K. U. Kim, S. W. | Neurospine | 2022 |
Cervical myelopathy |
| Intraoperative low tidal volume ventilation and the risk of ICD-10 coded delirium and the use for antipsychotic medications | Karalapillai, D. Weinberg, L. Neto, A. S. Peyton, P. J. Ellard, L. Hu, R. Pearce, B. Tan, C. Story, D. O'Donnell, M. Hamilton, P. Oughton, C. Galtieri, J. Appu, S. Wilson, A. Eastwood, G. Bellomo, R. Jones, D. A. | BMC Anesthesiol | 2022 |
Adult |
| Falling for It: Of Falls, Families, and Delirium | Jiménez, J. V. Hyzy, R. C. | Crit Care Med | 2022 |
*Accidental Falls |
| Safety and Effectiveness of Perospirone in Comparison to Risperidone for Treatment of Delirium in Patients with Advanced Cancer: A Multicenter Prospective Observational Study in Real-World Psycho-Oncology Settings | Inoue, S. Maeda, I. Ogawa, A. Yoshiuchi, K. Terada, S. Yamada, N. | Acta Med Okayama | 2022 |
Aged |
| Higher Grade Glioma Increases the Risk of Postoperative Delirium: Deficient Brain Compensation Might Be a Potential Mechanism of Postoperative Delirium | Huang, H. W. Zhang, X. K. Li, H. Y. Wang, Y. G. Jing, B. Chen, Y. Patel, M. B. Ely, E. W. Liu, Y. O. Zhou, J. X. Lin, S. Zhang, G. B. | Front Aging Neurosci | 2022 |
brain cognitive compensation |
| Fluconazole-induced delirium in an older patient with schizophrenia | Hu, T. M. Wu, C. L. | Psychogeriatrics | 2022 | |
| Knowledge assessment is key to identifying the training needs of delirium care | Ho, M. H. | Intensive Crit Care Nurs | 2022 |
*Delirium/nursing/therapy |
| Anticholinergic Drug Exposure Increases the Risk of Delirium in Older Patients Undergoing Elective Surgery | Herrmann, M. L. Boden, C. Maurer, C. Kentischer, F. Mennig, E. Wagner, S. Conzelmann, L. O. Förstner, B. R. Rapp, M. A. von Arnim, C. A. F. Denkinger, M. Eschweiler, G. W. Thomas, C. | Front Med (Lausanne) | 2022 |
acute encephalopathy |
| A prediction model for delirium after cardiac surgery: Another step towards prevention? | Herman, J. A. Urman, R. D. Urits, I. Kaye, A. D. Viswanath, O. | J Clin Anesth | 2022 |
*Cardiac Surgical Procedures/adverse effects |
| The effect of a dexmedetomidine infusion on delirium in the ICU | Herman, J. A. Urman, R. D. Urits, I. Kaye, A. D. Viswanath, O. | J Clin Anesth | 2022 |
*Delirium/chemically induced/drug therapy |
| Which interventions can reduce post-operative delirium in the elderly? Synthesis of multidisciplinary and pharmacological intervention data | Herman, J. Urman, R. D. Urits, I. Kaye, A. D. Viswanath, O. | J Clin Anesth | 2022 |
Aged |
| What is the impact of perioperative cerebral oxygen desaturation on postoperative delirium in old population: a systemic review and meta-analysis | He, K. Q. Wang, S. Zhang, W. Liu, Q. Chai, X. Q. | Aging Clin Exp Res | 2022 |
Cerebral oxygen saturation |
| Midazolam and delirium: can you have it both ways? | Greengrass, R. A. | Reg Anesth Pain Med | 2022 |
*Delirium/chemically induced/diagnosis |
| Music Interventions and Delirium in Adults: A Systematic Literature Review and Meta-Analysis | Golubovic, J. Neerland, B. E. Aune, D. Baker, F. A. | Brain Sci | 2022 |
acute confusion |
| In older adults having hip fracture surgery, regional vs. general anesthesia did not reduce postoperative delirium | Gill, S. S. | Ann Intern Med | 2022 |
Aged |
| Relationship between preoperative anxiety and onset of delirium after cardiovascular surgery in elderly patients: focus on personality and coping process | Fukunaga, H. Sugawara, H. Koyama, A. Okamoto, K. Fukui, T. Ishikawa, T. Takebayashi, M. Sekiyama, K. Hashimoto, M. | Psychogeriatrics | 2022 |
agreeableness |
| Identifying Delirium in Persons With Moderate or Severe Dementia: Review of Challenges and an Illustrative Approach | Fong, T. G. Hshieh, T. T. Tabloski, P. A. Metzger, E. D. Arias, F. Heintz, H. L. Patrick, R. E. Lapid, M. I. Schmitt, E. M. Harper, D. G. Forester, B. P. Inouye, S. K. | Am J Geriatr Psychiatry | 2022 |
Advanced dementia |
| Depression is associated with delirium after cardiac surgery - A population-based cohort study | Falk, A. Kåhlin, J. Nymark, C. Hultgren, R. Stenman, M. | Interact Cardiovasc Thorac Surg | 2022 |
Cardiac surgery |
| Incidence, characteristics and risk factors of delirium in the intensive care unit: An observational study | Erbay Dalli, Ö Kelebek Girgin, N. Kahveci, F. | J Clin Nurs | 2022 |
critically ill |
| Incidence, characteristics and risk factors of delirium in the intensive care unit: An observational study | Erbay Dalli, Ö Kelebek Girgin, N. Kahveci, F. | J Clin Nurs | 2022 |
critically ill |
| Association Between Perioperative Medication Use and Postoperative Delirium and Cognition in Older Adults Undergoing Elective Noncardiac Surgery | Duprey, M. S. Devlin, J. W. Griffith, J. L. Travison, T. G. Briesacher, B. A. Jones, R. Saczynski, J. S. Schmitt, E. M. Gou, Y. Marcantonio, E. R. Inouye, S. K. | Anesth Analg | 2022 |
Aged |
| Comparison of incidence of emergence delirium in pediatric patients with three different techniques of general anesthesia using sevoflurane and propofol: a randomized controlled trial | Deepak, M. Shilpa, G. Nikhil, K. Ankur, S. Rakesh, K. Swati, C. Akhil, G. Pradeep, B. | Braz J Anesthesiol | 2022 | |
| Delirium and long-term psychopathology following surgery in older adults | de Mul, N. van den Bos, Lmec Kant, I. M. J. van Montfort, S. J. T. Schellekens, W. M. Cremer, O. L. Slooter, A. J. C. | J Psychosom Res | 2022 |
Aged |
| Study protocol to test the efficacy of self-administration of dexmedetomidine sedative therapy on anxiety, delirium, and ventilator days in critically ill mechanically ventilated patients: an open-label randomized clinical trial | Chlan, L. L. Weinert, C. R. Tracy, M. F. Skaar, D. J. Gajic, O. Ask, J. Mandrekar, J. | Trials | 2022 |
Aftercare |
| Corticosteroids in patients undergoing cardiac surgery: A meta-analysis of 12,559 patients | Chen, L. Xiang, F. Hu, Y. | Perfusion | 2022 |
cardiac surgery |
| Postoperative outcomes in older surgical patients with preoperative cognitive impairment: A systematic review and meta-analysis | Chen, L. Au, E. Saripella, A. Kapoor, P. Yan, E. Wong, J. Tang-Wai, D. F. Gold, D. Riazi, S. Suen, C. He, D. Englesakis, M. Nagappa, M. Chung, F. | J Clin Anesth | 2022 |
Cognitive impairment |
| Benzodiazepine-Based Sedation Did Not Add an Independent Risk of Delirium? | Cai, X. Gao, R. Zhang, S. Chen, C. | Crit Care Med | 2022 |
*Benzodiazepines/adverse effects |
| Natural language processing and detecting delirium | Burki, T. | Lancet Respir Med | 2022 | |
| Delirium risk factors in hospitalized patient: a comprehensive evaluation of underlying diseases and medications in different wards of a large Urban Hospital Center in Iran | Arbabi, M. Ziaei, E. Amini, B. Ghadimi, H. Rashidi, F. Shohanizad, N. Moradi, S. Beikmarzehei, A. Hasanzadeh, A. Parsaei, A. | BMC Anesthesiol | 2022 |
*Delirium/epidemiology |
| Depression and anxiety increase the odds of developing delirium in ICU patients; a prospective observational study | Arbabi, M. Dezhdar, Z. Amini, B. Dehnavi, A. Z. Ghasemi, M. | Cogn Neuropsychiatry | 2022 |
Anxiety |
| Andersen-Ranberg, N. Poulsen, L. M. Perner, A. Hästbacka, J. Morgan, M. P. G. Citerio, G. Oxenbøll-Collet, M. Weber, S. O. Andreasen, A. S. Bestle, M. H. Uslu, B. Pedersen, H. B. S. Nielsen, L. G. Damgaard, K. Jensen, T. B. Sommer, T. Dey, N. Mathiesen, | Agents intervening against delirium in the intensive care unit trial-Protocol for a secondary Bayesian analysis | Acta Anaesthesiol Scand | 2022 |
Bayesian statistics |
| Sleep monitoring challenges in patients with neurocognitive disorders: A cross-sectional analysis of missing data from activity trackers | Ahuja, M. Siddhpuria, S. Reppas-Rindlisbacher, C. Wong, E. Gormley, J. Lee, J. Patterson, C. | Health Sci Rep | 2022 |
activity monitor |
| The Dilemma of Treating Delirium: the Conundrum of Drug Management | Agar, M. R. Amgarth-Duff, I. | Curr Treat Options Oncol | 2022 |
Antipsychotics |
| Gabapentinoid Use Is Associated With Reduced Occurrence of Hyperactive Delirium in Older Cancer Patients Undergoing Chemotherapy: A Nationwide Retrospective Cohort Study in Japan | Abe, H. Sumitani, M. Matsui, H. Inoue, R. Konishi, M. Fushimi, K. Uchida, K. Yasunaga, H. | Anesth Analg | 2022 |
Gabapentinoid Use Is Associated With Reduced Occurrence of Hyperactive Delirium in Older Cancer Patients Undergoing Chemotherapy: A Nationwide Retrospective Cohort Study in Japan |
| Incidence, predictors and health outcomes of delirium in very old hospitalized patients: a prospective cohort study | Zhang, M. Zhang, X. Gao, L. Yue, J. Jiang, X. | BMC Geriatr | 2022 |
Aged |
| The effect of delirium information training given to intensive care nurses on patient care: quasi-experimental study | Yıldırım, F. Türkleş, S. Altundal Duru, H. | PeerJ | 2022 |
Checklist |
| Mechanical Bowel Preparation Is a Risk Factor for Postoperative Delirium as It Alters the Gut Microbiota Composition: A Prospective Randomized Single-Center Study | Yang, Z. Tong, C. Qian, X. Wang, H. Wang, Y. | Front Aging Neurosci | 2022 |
gastrectomy |
| The Mini-Cog: A simple screening tool for cognitive impairment useful in predicting the risk of delirium after major urological cancer surgery | Yajima, S. Nakanishi, Y. Matsumoto, S. Ookubo, N. Tanabe, K. Kataoka, M. Masuda, H. | Geriatr Gerontol Int | 2022 |
Activities of Daily Living |
| A Novel Radiomics-Based Machine Learning Framework for Prediction of Acute Kidney Injury-Related Delirium in Patients Who Underwent Cardiovascular Surgery | Xue, X. Chen, W. Chen, X. | Comput Math Methods Med | 2022 |
*Acute Kidney Injury/diagnostic imaging/etiology |
| The Effect of Preoperative Methylprednisolone on Postoperative Delirium in Older Patients Undergoing Gastrointestinal Surgery: A Randomized, Double-Blind, Placebo-Controlled Trial | Xiang, X. B. Chen, H. Wu, Y. L. Wang, K. Yue, X. Cheng, X. Q. | J Gerontol A Biol Sci Med Sci | 2022 |
Aged |
| Head-to-head comparison of 14 prediction models for postoperative delirium in elderly non-ICU patients: an external validation study | Wong, C. K. van Munster, B. C. Hatseras, A. Huis In 't Veld, E. van Leeuwen, B. L. de Rooij, S. E. Pleijhuis, R. G. | BMJ Open | 2022 |
Aged |
| Impact of a dementia-friendly program on detection and management of patients with cognitive impairment and delirium in acute-care hospital units: a controlled clinical trial design | Weldingh, N. M. Mellingsæter, M. R. Hegna, B. W. Benth, J. S. Einvik, G. Juliebø, V. Thommessen, B. Kirkevold, M. | BMC Geriatr | 2022 |
Aged |
| Influence of Patient-Specific Covariates on Test Validity of Two Delirium Screening Instruments in Neurocritical Care Patients (DEMON-ICU) | Weiss, B. Paul, N. Spies, C. D. Ullrich, D. Ansorge, I. Salih, F. Wolf, S. Luetz, A. | Neurocrit Care | 2022 |
Critical Care/methods |
| Development and Validation of a Postoperative Delirium Prediction Model for Elderly Orthopedic Patients in the Intensive Care Unit | Wang, G. Zhang, L. Qi, Y. Chen, G. Zhou, J. Zhu, H. Hao, Y. | J Healthc Eng | 2022 |
Aged |
| Effects of Atorvastatin Therapy on Postoperative Delirium After Malignant Tumor Surgeries in Older Adults | Wan, R. Cai, S. Pan, D. Yang, W. Zhou, R. | Neuropsychiatr Dis Treat | 2022 |
30-day all-cause mortality |
| Psychometric Properties of a Delirium Severity Score for Older Adults and Association With Hospital and Posthospital Outcomes | Vasunilashorn, S. M. Fong, T. G. Helfand, B. K. I. Hshieh, T. T. Marcantonio, E. R. Metzger, E. D. Schmitt, E. M. Tabloski, P. A. Travison, T. G. Gou, Y. Jones, R. N. Inouye, S. K. | JAMA Netw Open | 2022 |
Aged |
| Delirium can be safely managed in the community through implementation of a community toolkit: a proof-of-concept pilot study | Vardy, E. Roberts, S. Pratt, H. | Future Healthc J | 2022 |
assessment |
| Delirium as a Presenting Symptom of COVID-19 | Tyson, B. Shahein, A. Erdodi, L. Tyson, L. Tyson, R. Ghomi, R. Agarwal, P. | Cogn Behav Neurol | 2022 | |
| The effect of baseline cognition and delirium on long-term cognitive impairment and mortality: a prospective population-based study | Tsui, A. Searle, S. D. Bowden, H. Hoffmann, K. Hornby, J. Goslett, A. Weston-Clarke, M. Howes, L. H. Street, R. Perera, R. Taee, K. Kustermann, C. Chitalu, P. Razavi, B. Magni, F. Das, D. Kim, S. Chaturvedi, N. Sampson, E. L. Rockwood, K. Cunningham, C. E | Lancet Healthy Longev | 2022 | |
| Delirium with visual hallucinations induced by low-dose olanzapine | Takeuchi, N. Makino, T. Nishihara, M. | Psychogeriatrics | 2022 |
*Antipsychotic Agents/adverse effects |
| Catatonia and Delirium: Similarity and Overlap of Acute Brain Dysfunction | Tachibana, M. Ishizuka, K. Inada, T. | Front Psychiatry | 2022 |
acute brain dysfunction |
| Association between stress hyperglycemia ratio and delirium in older hospitalized patients: a cohort study | Song, Q. Dai, M. Zhao, Y. Lin, T. Huang, L. Yue, J. | BMC Geriatr | 2022 |
Aged |
| Machine Learning to Identify Psychomotor Behaviors of Delirium for Patients in Long-Term Care Facility | Son, C. S. Kang, W. S. Lee, J. H. Moon, K. J. | IEEE J Biomed Health Inform | 2022 |
Adult |
| Parents' Time Perspective as a Predictor of Child's Postsurgical Pain, Emergence Delirium, and Parents' Posttraumatic Stress Disorder Symptoms after Child's Surgery | Sobol, M. Sobol, M. K. | Children (Basel) | 2022 |
Ptsd |
| Applicability of the interventions recommended for patients at risk or with delirium in medical and post-acute settings: a systematic review and a Nominal Group Technique study | Sist, L. Ugenti, N. V. Donati, G. Cedioli, S. Mansutti, I. Zanetti, E. Macchiarulo, M. Messina, R. Rucci, P. Palese, A. | Aging Clin Exp Res | 2022 |
Applicability |
| Prevalence and features of delirium in older patients admitted to rehabilitation facilities: a multicenter study | Sidoli, C. Zambon, A. Tassistro, E. Rossi, E. Mossello, E. Inzitari, M. Cherubini, A. Marengoni, A. Morandi, A. Bellelli, G. | Aging Clin Exp Res | 2022 |
Delirium |
| 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 |