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 |
|---|---|---|---|---|
| The Association Between Frailty and Delirium Among Hospitalized Patients: An Updated Meta-Analysis | Zhang, X. M. Jiao, J. Xie, X. H. Wu, X. J. | J Am Med Dir Assoc | 2021 |
Frailty |
| Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis | Zhang, S. Han, Y. Xiao, Q. Li, H. Wu, Y. | Crit Care Med | 2021 | |
| Development and validation of a predictive score for ICU delirium in critically ill patients | Zhang, H. Yuan, J. Chen, Q. Cao, Y. Wang, Z. Lu, W. Bao, J. | BMC Anesthesiol | 2021 |
Delirium |
| Comparison of the '4-item assessment test' and 'nursing delirium screening scale' delirium screening tools on nonintensive care unit wards: A prospective mixed-method approach | Zastrow, I. Tohsche, P. Loewen, T. Vogt, B. Feige, M. Behnke, M. Wolff, A. Kiefmann, R. Olotu, C. | Eur J Anaesthesiol | 2021 | |
| Effects of general versus regional anaesthesia on circadian melatonin rhythm and its association with postoperative delirium in elderly patients undergoing hip fracture surgery: study protocol for a prospective cohort clinical trial | Yuan, Y. Song, Y. Wang, G. Jia, Y. Zhou, Y. Mi, X. Jia, X. Wang, X. Liu, C. Li, Y. Shi, C. Han, Y. Guo, X. Zhang, W. Li, Z. | BMJ Open | 2021 |
Aged |
| Association Between Dexamethasone and Delirium in Critically Ill Patients: A Retrospective Cohort Study of a Large Clinical Database | Wu, Z. Li, H. Liao, K. Wang, Y. | J Surg Res | 2021 |
Delirium |
| Perioperative risk factors for recovery room delirium after elective non-cardiovascular surgery under general anaesthesia | Wu, J. Gao, S. Zhang, S. Yu, Y. Liu, S. Zhang, Z. Mei, W. | Perioper Med (Lond) | 2021 |
Delirium |
| Management of delirium within intraoperative settings for older adults with hip fracture: a scoping review | White, L. B. Coyne, E. Grealish, L. | J Clin Nurs | 2021 |
Anaesthesia |
| Delirium screening tools validated in the context of palliative care: A systematic review | Watt, C. L. Scott, M. Webber, C. Sikora, L. Bush, S. H. Kabir, M. Boland, J. W. Woodhouse, R. Sands, M. B. Lawlor, P. G. | Palliat Med | 2021 |
Adult |
| The Relationship of Postoperative Delirium and Unplanned Perioperative Hypothermia in Surgical Patients | Wagner, D. Hooper, V. Bankieris, K. Johnson, A. | J Perianesth Nurs | 2021 |
noncardiac surgery |
| Proteome-Wide Analysis using SOMAscan Identifies and Validates Chitinase-3-Like Protein 1 as a Risk and Disease Marker of Delirium Among Older Adults Undergoing Major Elective Surgery | Vasunilashorn, S. M. Dillon, S. T. Chan, N. Y. Fong, T. G. Joseph, M. Tripp, B. Xie, Z. Ngo, L. H. Lee, C. G. Elias, J. A. Otu, H. H. Inouye, S. Marcantonio, E. R. Libermann, T. A. | J Gerontol A Biol Sci Med Sci | 2021 |
inflammation |
| Delirium in your house: a survey during General Practitioner-programmed home visits | Tremolizzo, L. Bargossi, L. Storti, B. Ferrarese, C. Bellelli, G. Appollonio, I. | Aging Clin Exp Res | 2021 |
4at |
| Dexmedetomidine for hyperactive delirium at the end of life: An open-label single arm pilot study with dose escalation in adult patients admitted to an inpatient palliative care unit | Thomas, B. Lo, W. A. Nangati, Z. Barclay, G. | Palliat Med | 2021 |
Adult |
| Significant decrease in delirium referrals after changing hypnotic from benzodiazepine to suvorexant | Tachibana, M. Inada, T. Ichida, M. Kojima, S. Arai, T. Naito, K. Ozaki, N. | Psychogeriatrics | 2021 |
Aged |
| Haloperidol, clonidine and resolution of delirium in critically ill patients: a prospective cohort study | Smit, L. Dijkstra-Kersten, S. M. A. Zaal, I. J. van der Jagt, M. Slooter, A. J. C. | Intensive Care Med | 2021 |
Clonidine/therapeutic use |
| Acute-onset delirium in intensive care COVID patients: association of imperfect brain repair with foodborne micro-pollutants | Schneider, F. Agin, A. Baldacini, M. Maurer, L. Schenck, M. Alemann, M. Solis, M. Helms, J. Villette, C. Artzner, T. Kremer, S. Heintz, D. | Eur J Neurol | 2021 |
Covid |
| Delirium in acute stroke: A prospective, cross-sectional, cohort study | Rollo, E. Callea, A. Brunetti, V. Vollono, C. Marotta, J. Imperatori, C. Frisullo, G. Broccolini, A. Della Marca, G. | Eur J Neurol | 2021 |
Cam-icu |
| Preoperative Cognitive Impairment and the Prevalence of Postoperative Delirium in Elderly Cancer Patients-A Prospective Observational Study | Ristescu, A. I. Pintilie, G. Moscalu, M. Rusu, D. Grigoras, I. | Diagnostics (Basel) | 2021 |
Mini-Cog test |
| Delirium in Patients with SARS-CoV-2 Infection: A Multicenter Study | Rebora, P. Rozzini, R. Bianchetti, A. Blangiardo, P. Marchegiani, A. Piazzoli, A. Mazzeo, F. Cesaroni, G. Chizzoli, A. Guerini, F. Bonfanti, P. Morandi, A. Faraci, B. Gentile, S. Bna, C. Savelli, G. Citerio, G. Valsecchi, M. G. Mazzola, P. Bellelli, G. | J Am Geriatr Soc | 2021 |
Aged |
| Machine Learning to Develop and Internally Validate a Predictive Model for Post-operative Delirium in a Prospective, Observational Clinical Cohort Study of Older Surgical Patients | Racine, A. M. Tommet, D. D'Aquila, M. L. Fong, T. G. Gou, Y. Tabloski, P. A. Metzger, E. D. Hshieh, T. T. Schmitt, E. M. Vasunilashorn, S. M. Kunze, L. Vlassakov, K. Abdeen, A. Lange, J. Earp, B. Dickerson, B. C. Marcantonio, E. R. Steingrimsson, J. Travi | J Gen Intern Med | 2021 |
Aged |
| Low Vitamin D Levels and Risk of Incident Delirium in 351,000 Older UK Biobank Participants | Pilling, L. C. Jones, L. C. Masoli, J. A. H. Delgado, J. Atkins, J. L. Bowden, J. Fortinsky, R. H. Kuchel, G. A. Melzer, D. | J Am Geriatr Soc | 2021 |
biomarker |
| Delirium in older adults is associated with development of new dementia: a systematic review and meta-analysis | Pereira, J. V. Aung Thein, M. Z. Nitchingham, A. Caplan, G. A. | Int J Geriatr Psychiatry | 2021 |
delirium |
| Mortality and Medical Complications of Subtrochanteric Fracture Fixation | Panteli, M. Giannoudi, M. P. Lodge, C. J. West, R. M. Pountos, I. Giannoudis, P. V. | J Clin Med | 2021 |
complications |
| Predicting Delirium Risk Using an Automated Mayo Delirium Prediction Tool: Development and Validation of a Risk-Stratification Model | Pagali, S. R. Miller, D. Fischer, K. Schroeder, D. Egger, N. Manning, D. M. Lapid, M. I. Pignolo, R. J. Burton, M. C. | Mayo Clin Proc | 2021 |
Aged |
| Effectiveness of Quetiapine as a Sedative Adjunct in Mechanically Ventilated Adults Without Delirium | Ohman, K. L. Schultheis, J. M. Kram, S. J. Cox, C. E. Gilstrap, D. L. Yang, Z. Kram, B. L. | Ann Pharmacother | 2021 |
Adjuvants, Pharmaceutic/administration & dosage/ therapeutic use |
| Development of a postoperative delirium risk scoring tool using data from the Australian and New Zealand Hip Fracture Registry: an analysis of 6672 patients 2017-2018 | Oberai, T. Oosterhoff, J. H. F. Woodman, R. Doornberg, J. N. Kerkhoffs, G. Jaarsma, R. | Arch Gerontol Geriatr | 2021 |
Aged, 80 and over |
| Does implementation of a tailored intervention increase adherence to a National Safety and Quality Standard? A study to improve delirium care | Oberai, T. Laver, K. Woodman, R. Crotty, M. Kerkhoffs, G. Jaarsma, R. | Int J Qual Health Care | 2021 |
elderly |
| Delirium in Burn Patients: Developing a Mobile Application for Assessment and Diagnosis | Mohseni Moallem Kolaei, N. Ayatollahi, H. Elyasi, F. | J Burn Care Res | 2021 | |
| Combination of delirium and coma predicts psychiatric symptoms at twelve months in critically ill patients: A longitudinal cohort study | Miyamoto, K. Shibata, M. Shima, N. Nakashima, T. Kida, M. Matsumoto, H. Oka, N. Yazaki, A. Uchigaki, A. Takemoto, A. Kato, S. | J Crit Care | 2021 |
Activity of daily living disability |
| Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU | McClay, R. | Healthcare (Basel) | 2021 |
Icu |
| Prevention and Management of Delirium in the Intensive Care Unit | Mart, M. F. Williams Roberson, S. Salas, B. Pandharipande, P. P. Ely, E. W. | Semin Respir Crit Care Med | 2021 | |
| Haloperidol for preventing delirium in ICU patients: a systematic review and meta-analysis | Marra, A. Vargas, M. Buonanno, P. Iacovazzo, C. Kotfis, K. Servillo, G. | Eur Rev Med Pharmacol Sci | 2021 |
Delirium |
| Delirium in trauma patients: a 1-year prospective cohort study of 2026 patients | Marquetand, J. Gehrke, S. Bode, L. Fuchs, S. Hildenbrand, F. Ernst, J. von Känel, R. Boettger, S. | Eur J Trauma Emerg Surg | 2021 |
Delirium |
| Subsyndromal Delirium in Cardiac Surgery Patients: Risk Factors and Outcomes of the Different Trajectories | Mailhot, T. Cossette, S. Maheu-Cadotte, M. A. Fontaine, G. Denault, A. Y. | J Cardiovasc Nurs | 2021 | |
| Low-Dose Trazodone for Delirium in Patients with Cancer Who Received Specialist Palliative Care: A Multicenter Prospective Study | Maeda, I. Inoue, S. Uemura, K. Tanimukai, H. Hatano, Y. Yokomichi, N. Amano, K. Tagami, K. Yoshiuchi, K. Ogawa, A. Iwase, S | J Palliat Med | 2021 |
cancer |
| Preoperative anxiety predicted the incidence of postoperative delirium in patients undergoing total hip arthroplasty: a prospective cohort study | Ma, J. Li, C. Zhang, W. Zhou, L. Shu, S. Wang, S. Wang, D. Chai, X. | BMC Anesthesiol | 2021 |
Anxiety |
| Perioperative Dexmedetomidine Supplement Decreases Delirium Incidence After Adult Cardiac Surgery: A Randomized, Double-Blind, Controlled Study | Likhvantsev, V. V. Landoni, G. Grebenchikov, O. A. Ovezov, A. M. Skripkin, Y. V. Lembo, R. Gaevskiy, D. I. Tereshina, A. A. Yavorovskiy, A. G. | J Cardiothorac Vasc Anesth | 2021 |
Adult |
| An observational study of hypoactive delirium in the post-anesthesia recovery unit of a pediatric hospital | Lee-Archer, P. F. von Ungern-Sternberg, B. S. Reade, M. C. Law, K. C. Long, D. | Paediatr Anaesth | 2021 |
emergence delirium |
| A prospective observational cohort pilot study of the association between midazolam use and delirium in elderly endoscopy patients | Lee, D. Petersen, F. Wu, M. Chapman, G. Hayman, M. Tomkins, K. Fernando, J. | BMC Anesthesiol | 2021 |
Anaesthesia |
| Discharge from hospital with newly administered antipsychotics after intensive care unit delirium - Incidence and contributing factors | Lambert, J. Vermassen, J. Fierens, J. Peperstraete, H. Petrovic, M. Colpaert, K. | J Crit Care | 2021 |
Antipsychotics |
| Dexmedetomidine or Propofol for Sedation in Mechanically Ventilated Adults with Sepsis | Hughes, C. G. Mailloux, P. T. Devlin, J. W. Swan, J. T. Sanders, R. D. Anzueto, A. Jackson, J. C. Hoskins, A. S. Pun, B. T. Orun, O. M. Raman, R. Stollings, J. L. Kiehl, A. L. Duprey, M. S. Bui, L. N. O'Neal, H. R., Jr. Snyder, A. Gropper, M. A. Guntupall | N Engl J Med | 2021 |
Adult |
| Repeated Preoperative Intranasal Administration of Insulin Decreases the Incidence of Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Radical Gastrointestinal Surgery: A Randomized, Placebo-Controlled, Double-Blinded Clinical Study | Huang, Q. Li, Q. Qin, F. Yuan, L. Lu, Z. Nie, H. Gong, G. | Am J Geriatr Psychiatry | 2021 |
Postoperative delirium |
| The diagnostic threshold of Cornell assessment of pediatric delirium in detection of postoperative delirium in pediatric surgical patients | Hong, H. Guo, C. Liu, Z. H. Wang, B. J. Zhou, S. Z. Mu, D. L. Wang, D. X. | BMC Pediatr | 2021 |
Child |
| Ketamine vs. haloperidol for prevention of cognitive dysfunction and postoperative delirium: A phase IV multicentre randomised placebo-controlled double-blind clinical trial | Hollinger, A. Rüst, C. A. Riegger, H. Gysi, B. Tran, F. Brügger, J. Huber, J. Toft, K. Surbeck, M. Schmid, H. R. Rentsch, K. Steiner, L. Siegemund, M. | J Clin Anesth | 2021 |
Adult |
| Delirium care knowledge in critical care nurses: A multiple-choice question-based quiz | Ho, M. H. Traynor, V. Chen, K. H. Montayre, J. Lin, Y. K. Chang, H. R. | Nurs Crit Care | 2021 |
critical care nursing |
| Comparison of hospital course and outcome in hospital-acquired vs pre-existing delirium | Guillory, J. Fitz-Gerald, C. Banik, A. Sterwald, C. Ashiofu, E. Knox, E. Muyco, M. A. Verlage, M. Abdali, A. O'Malley, P. W. Rezai, A. Bush, P. Brown, E. S. North, C. S. | Ann Clin Psychiatry | 2021 | |
| Dexmedetomidine reduces postoperative cognitive and behavioral dysfunction in adults submitted to general anesthesia for non-cardiac surgery: meta-analysis of randomized clinical trials | Govêia, C. S. Miranda, D. B. Oliveira, L. V. B. Praxedes, F. B. Moreira, L. G. Guimarães, G. M. N. | Braz J Anesthesiol | 2021 |
Delirium |
| An exploration of the reliability and usability of two delirium screening tools in an Australian intensive care unit: A pilot study | Ewers, R. Bloomer, M. J. Hutchinson, A. | Intensive Crit Care Nurs | 2021 |
Confusion assessment methods -ICU |
| Haloperidol and Quetiapine for the Treatment of ICU-Associated Delirium in a Tertiary Pediatric ICU: A Propensity Score-Matched Cohort Study | Cronin, M. T. Di Gennaro, J. L. Watson, R. S. Dervan, L. A. | Paediatr Drugs | 2021 |
Antipsychotic Agents/therapeutic use |
| Post-operative delirium in older hip fracture patients: a new onset or was it already there? | Costa-Martins, I. Carreteiro, J. Santos, A. Costa-Martins, M. Artilheiro, V. Duque, S. Campos, L. Chedas, M. | Eur Geriatr Med | 2021 |
Cognitive assessment |
| The Use of Tablet Computers to Reduce Preoperative Anxiety in Children Before Anesthesia: A Randomized Controlled Study | Clausen, N. G. Madsen, D. Rosenkilde, C. Hasfeldt-Hansen, D. Larsen, L. G. Hansen, T. G. | J Perianesth Nurs | 2021 |
emergence delirium |
| A gap existed between physicians' perceptions and performance of pain, agitation-sedation and delirium assessments in Chinese intensive care units | Chen, K. Yang, Y. L. Li, H. L. Xiao, D. Wang, Y. Zhang, L. Zhou, J. X. | BMC Anesthesiol | 2021 |
Analgesia |
| Association of Depressive Symptoms With Postoperative Delirium and CSF Biomarkers for Alzheimer's Disease Among Hip Fracture Patients | Chan, C. K. Sieber, F. E. Blennow, K. Inouye, S. K. Kahn, G. Leoutsakos, J. S. Marcantonio, E. R. Neufeld, K. J. Rosenberg, P. B. Wang, N. Y. Zetterberg, H. Lyketsos, C. G. Oh, E. S. | Am J Geriatr Psychiatry | 2021 |
Alzheimer’s disease |
| Delirium as a predictor of mortality and disability among hospitalized patients in Zambia | Banerdt, J. K. Mateyo, K. Wang, L. Lindsell, C. J. Riviello, E. D. Saylor, D. Heimburger, D. C. Ely, E. W. | PLoS One | 2021 | |
| Incidence and Risk Factors of Emergence Delirium after Anesthesia in Elderly Patients at a Postanesthesia Care Unit in Ethiopia: Prospective Observational Study | Assefa, M. T. Chekol, W. B. Melesse, D. Y. Nigatu, Y. A. | Patient Relat Outcome Meas | 2021 |
delirium |
| Impact of SARS-CoV-2 Infection on Cognitive Function: A Systematic Review | Alnefeesi, Y. Siegel, A. Lui, L. M. W. Teopiz, K. M. Ho, R. C. M. Lee, Y. Nasri, F. Gill, H. Lin, K. Cao, B. Rosenblat, J. D. McIntyre, R. S. | Front Psychiatry | 2021 |
Covid-19 |
| Cognitive disorders associated with hospitalization of COVID-19: Results from an observational cohort study | Zhou, J. Liu, C. Sun, Y. Huang, W. Ye, K. | Brain Behav Immun | 2021 |
Adult |
| Probable delirium is a presenting symptom of COVID-19 in frail, older adults: a cohort study of 322 hospitalised and 535 community-based older adults | Zazzara, M. B. Penfold, R. S. Roberts, A. L. Lee, K. A. Dooley, H. Sudre, C. H. Welch, C. Bowyer, R. C. E. Visconti, A. Mangino, M. Freidin, M. B. El-Sayed Moustafa, J. S. Small, K. S. Murray, B. Modat, M. Graham, M. S. Wolf, J. Ourselin, S. Martin, F. C. | Age Ageing | 2021 |
Aged |
| Association between intensive care unit delirium and delusional memory after critical care in mechanically ventilated patients | Yoshino, Y. Unoki, T. Sakuramoto, H. Ouchi, A. Hoshino, H. Matsuishi, Y. Mizutani, T. | Nurs Open | 2021 |
delirium |
| Delirium screening for patients in the intensive care unit: A prospective validation study of the iCAM-ICU by nurse researchers and bedside nurses in routine practice | Yang, F. Ji, M. Wu, Y. Feng, Y. Li, J. Ren, D. Ely, E. W. | Int J Nurs Stud | 2021 |
Confusion |
| Six-Minute Walk Test Predicts Postoperative Delirium After Transcatheter Aortic Valve Replacement | Yamashita, A. Suzuki, S. Otsuka, T. Matsuda, H. Ando, H. Sugimura, K. Maekawa, E. Meguro, K. Ako, J. Okamoto, H. | J Cardiothorac Vasc Anesth | 2021 |
Clinical Frailty Scale |
| Topological data analysis (TDA) enhances bispectral EEG (BSEEG) algorithm for detection of delirium | Yamanashi, T. Kajitani, M. Iwata, M. Crutchley, K. J. Marra, P. Malicoat, J. R. Williams, J. C. Leyden, L. R. Long, H. Lo, D. Schacher, C. J. Hiraoka, K. Tsunoda, T. Kobayashi, K. Ikai, Y. Kaneko, K. Umeda, Y. Kadooka, Y. Shinozaki, G. | Sci Rep | 2021 | |
| New Cutoff Scores for Delirium Screening Tools to Predict Patient Mortality | Yamanashi, T. Iwata, M. Crutchley, K. J. Sullivan, E. J. Malicoat, J. R. Anderson, Z. M. Marra, P. S. Chang, G. Kaneko, K. Shinozaki, E. Lee, S. Shinozaki, G. | J Am Geriatr Soc | 2021 |
Cam-icu |
| Intraoperative dexmedetomidine for prevention of postoperative delirium in elderly patients with mild cognitive impairment | Xin, X. Chen, J. Hua, W. Wang, H. | Int J Geriatr Psychiatry | 2021 |
Aged |
| The risk factors for postoperative delirium in adult patients after hip fracture surgery: a systematic review and meta-analysis | Wu, J. Yin, Y. Jin, M. Li, B. | Int J Geriatr Psychiatry | 2021 |
Blood Transfusion |
| Preoperative Delirium Nursing Model Initiatives to Determine the Incidence of Postoperative Delirium Among Elderly Orthopaedic Patients | Wu, H. Kapur, A. Gibson, B. Bubb, K. Alrawashdeh, M. Cipkala-Gaffin, J. | Orthop Nurs | 2021 | |
| Challenges of Delirium Management in Patients with Traumatic Brain Injury: From Pathophysiology to Clinical Practice | Williams Roberson, S. Patel, M. B. Dabrowski, W. Ely, E. W. Pakulski, C. Kotfis, K. | Curr Neuropharmacol | 2021 |
barbiturates |
| A Systematic Review of Delirium Biomarkers and Their Alignment with the NIA-AA Research Framework | Wang, S. Lindroth, H. Chan, C. Greene, R. Serrano-Andrews, P. Khan, S. Rios, G. Jabbari, S. Lim, J. Saykin, A. J. Khan, B. | J Am Geriatr Soc | 2021 |
Alzheimerʼs disease |
| Development and validation of the Terminal Delirium-Related Distress Scale to assess irreversible terminal delirium | Uchida, M. Akechi, T. Morita, T. Shima, Y. Igarashi, N. Miyashita, M. | Palliat Support Care | 2021 |
Cancer |
| Targeted metabolomics analysis of postoperative delirium | Tripp, B. A. Dillon, S. T. Yuan, M. Asara, J. M. Vasunilashorn, S. M. Fong, T. G. Metzger, E. D. Inouye, S. K. Xie, Z. Ngo, L. H. Marcantonio, E. R. Libermann, T. A. Otu, H. H. | Sci Rep | 2021 | |
| Hospitalized older adult: predictors of functional decline | Tavares, J. P. A. Nunes, Lanv Grácio, J. C. G. | Rev Lat Am Enfermagem | 2021 |
Activities of Daily Living |
| Postoperative delirium in patients undergoing tumor resection with reconstructive surgery for oral cancer | Takahashi, N. Hiraki, A. Kawahara, K. Nagata, M. Yoshida, R. Matsuoka, Y. Tanaka, T. Obayashi, Y. Sakata, J. Nakashima, H. Arita, H. Shinohara, M. Nakayama, H. | Mol Clin Oncol | 2021 |
early postoperative ambulation |
| Prevalence of ICU Delirium in Postoperative Pediatric Cardiac Surgery Patients | Staveski, S. L. Pickler, R. H. Khoury, P. R. Ollberding, N. J. Donnellan, A. L. Mauney, J. A. Lincoln, P. A. Baird, J. D. Gilliland, F. L. Merritt, A. D. Presnell, L. B. Lanese, A. R. Lisanti, A. J. Large, B. J. Fineman, L. D. Gibson, K. H. Mohler, L. A. | Pediatr Crit Care Med | 2021 |
Adolescent |
| Physostigmine for prevention of postoperative delirium and long-term cognitive dysfunction in liver surgery: A double-blinded randomised controlled trial | Spies, C. D. Knaak, C. Mertens, M. Brockhaus, W. R. Shadenok, A. Wiebach, J. Kunzmann, K. Feldheiser, A. Pratschke, J. Müller, O. Kipping, V. Fabian, M. Abels, W. Borchers, F. Akyüz, L. Ely, E. W. Wernecke, K. D. Menon, D. K. Piper, S. K. | Eur J Anaesthesiol | 2021 | |
| Intraoperative clonidine to prevent postoperative emergence delirium following sevoflurane anesthesia in pediatric patients: a randomized clinical trial | Sousa-Júnior, F. A. Souza, A. S. R. Lima, L. C. Santos Í, G. M. Menezes, L. A. P. Ratis, Papl Couceiro, T. C. M. | Braz J Anesthesiol | 2021 |
Anesthesia |
| Training hospital inpatient nursing to know (THINK) delirium: A nursing educational program | Solberg, L. M. Campbell, C. S. Jones, K. Vaughn, I. Suryadevara, U. Fernandez, C. Shorr, R. | Geriatr Nurs | 2021 |
Delirium |
| Delirium is associated with an increased morbidity and in-hospital mortality in cancer patients: Results from a prospective cohort study | Seiler, A. Blum, D. Deuel, J. W. Hertler, C. Schettle, M. Zipser, C. M. Ernst, J. Schubert, M. von Känel, R. Boettger, S. | Palliat Support Care | 2021 |
Cancer patients |
| Delirium Triage Screen/Brief Confusion Assessment Method in Adult Orthopaedic and Hematological Patients: A Validation Study | Sederstrom, J. R. Aliory, C. D. Hanneman, E. M. Buras, M. R. | Orthop Nurs | 2021 | |
| "SQiD, the Single Question in Delirium; can a single question help clinicians to detect delirium in hospitalised cancer patients?" running heading Single Question in Delirium" (Bcan-D-20-01665) | Sands, M. B. Sharma, S. Carpenter, L. Hartshorn, A. Lee, J. T. Lujic, S. Congdon, M. E. Buchanan, A. M. Agar, M. Vardy, J. L. | BMC Cancer | 2021 |
Cancer |
| Factors Impacting Early Mobilization Following Hip Fracture: An Observational Study | Said, C. M. Delahunt, M. Ciavarella, V. Al Maliki, D. Boys, A. M. Vogrin, S. Berney, S. | J Geriatr Phys Ther | 2021 | |
| Risk factors of postoperative delirium in the knee and hip replacement patients: a systematic review and meta-analysis | Rong, X. Ding, Z. C. Yu, H. D. Yao, S. Y. Zhou, Z. K. | J Orthop Surg Res | 2021 |
Hip replacement |
| Characteristics of Younger and Older Adults with Hospital-Acquired Delirium: a Claims Data Study Spanning 14 years | Rohatgi, N. Weng, Y. Ahuja, N. Lansberg, M. G. | J Gen Intern Med | 2021 |
Aged |
| Factors Associated with Hospital-Acquired Delirium in Patients 18-65 Years Old | Rohatgi, N. Weng, Y. Ahuja, N. Lansberg, M. G. | J Gen Intern Med | 2021 |
Adolescent |
| Implementation of a multicomponent intervention sign to reduce delirium in orthopaedic inpatients (MIND-ORIENT): a quality improvement project | Reppas-Rindlisbacher, C. Siddhpuria, S. Wong, E. K. Lee, J. Y. Gabor, C. Curkovic, A. Khalili, Y. Mavrak, C. De Freitas, S. Eshak, K. Patterson, C. | BMJ Open Qual | 2021 |
evidence-based practice |
| Anticholinergic Burden Does Not Influence Delirium Subtype or the Delirium-Mortality Association in Hospitalized Older Adults: Results from a Prospective Cohort Study | Rawle, M. J. McCue, L. Sampson, E. L. Davis, D. Vickerstaff, V. | Drugs Aging | 2021 | |
| Incidence and Risk Factors of Delirium in the Intensive Care Unit: A Prospective Cohort | Rahimi-Bashar, F. Abolhasani, G. Manouchehrian, N. Jiryaee, N. Vahedian-Azimi, A. Sahebkar, A. | Biomed Res Int | 2021 |
Adult |
| Implementing Delirium Prevention in the Era of COVID-19 | Radhakrishnan, N. S. Mufti, M. Ortiz, D. Maye, S. T. Melara, J. Lim, D. Rosenberg, E. I. Price, C. C. | J Alzheimers Dis | 2021 |
Aged |
| Prevalence and risk factors of delirium in psychogeriatric outpatients | Quispel-Aggenbach, D. W. P. Schep-de Ruiter, E. P. R. van Bergen, W. Bolling, J. R. Zuidema, S. U. Luijendijk, H. J. | Int J Geriatr Psychiatry | 2021 |
Aged |
| Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): a multicentre cohort study | Pun, B. T. Badenes, R. Heras La Calle, G. Orun, O. M. Chen, W. Raman, R. Simpson, B. K. Wilson-Linville, S. Hinojal Olmedillo, B. Vallejo de la Cueva, A. van der Jagt, M. Navarro Casado, R. Leal Sanz, P. Orhun, G. Ferrer Gómez, C. Núñez Vázquez, K. Pi | Lancet Respir Med | 2021 |
Aged |
| Risk prediction models for emergence delirium in paediatric general anaesthesia: a systematic review | Petre, M. A. Saha, B. Kasuya, S. Englesakis, M. Gai, N. Peliowski, A. Aoyama, K. | BMJ Open | 2021 |
Anesthesia, General/ adverse effects |
| The Effects of Propofol or Dexmedetomidine Sedation on Postoperative Recovery in Elderly Patients Receiving Lower Limb Surgery under Spinal Anesthesia: A Retrospective Propensity Score-Matched Analysis | Park, J. W. Kim, E. K. Lee, H. T. Park, S. Do, S. H. | J Clin Med | 2021 |
dexmedetomidine |
| High proportion of thiamine deficiency in referred cancer patients with delirium: a retrospective descriptive study | Onishi, H. Sato, I. Uchida, N. Takahashi, T. Furuya, D. Ebihara, Y. Yoshioka, A. Ito, H. Ishida, M. | Eur J Clin Nutr | 2021 | |
| Association between discontinuation of benzodiazepine receptor agonists and post-operative delirium among inpatients with liaison intervention: A retrospective cohort study | Omichi, C. Ayani, N. Oya, N. Matsumoto, Y. Tanaka, M. Morimoto, T. Kadotani, H. Narumoto, J. | Compr Psychiatry | 2021 |
Benzodiazepines/adverse effects |
| The Independent Association of Prestroke Psychiatric Symptoms and Acute Phase Delirium with Poststroke Mortality at One Year in Nigeria | Ojagbemi, A. Bello, T. Owolabi, M. Baiyewu, O. | J Stroke Cerebrovasc Dis | 2021 |
Delirium/diagnosis/ mortality/psychology |
| Depression predicts long-term cognitive impairment in survivors of critical illness | Nordness, M. F. Bipin Patel, M. Erickson, C. R. Kiehl, A. Jackson, J. C. Raman, R. Pandharipande, P. P. Ely, E. W. Wilson, J. E. | J Trauma Acute Care Surg | 2021 |
Aged |
| Effects of uncomfortable care and histamine H2-antagonists on delirium in acute stroke: A propensity score analysis | Nakamizo, T. Kanda, T. Kudo, Y. Sugawara, E. Hashimoto, E. Okazaki, A. Usuda, M. Nagai, T. Hara, H. Johkura, K. | J Neurol Sci | 2021 |
Delirium/epidemiology/etiology |
| Family automated voice reorientation (FAVoR) intervention for mechanically ventilated patients in the intensive care unit: Study protocol for a randomized controlled trial | Munro, C. L. Liang, Z. Ji, M. Elías, M. N. Chen, X. Calero, K. Ely, E. W. | Contemp Clin Trials | 2021 |
Cognition |
| Evaluation of a delirium awareness podcast for undergraduate nursing students in Northern Ireland: a pre-/post-test study | Mitchell, G. Scott, J. Carter, G. Wilson, C. B. | BMC Nurs | 2021 |
Constructivist pedagogy |
| Impact of delirium in acute cardiac care unit after transcatheter aortic valve replacement | Luque, T. Noriega, F. J. McInerney, A. Travieso, A. Corrochano, D. Tirado-Conte, G. Ferrera, C. Fossati, S. Jimenez-Quevedo, P. Nuñez-Gil, I. Gonzalo, N. Escaned, J. Macaya, C. Fernández-Ortiz, A. Nombela-Franco, L. Viana-Tejedor, A. | Int J Cardiol | 2021 |
Aortic Valve/surgery |
| Preoperative Prognostic Nutritional Index Value is Related to Postoperative Delirium in Elderly Patients After Noncardiac Surgery: A Retrospective Cohort Study | Liu, H. Dai, M. Guan, H. Gao, X. Zhou, Y. Sun, X. Zhou, J. Hu, X. Li, X. Song, Y. Han, Y. Cao, J. | Risk Manag Healthc Policy | 2021 |
elderly patients |