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
- Withdrawal versus continuation of long-term antipsychotic drug use for behavioural and psychological symptoms in older people with dementia.
- Authors
- Van Leeuwen, E. Petrovic, M. van Driel, M. L. De Sutter, A. I. M. Vander Stichele, R. Declercq, T. Christiaens, T.
- Year
- 2018
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
Background: Antipsychotic agents are often used to treat neuropsychiatric symptoms (NPS) in people with dementia although there is uncertainty about the effectiveness of their long-term use for this indication and concern that they may cause harm, including higher mortality. When behavioural strategies have failed and treatment with antipsychotic drugs is instituted, regular attempts to withdraw them have been recommended in guidelines. Physicians, nurses and families of older people with dementia may be reluctant to stop antipsychotics, fearing deterioration of NPS. This is an update of a Cochrane Review published in 2013. Objectives: To evaluate whether withdrawal of antipsychotic agents is successful in older people with dementia and NPS in primary care or nursing home settings, to list the different strategies for withdrawal of antipsychotic agents in older participants with dementia and NPS, and to measure the effects of withdrawal of antipsychotic agents on participants’ behaviour and assess safety. Search methods: We searched the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group (ALOIS), theCochrane Library, MEDLINE, Embase, PsycINFO, CINAHL, LILACS, clinical trials registries and grey literature sources up to 11 January 2018. Selection criteria: We included all randomised, controlled trials comparing an antipsychotic withdrawal strategy to continuation of antipsychotics in people with dementia who had been treated with an antipsychotic drug for at least three months. Data collection and analysis: We used standard methodological procedures according to the Cochrane Handbook for Systematic Reviews of Interventions. We rated the quality of evidence for each outcome using the GRADE approach. Main results: We included 10 studies involving 632 participants. One new trial (19 participants) was added for this update. One trial was conducted in a community setting, eight in nursing homes and one in both settings. Different types of antipsychotics at varying doses were discontinued in the studies. Both abrupt and gradual withdrawal schedules were used. Reported data were predominantly from studies at low or unclear risk of bias. We included nine trials with 575 randomised participants that used a proxy outcome for overall success of antipsychotic withdrawal. Pooling data was not possible due to heterogeneity of outcome measures used. Based on assessment of seven studies, discontinuation may make little or no difference to whether or not participants complete the study (low-quality evidence). Two trials included only participants with psychosis, agitation or aggression who had responded to antipsychotic treatment. In these two trials, stopping antipsychotics was associated with a higher risk of leaving the study early due to symptomatic relapse or a shorter time to symptomatic relapse. We found low-quality evidence that discontinuation may make little or no difference to overall NPS, measured using various scales (7 trials, 519 participants). There was some evidence from subgroup analyses in two trials that discontinuation may reduce agitation for participants with less severe NPS at baseline, but may be associated with a worsening of NPS in participants with more severe NPS at baseline. None of the studies assessed withdrawal symptoms. Adverse effects of antipsychotics (such as falls) were not systematically assessed. Low-quality evidence showed that discontinuation may have little or no effect on adverse events (5 trials, 381 participants), quality of life (2 trials, 119 participants), or cognitive function (5 trials, 365 participants). There were insufficient data to determine whether discontinuation of antipsychotics has any effect on mortality (very low-quality evidence). Authors’ conclusions: There is low-quality evidence that antipsychotics may be successfully discontinued in older people with dementia and NPS who have been taking antipsychotics for at least three months, and that discontinuation may have little or no important effect on behavioural and psychological symptoms. This i consistent with the observation that most behavioural complications of dementia are intermittent and often do not persist for longer than three months. Discontinuation may have little or no effect on overall cognitive function. Discontinuation may make no difference to adverse events and quality of life. Based on the trials in this review, we are uncertain whether discontinuation of antipsychotics leads to a decrease in mortality. People with psychosis, aggression or agitation who responded well to long-term antipsychotic drug use, or those with more severe NPS at baseline, may benefit behaviourally from continuation of antipsychotics. Discontinuation may reduce agitation for people with mild NPS at baseline. However, these conclusions are based on few studies or small subgroups and further evidence of benefits and harms associated with withdrawal of antipsychotic is required in people with dementia and mild and severe NPS. The overall conclusions of the review have not changed since 2013 and the number of available trials remains low.
- PMID
- Keywords
chlorpromazine
haloperidol
levomepromazine
lorazepam
loxapine
mesoridazine
neuroleptic agent
olanzapine
perphenazine
placebo
risperidone
thioridazine
tiotixene
trifluoperazine
aggression
agitation
akathisia
behavior disorder
blood pressure
body equilibrium
cardiovascular disease
cognition
confusion
dementia
drug fatality
drug megadose
drug response
drug safety
drug withdrawal
extrapyramidal symptom
falling
fracture
heart rate
human
insomnia
long term care
low drug dose
lung disease
mental disease
motor dysfunction
nausea
neurologic disease
nursing home
parkinsonism
physical mobility
primary medical care
priority journal
psychosis
quality of life
relapse
restlessness
review
sedation
side effect
systematic review
tardive dyskinesia
treatment outcome
vomiting
- Page(s)
- Volume
- Issue
- 3
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Is Perioperative Dexmedetomidine Associated With a Reduced Risk of Perioperative Neurocognitive Disorders Following Cardiac Surgery? A Systematic Review and Meta-Analysis With Trial Sequential Analysis of Randomized Controlled Trials | Xiong, X. Chen, D. Shi, J. | Front Med (Lausanne) | 2021 |
cardiac surgery |
| The effect of pre-operative methylprednisolone on postoperative delirium in elderly 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 | 2021 |
Delirium |
| Social Determinants of Health and Delirium Occurrence and Duration in Critically Ill Adults | Wu, T. T. Zegers, M. Kooken, R. Griffith, J. L. Molnar, B. E. Devlin, J. W. van den Boogaard, M. | Crit Care Explor | 2021 |
delirium |
| Implementation of a Frailty Assessment and Targeted Care Interventions and Its Association with Reduced Postoperative Complications in Elderly Surgical Patients | Wilson, S. Sutherland, E. Razak, A. O'Brien, M. Ding, C. Nguyen, T. Rosenkranz, P. Sanchez, S. E. | J Am Coll Surg | 2021 |
Frailty, Postoperative outcomes, Geriatrics, Frailty assessment |
| Prevalence of Mimics and Severe Comorbidity in Patients with Clinically Suspected Transient Global Amnesia | Werner, R. Woehrle, J. C. | Cerebrovasc Dis | 2021 |
Adult |
| The risk of delirium and falls or fractures with the use of overactive bladder anticholinergic medications | Welk, B. Etaby, K. McArthur, E. Chou, Q. | Neurourol Urodyn | 2021 |
anticholinergics |
| Hospitalization Outcomes of Delirium in Patients Admitted to Acute Care Hospitals in Their Last Year of Life: A Population-Based Retrospective Cohort Study | Webber, C. Watt, C. L. Bush, S. H. Lawlor, P. G. Talarico, R. Tanuseputro, P. | J Pain Symptom Manage | 2021 |
Adult |
| Anticholinergics and clinical outcomes amongst people with pre-existing dementia: A systematic review | Wang, K. Alan, J. Page, A. T. Dimopoulos, E. Etherton-Beer, C. | Maturitas | 2021 |
Anticholinergic |
| Association Between Intraoperative Arterial Hypotension and Postoperative Delirium After Noncardiac Surgery: A Retrospective Multicenter Cohort Study | Wachtendorf, L. J. Azimaraghi, O. Santer, P. Linhardt, F. C. Blank, M. Suleiman, A. Ahn, C. Low, Y. H. Teja, B. Kendale, S. M. Schaefer, M. S. Houle, T. T. Pollard, R. J. Subramaniam, B. Eikermann, M. Wongtangman, K. | Anesth Analg | 2021 |
Intraoperative Arterial Hypotension, Postoperative delirium, Surgery, Anesthesia |
| Dynamic assessments of hepatic encephalopathy and ammonia levels predict mortality in acute-on-chronic liver failure | Verma, N. Dhiman, R. K. Choudhury, A. Taneja, S. Duseja, A. Singh, V. Al Mahtab, M. Devarbhavi, H. Shukla, A. Ning, Q. Hamid, S. S. Butt, A. S. Jafri, W. Tan, S. S. Hu, J. Zhongping, D. Treeprasertsuk, S. Lee, G. H. Ghazinyan, H. Lesmana, L. A. Sood, A. M | Hepatol Int | 2021 |
*Acute-On-Chronic Liver Failure |
| Evaluation of the impact of cataract surgery on cognitive function in very elderly patients: a prospective, observational study | Verdina, T. Stiro, F. Bruni, F. Spedicato, G. A. Mastropasqua, R. Cavallini, G. M. | Aging Clin Exp Res | 2021 |
6-item cognitive impairment test (6CIT) |
| Physiological Assessment of Delirium Severity: The Electroencephalographic Confusion Assessment Method Severity Score (E-CAM-S) | van Sleuwen, M. Sun, H. Eckhardt, C. Neelagiri, A. Tesh, R. A. Westmeijer, M. Paixao, L. Rajan, S. Velpula Krishnamurthy, P. Sikka, P. Leone, M. J. Panneerselvam, E. Quadri, S. A. Akeju, O. Kimchi, E. Y. Westover, M. B. | Crit Care Med | 2021 |
van Sleuwen, M. |
| The effect of peri-operative dexmedetomidine on the incidence of postoperative delirium in cardiac and non-cardiac surgical patients: a randomised, double-blind placebo-controlled trial | van Norden, J. Spies, C. D. Borchers, F. Mertens, M. Kurth, J. Heidgen, J. Pohrt, A. Mueller, A. | Anaesthesia | 2021 |
Aged |
| Rivastigmine for minor visual hallucinations in Parkinson's disease: A randomized controlled trial with 24 months follow-up | van Mierlo, T. J. M. Foncke, E. M. J. Post, B. Schmand, B. A. Bloem, B. R. van Harten, B. Tissingh, G. Munts, A. G. de Haan, R. J. de Bie, R. M. A. | Brain Behav | 2021 |
Cholinesterase Inhibitors |
| Effects of Orthogeriatric Care Models on Outcomes of Hip Fracture Patients: A Systematic Review and Meta-Analysis | Van Heghe, A. Mordant, G. Dupont, J. Dejaeger, M. Laurent, M. R. Gielen, E. | Calcif Tissue Int | 2021 |
Geriatric co-management |
| Automatic continuous EEG signal analysis for diagnosis of delirium in patients with sepsis | Urdanibia-Centelles, O. Nielsen, R. M. Rostrup, E. Vedel-Larsen, E. Thomsen, K. Nikolic, M. Johnsen, B. Møller, K. Lauritzen, M. Benedek, K. | Clin Neurophysiol | 2021 |
Automatic EEG |
| Evaluation of the effectiveness of delirium prevention care protocol for the patients with hip fracture: A randomised controlled study | Unal, N. Guvenc, G. Ilkin Naharci, M. | J Clin Nurs | 2021 |
nursing care |
| Association of poor sleep burden in middle age and older adults with risk for delirium during hospitalization | Ulsa, M. C. Zheng, X. Li, P. Gaba, A. Wong, P. M. Saxena, R. Scheer, F. Rutter, M. Akeju, O. Hu, K. Gao, L. | J Gerontol A Biol Sci Med Sci | 2021 |
Sleep health |
| Where should patients with or at risk of delirium be treated in an acute care system? Comparing the rates of delirium in patients receiving usual care vs alternative care: A systematic review and meta-analysis | Ukwuoma Ekeozor, C. Jeyaruban, D. Lasserson, D. | Int J Clin Pract | 2021 |
Critical Care |
| Restraint use in the acute-care hospital setting: A cross-sectional multi-centre study | Thomann, S. Zwakhalen, S. Richter, D. Bauer, S. Hahn, S. | Int J Nurs Stud | 2021 |
Cross-Sectional Studies |
| Immune, Blood Cell, and Blood Gas Biomarkers of Delirium in Elderly Individuals with Hip Fracture Surgery | Thisayakorn, P. Tangwongchai, S. Tantavisut, S. Thipakorn, Y. Sukhanonsawat, S. Wongwarawipat, T. Sirivichayakul, S. Maes, M. | Dement Geriatr Cogn Disord | 2021 |
Delirium |
| Delirium Associations with Antibiotics: A Pharmacovigilance Study of the FDA Adverse Event Reporting System (FAERS) | Teng, C. Frei, C. R. | Drugs Real World Outcomes | 2021 |
Delirium, Antibiotics, FDA Adverse Event Reporting System |
| The Impact of Aging on Symptom Prevalence and Management in Terminally ill Patients With Cancer | Tatokoro, M. Matsuo, N. | J Pain Symptom Manage | 2021 |
Age |
| Subjective strain of care experienced by pulmonary and critical care medical nurses when caring for patients with delirium: a cross-sectional study | Tan, H. Zhou, L. Wu, S. Dong, Q. Yang, L. Xu, J. Zhao, S. Wang, X. Yang, H. | BMC Health Serv Res | 2021 |
Critical Care |
| Circulating MicroRNAs and Novel Proteins as Potential Biomarkers of Neurological Complications after Heart Bypass Surgery | Szwed, K. Szwed, M. Kozakiewicz, M. Karłowska-Pik, J. Soja-Kukieła, N. Bartoszewska, A. Borkowska, A. | J Clin Med | 2021 |
Cabg |
| Evaluation of the implementation of multidisciplinary fast-track program for acute geriatric hip fractures at a University Hospital in resource-limited settings | Sura-Amonrattana, U. Tharmviboonsri, T. Unnanuntana, A. Tantigate, D. Srinonprasert, V. | BMC Geriatr | 2021 |
Aged |
| Perceptions of current occupational therapy practice with older adults experiencing delirium | Strecker, C. Hitch, D. | Australas J Ageing | 2021 |
Aged |
| Changes in autonomic tone during delirium in acute stroke patients assessed by pupillometry and skin conductance | Stokholm, J. Birkmose, L. K. H. Ahmed, Aabo Csillag, C. Kjær, T. W. Christensen, T. | J Neurol Sci | 2021 |
Autonomic Nervous System |
| Expression of HO1 and PER2 can predict the incidence of delirium in trauma patients with concomitant brain injury | Steimer, M. Kaiser, S. Ulbrich, F. Kalbhenn, J. Bürkle, H. Schallner, N. | Sci Rep | 2021 |
Biomarkers, Circadian rhythms and sleep, Translational research, Neurological manifestations |
| An implementation science approach to geriatric screening in an emergency department | Southerland, L. T. Hunold, K. M. Van Fossen, J. Caterino, J. M. Gulker, P. Stephens, J. A. Bischof, J. J. Farrell, E. Carpenter, C. R. Mion, L. C. | J Am Geriatr Soc | 2021 |
Cfir |
| Effectiveness of the ABCDEF bundle on delirium, functional outcomes and quality of life in intensive care patients: a study protocol for a randomised controlled trial with embedded process evaluation | Sosnowski, K. Mitchell, M. Cooke, M. White, H. Morrison, L. Lin, F. | BMJ Open | 2021 |
Critical Care |
| Effects of general versus subarachnoid anaesthesia on circadian melatonin rhythm and postoperative delirium in elderly patients undergoing hip fracture surgery: A prospective cohort clinical trial | Song, Y. Liu, Y. Yuan, Y. Jia, X. Zhang, W. Wang, G. Jia, Y. Wang, X. Liu, L. Li, W. Li, X. Cai, N. Liu, C. Li, Y. Han, Y. Zhou, Y. Mi, X. Shi, C. Wang, J. Q. Vuylsteke, A. Guo, X. Li, Z. | EBioMedicine | 2021 |
Circadian rhythm |
| Comparison of the Effects of Haloperidol and Dexmedetomidine on Delirium and Agitation in Patients with a Traumatic Brain Injury Admitted to the Intensive Care Unit | Soltani, F. Tabatabaei, S. Jannatmakan, F. Nasajian, N. Amiri, F. Darkhor, R. Moravej, M. | Anesth Pain Med | 2021 |
Delirium |
| Comparison of postoperative delirium within 24 hours between ketamine and propofol infusion during cardiopulmonary bypass machine: A randomized controlled trial | Siripoonyothai, S. Sindhvananda, W. | Ann Card Anaesth | 2021 |
*Cardiac surgery |
| Improving delirium detection in intensive care units: Multicomponent education and training program | Sinvani, L. Delle Site, C. Laumenede, T. Patel, V. Ardito, S. Ilyas, A. Hertz, C. Wolf-Klein, G. Pekmezaris, R. Hajizadeh, N. Thomas, L. | J Am Geriatr Soc | 2021 |
critical care nursing |
| Outcome, demography and resource utilization in ICU Patients with delirium and malignancy | Sieber, M. Rudiger, A. Schüpbach, R. Krüger, B. Schubert, M. Bettex, D. | Sci Rep | 2021 |
Medical research, Oncology, Delirium, ICU delirium, ICDSC, Malignancies |
| Prevalence of postoperative delirium with different combinations of intraoperative general anesthetic agents in patients undergoing cardiac surgery: A retrospective propensity-score-matched study | Shin, H. J. Choi, S. L. Na, H. S. | Medicine (Baltimore) | 2021 |
Aged |
| Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? : A Randomized Trial | Shepperd, S. Butler, C. Cradduck-Bamford, A. Ellis, G. Gray, A. Hemsley, A. Khanna, P. Langhorne, P. Mort, S. Ramsay, S. Schiff, R. Stott, D. J. Wilkinson, A. Yu, L. M. Young, J. | Ann Intern Med | 2021 |
Aged |
| Delirium and abnormal autonomic nervous system response to head-up tilt testing | Shanahan, E. Ryan, S. Leahy, A. Sheehy, T. Costelloe, A. Roy, A. Galvin, R. Peters, C. Lyons, D. O'Connor, M. | Exp Gerontol | 2021 |
Aged, 80 and over |
| Understanding frailty among older people living in old age homes and the community in Nepal: A cross-sectional study | Shah, R. Carandang, R. R. Shibanuma, A. Ong, K. I. C. Kiriya, J. Jimba, M. | PLoS One | 2021 |
Activities of Daily Living |
| Death in delirious palliative-care patients occurs irrespective of age: A prospective, observational cohort study of 229 delirious palliative-care patients | Seiler, A. Blum, D. Hertler, C. Schettle, M. Zipser, C. M. Bode, L. Gehrke, S. Ernst, J. Schubert, M. von Känel, R. Boettger, S. | Palliat Support Care | 2021 |
Aged |
| Delirium Variability is Influenced by the Sound Environment (DEVISE Study): How Changes in the Intensive Care Unit soundscape affect delirium incidence | Sangari, A. Emhardt, E. A. Salas, B. Avery, A. Freundlich, R. E. Fabbri, D. Shotwell, M. S. Schlesinger, J. J. | J Med Syst | 2021 |
Critical Care |
| Delirium in Intensive Care Units: Perceptions of Physicians and Nurses | Salameh, B. Al Razeeni, D. M. Mansor, K. Abdallah, J. M. Ayed, A. Salem, H. | Crit Care Nurs Q | 2021 |
Critical Care |
| How to deal with the consent of adults with cognitive impairment involved in European geriatric living labs? | Sacco, G. Noublanche, F. Blazek, F. Hue, C. Carballido, L. Asfar, M. Allain, P. Annweiler, C. | Philos Ethics Humanit Med | 2021 |
Aged |
| Management of preoperative pain in elderly patients with moderate to severe cognitive deficits and hip fracture: a retrospective, monocentric study in an orthogeriatric unit | Ruel, M. Boussat, B. Boudissa, M. Garnier, V. Bioteau, C. Tonetti, J. Pailhe, R. Gavazzi, G. Drevet, S. | BMC Geriatr | 2021 |
Aged |
| Early high-dose vitamin C in post-cardiac arrest syndrome (VITaCCA): study protocol for a randomized, double-blind, multi-center, placebo-controlled trial | Rozemeijer, S. de Grooth, H. J. Elbers, P. W. G. Girbes, A. R. J. den Uil, C. A. Dubois, E. A. Wils, E. J. Rettig, T. C. D. van Zanten, A. R. H. Vink, R. van den Bogaard, B. Bosman, R. J. Oudemans-van Straaten, H. M. de Man, A. M. E. | Trials | 2021 |
Ascorbic Acid |
| Synergistic Impact of Systolic Blood Pressure and Perfusion Status on Mortality in Acute Heart Failure | Rossello, X. Bueno, H. Gil, V. Jacob, J. Martín-Sánchez, F. J. Llorens, P. Herrero Puente, P. Alquézar-Arbé, A. Espinosa, B. Raposeiras-Roubín, S. Müller, C. E. Mebazaa, A. Maggioni, A. P. Pocock, S. Chioncel, O. Miró, Ò | Circ Heart Fail | 2021 |
Acute Disease |
| The Impact of Nursing Delirium Preventive Interventions in the ICU: A Multicenter Cluster-randomized Controlled Clinical Trial | Rood, P. J. T. Zegers, M. Ramnarain, D. Koopmans, M. Klarenbeek, T. Ewalds, E. van der Steen, M. S. Oldenbeuving, A. W. Kuiper, M. A. Teerenstra, S. Adang, E. van Loon, L. M. Wassenaar, A. Vermeulen, H. Pickkers, P. van den Boogaard, M. | Am J Respir Crit Care Med | 2021 |
Aged |
| Heart rate variability and delirium in acute non-cardioembolic stroke: a prospective, cross-sectional, cohort study | Rollo, E. Marotta, J. Callea, A. Brunetti, V. Vollono, C. Scala, I. Imperatori, C. Frisullo, G. Broccolini, A. Della Marca, G. | Neurol Sci | 2021 |
Autonomic |
| The training needs of Korean intensive care unit nurses regarding delirium | Roh, Y. S. | Intensive Crit Care Nurs | 2021 |
Clinical Competence |
| Hospitalisation without delirium is not associated with cognitive decline in a population-based sample of older people-results from a nested, longitudinal cohort study | Richardson, S. J. Lawson, R. Davis, D. H. J. Stephan, B. C. M. Robinson, L. Matthews, F. E. Brayne, C. Barnes, L. E. Taylor, J. P. Parker, S. G. Allan, L. M. | Age Ageing | 2021 |
Aged |
| Recurrent delirium over 12 months predicts dementia: results of the Delirium and Cognitive Impact in Dementia (DECIDE) study | Richardson, S. J. Davis, D. H. J. Stephan, B. C. M. Robinson, L. Brayne, C. Barnes, L. E. Taylor, J. P. Parker, S. G. Allan, L. M. | Age Ageing | 2021 |
Cognition |
| Serum Proteomics of Older Patients Undergoing Major Cardiac Surgery: Identification of Biomarkers Associated With Postoperative Delirium | Rhee, J. Kuznetsov, A. McKay, T. Lyons, M. Houstis, N. Mekkonen, J. Ethridge, B. Ibala, R. Hahm, E. Gitlin, J. Guseh, J. S. Kitchen, R. Rosenzweig, A. Shaefi, S. Flaczyk, A. Qu, J. Akeju, O. | Front Aging Neurosci | 2021 |
*il-6 |
| Comparison of Esophagectomy outcomes between a National Center, a National Audit Collaborative, and an International database using the Esophageal Complications Consensus Group (ECCG) standardized definitions | Reynolds, J. V. Donlon, N. Elliott, J. A. Donohoe, C. Ravi, N. Kuppusamy, M. K. Low, D. E. | Dis Esophagus | 2021 |
Aged |
| Health Profiles, Health Services Use, and Transition to Dementia in Inpatients With Late-Life Depression and Other Mental Illnesses | Reppermund, S. Heintze, T. Srasuebkul, P. Trollor, J. N. | J Am Med Dir Assoc | 2021 |
Aged |
| A Survey of Nurses' Perspectives on Delirium Screening in Older Adult Medical Inpatients With Limited English Proficiency | Reppas-Rindlisbacher, C. Panov, E. D. Cuperfain, A. B. Rawal, S. | J Gerontol Nurs | 2021 |
Aged |
| Post-hospital falls incidence and risk factors among older adults: a systematic review and meta-analysis | Qian, X. X. Chen, Z. Fong, D. Y. T. Ho, M. Chau, P. H. | Age Ageing | 2021 |
incidence |
| The prevalence of serotonin syndrome in an intensive care unit: A prospective observational study | Prakash, S. Rathore, C. Rana, K. | J Crit Care | 2021 |
Adult |
| Associations of subclinical heart failure and atrial fibrillation with mild cognitive impairment: a cross-sectional study in a subclinical heart failure screening programme | Potter, E. L. Ramkumar, S. Wright, L. Marwick, T. H. | BMJ Open | 2021 |
Aged |
| A One-Day Prospective National Observational Study on Sedation-Analgesia of Patients with Brain Injury in French Intensive Care Units: The SEDA-BIP-ICU (Sedation-Analgesia in Brain Injury Patient in ICU) Study | Poignant, S. Vigué, B. Balram, P. Biais, M. Carillon, R. Cottenceau, V. Dahyot-Fizelier, C. Degos, V. Geeraerts, T. Jeanjean, P. Vega, E. Lasocki, S. Espitalier, F. Laffon, M. | Neurocrit Care | 2021 |
Brain injury |
| Risk factors and adverse clinical outcomes of postoperative delirium in Thai elderly patients: A prospective cohort study | Pipanmekaporn, T. Punjasawadwong, Y. Wongpakaran, N. Wongpakaran, T. Suwannachai, K. Chittawatanarat, K. Mueankwan, S. | Perspect Psychiatr Care | 2021 |
Aged |
| Multifaceted intervention including Facebook-groups to improve guideline-adherence in ICU: A quasi-experimental interrupted time series study | Petosic, A. Småstuen, M. C. Beeckman, D. Flaatten, H. Sunde, K. Wøien, H. | Acta Anaesthesiol Scand | 2021 |
agitation/sedation |
| Perioperative Optimization of Senior Health in Spine Surgery: Impact on Postoperative Delirium | Pernik, M. N. Deme, P. R. Nguyen, M. L. Aoun, S. G. Adogwa, O. Hall, K. Stewart, N. A. Dosselman, L. J. El Tecle, N. E. McDonald, S. R. Bagley, C. A. Wingfield, S. A. | J Am Geriatr Soc | 2021 |
Aged |
| Postoperative delirium mediates 180-day mortality in orthopaedic trauma patients | Pedemonte, J. C. Sun, H. Franco-Garcia, E. Zhou, C. Heng, M. Quraishi, S. A. Westover, B. Akeju, O. | Br J Anaesth | 2021 |
Aged |
| 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 |