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 |
|---|---|---|---|---|
| Assessing Risks of Polypharmacy Involving Medications With Anticholinergic Properties | Hanlon, P. Quinn, T. J. Gallacher, K. I. Myint, P. K. Jani, B. D. Nicholl, B. I. Lowrie, R. Soiza, R. L. Neal, S. R. Lee, D. Mair, F. S. | Ann Fam Med | 2020 |
anticholinergic burden |
| Melatonin and its analogues for the prevention of postoperative delirium: A systematic review and meta-analysis | Han, Y. Wu, J. Qin, Z. Fu, W. Zhao, B. Li, X. Wang, W. Sha, T. Sun, M. Li, J. Zeng, Z. Chen, Z. | J Pineal Res | 2020 |
melatonin |
| Proteomic Analysis of Preoperative CSF Reveals Risk Biomarkers of Postoperative Delirium | Han, Y. Chen, W. Song, Y. Yuan, Y. Li, Z. Zhou, Y. Liu, T. Han, D. Mi, X. Li, M. Wang, G. Zhong, L. Zhou, J. Guo, X. | Front Psychiatry | 2020 |
cerebrospinal fluid |
| Inpatient gastrostomy in Huntington's disease: Nationwide analysis of utilization and outcomes compared to amyotrophic lateral sclerosis | Hamedani, A. G. Pauly, M. Thibault, D. P. Gonzalez-Alegre, P. Willis, A. W. | Clinical Parkinsonism and Related Disorders | 2020 |
Huntington’s disease Health services research Outcome research Gastrostomy |
| The Observational Scale of Level of Arousal: A brief tool for assessing and monitoring level of arousal in patients with delirium outside the ICU | Hall, R. Stíobhairt, A. Allerhand, M. MacLullich, A. M. J. Tieges, Z. | Int J Geriatr Psychiatry | 2020 |
arousal |
| Development of disturbance of consciousness is associated with increased severity in acute pancreatitis | Hágendorn, R. Vincze, Á Izbéki, F. Gajdán, L. Gódi, S. Illés, A. Sarlós, P. Farkas, N. Erőss, B. Lillik, V. Illés, D. Varjú, P. Márta, K. Török, I. Papp, M. Vitális, Z. Bod, B. Hamvas, J. Szepes, Z. Takács, T. Czakó, L. Márton, Z. Szentes | Pancreatology | 2020 |
Acute pancreatitis |
| Prophylactic Physostigmine for Extreme and Refractory Adult Emergence Delirium, Aimed at Increasing Patient Safety and Reducing Health Care Workplace Violence: A Case Report | Gutman, D. A. Hassid, M. Jeanes, Z. Redding, A. T. Romeo, D. | A and A Practice | 2020 |
adult |
| No Brain Is an Island | Guay, C. S. Avidan, M. S. | Anesth Analg | 2020 |
Brain |
| The role of physical exercise and rehabilitation in delirium | Gual, N. García-Salmones, M. Brítez, L. Crespo, N. Udina, C. Pérez, L. M. Inzitari, M. | European Geriatric Medicine | 2020 |
brain function |
| The incidence of prolonged post-electroconvulsive therapy delirium: A retrospective study | Grover, S. Kumar, A. Chakrabarti, S. Avasthi, A. | Indian J Psychiatry | 2020 |
Electroconvulsive therapy |
| Postoperative Delirium in Patients after Hip Fracture Tratment Postoperative Delirium in Patients after Hip Fracture Tratment | Grle, M. Markotić, V. Prlić, J. Grle, I. Miljko, M. | Psychiatr Danub | 2020 | |
| Intensive Care Unit Delirium, Clinical Observations, and Patients' Statements: A Case Study | Granberg-Axèll, A. Bergbom, I. | Dimensions of critical care nursing : DCCN | 2020 |
adult |
| Assessment of the Decision-Making Capacity for Clinical Research Participation in Patients With Advanced Cancer in the Last Weeks of Life | Goswami, R. Moore, J. Bruera, E. Hui, D. | Journal of Pain and Symptom Management | 2020 |
adult |
| Reducing Delirium in Hospitalized Adults Through a Structured Sleep Promotion Program | Gode, A. Kozub, E. Joerger, K. Lynch, C. Roche, M. Kirven, J. | J Nurs Care Qual | 2020 | |
| Preoperative Cognitive Assessment Recommendations for the Older Adult | Glover, N. P. Tola, D. H. Norcross, W. Naumuk, L. Tocchi, C. | J Perianesth Nurs | 2020 |
Mini-Cog |
| Use of Direct In-Person Observation in the Care of Hospitalized Older Adults with Cognitive Impairment: A Systematic Review | Gilmore-Bykovskyi, A. L. Fuhr, H. Jin, Y. Benson, C. | J Gerontol Nurs | 2020 | |
| The consistent burden in published estimates of delirium occurrence in medical inpatients over four decades: a systematic review and meta-analysis study | Gibb, K. Seeley, A. Quinn, T. Siddiqi, N. Shenkin, S. Rockwood, K. Davis, D. | Age Ageing | 2020 |
delirium |
| Loss of Independence in Older Patients after Operation for Colorectal Cancer | Gearhart, S. L. Do, E. M. Owodunni, O. Gabre-Kidan, A. A. Magnuson, T. | J Am Coll Surg | 2020 | |
| Time to Block: Early Regional Anesthesia Improves Pain Control in Geriatric Hip Fractures | Garlich, J. M. Pujari, A. Debbi, E. M. Yalamanchili, D. R. Moak, Z. B. Stephenson, S. K. Stephan, S. R. Polakof, L. S. Johnson, C. R. Noorzad, A. S. Little, M. T. M. Moon, C. N. Black, J. T. Anand, K. K. Lin, C. A. | J Bone Joint Surg Am | 2020 |
Brain |
| Encephalopathy in patients with COVID-19: A review | Garg, R. K. Paliwal, V. K. Gupta, A. | J Med Virol | 2020 |
Brain |
| Prevalence and risk factors of postoperative delirium after spinal surgery: a meta-analysis | Gao, H. Ma, H. J. Li, Y. J. Yin, C. Li, Z. | J Orthop Surg Res | 2020 |
Delirium |
| Prognostic factors for discharge to home and residing at home 12 months after hip fracture: an Anoia hip study | Gamboa-Arango, A. Duaso, E. Malafarina, V. Formiga, F. Marimón, P. Sandiumenge, M. Salgado, M. T. Escalante, E. Lumbreras, C. Tarrida, A. | Aging Clinical and Experimental Research | 2020 |
aged |
| Safety of the muscarinic receptor-antagonist (R,R)-penehyclidine fumarate in healthy subjects: A phase 1 randomized, double-blind, single-dose escalation study | Fu, C. Zhang, X. Pei, Q. Guo, C. Yang, X. Yang, S. Huang, J. Yang, G. | Int J Clin Pharmacol Ther | 2020 |
Administration, Oral |
| Discriminant Performance of Dysexecutive and Frontal Release Signs for Delirium in Patients With High Dementia Prevalence: Implications for Neural Network Impairment | Franco, J. G. Trzepacz, P. T. Velásquez-Tirado, J. D. Ocampo, M. V. Serna, P. A. Giraldo, A. M. López, C. Zuluaga, A. Zaraza-Morales, D. | Psychosomatics | 2020 |
abnormal reflex |
| Survey of psychiatrists and psychiatry residents in Colombia about their preventive and therapeutic practices in delirium | Franco, J. G. Oviedo Lugo, G. F. Patarroyo Rodriguez, L. Bernal Miranda, J. Molano, J. C. Rojas Moreno, M. Cardeño, C. Velasquez Tirado, J. D. | Revista Colombiana de Psiquiatria | 2020 |
Antipsychotics Delirium Health education Primary prevention Quality of healthcare Therapeutics |
| Adverse Events, Functional Decline, and Access to Allied Health Therapies for Patients With Dementia During Acute Hospitalization | Fox, A. MacAndrew, M. Wyles, K. Yelland, C. Beattie, E. | J Appl Gerontol | 2020 |
acute care |
| Outcomes of video-assisted thoracoscopic surgery lobectomy in septuagenarians | Fong, L. S. Ko, V. McLaughlin, A. Okiwelu, N. L. Newman, M. A. Passage, J. Sanders, L. H. A. Joshi, P. V. | ANZ J Surg | 2020 |
lobectomy |
| Depressive and/or anxiety scoring instruments used as screening tools for predicting postoperative delirium after cardiac surgery: A pilot study | Falk, A. Eriksson, M. Stenman, M. | Intensive Crit Care Nurs | 2020 |
Cardiac surgery |
| Preoperative Depression and Plasma Cortisol Levels as Predictors of Delirium after Cardiac Surgery | Eshmawey, M. Arlt, S. Ledschbor-Frahnert, C. Guenther, U. Popp, J. | Dementia and Geriatric Cognitive Disorders | 2020 |
hydrocortisone |
| Dexmedetomidine versus nalbuphine in prevention of emergence agitation following adenotonsillectomy in pediatrics | Elagamy, A. E. Mahran, M. G. Mahmoud, A. Z. | Egyptian Journal of Anaesthesia | 2020 |
NCT04058899 |
| Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival | Eijlers, R. Staals, L. M. Legerstee, J. S. Berghmans, J. M. Strabbing, E. M. van der Schroeff, M. P. Wijnen, R. M. H. Kind, L. S. Hillegers, M. H. J. Dierckx, B. Utens, Emwj | J Clin Psychol Med Settings | 2020 |
Anxiety |
| A systematic review and meta-analysis evaluating geriatric consultation on older trauma patients | Eagles, D. Godwin, B. Cheng, W. Moors, J. Figueira, S. Khoury, L. Fournier, K. Lampron, J. | J Trauma Acute Care Surg | 2020 | |
| Association between incident delirium and 28- and 90-day mortality in critically ill adults: a secondary analysis | Duprey, M. S. van den Boogaard, M. van der Hoeven, J. G. Pickkers, P. Briesacher, B. A. Saczynski, J. S. Griffith, J. L. Devlin, J. W. | Crit Care | 2020 |
Coma |
| Delirium in Meningitis and Encephalitis: Emergence and Prediction in a 6-Year Cohort | Dittrich, T. Marsch, S. Rüegg, S. De Marchis, G. M. Tschudin-Sutter, S. Sutter, R. | J Intensive Care Med | 2020 |
delirium |
| Neuropsychiatric aspects of COVID-19 pandemic: A selective review | Dinakaran, D. Manjunatha, N. Naveen Kumar, C. Suresh, B. M. | Asian J Psychiatr | 2020 |
Covid-19 |
| Psychometric properties of the intensive care delirium screening checklist when used by bedside nurses in clinical practice: a prospective descriptive study | Detroyer, E. Timmermans, A. Segers, D. Meyfroidt, G. Dubois, J. Van Assche, A. Joosten, E. Milisen, K. | BMC Nurs | 2020 |
Delirium |
| Delirium in a tertiary PICU: Risk factors and outcomes* | Dervan, L. A. Di Gennaro, J. L. Farris, R. W. D. Watson, R. S. | Pediatric Critical Care Medicine | 2020 |
age |
| Factors associated with ABCDE bundle adherence in critically ill adults requiring mechanical ventilation: An observational design | DeMellow, J. M. Kim, T. Y. Romano, P. S. Drake, C. Balas, M. C. | Intensive Crit Care Nurs | 2020 |
ABCDE bundle |
| Clinical practice in the management of postoperative delirium by Chinese anesthesiologists: a cross-sectional survey designed by the European Society of Anaesthesiology | Delp, S. Mei, W. Spies, C. D. Neuner, B. Aldecoa, C. Bettelli, G. Bilotta, F. Sanders, R. D. Kramer, S. Weiss, B. | J Int Med Res | 2020 |
China |
| Development of a Palliative Care Toolkit for the COVID-19 Pandemic | deLima Thomas, J. Leiter, R. E. Abrahm, J. L. Shameklis, J. C. Kiser, S. B. Gelfand, S. L. Sciacca, K. R. Reville, B. Siegert, C. A. Zhang, H. Lai, L. Sato, R. Smith, L. N. Kamdar, M. M. Greco, L. Lee, K. A. Tulsky, J. A. Lawton, A. J. | J Pain Symptom Manage | 2020 |
Covid-19 |
| Adherence to recommended practices for perioperative anesthesia care for older adults among US anesthesiologists: Results from the ASA Committee on Geriatric Anesthesia-Perioperative Brain Health Initiative ASA member survey | Deiner, S. Fleisher, L. A. Leung, J. M. Peden, C. Miller, T. Neuman, M. D. Neuman, M. D. Akhtar, S. Arora, S. Bentov, I. Bhandary, S. Brzezinski, M. Burstrom, R. E. Deiner, S. Evans, K. Leung, J. Lewis, M. C. Mahboobi, S. McSwain, J. Rooke, A. Whittington | Perioperative Medicine | 2020 |
aged |
| Evaluation of an Educational Intervention Utilizing Nurse "Champions" and Nurses' Documentation of Intensive Care Unit Delirium | DeForge, C. E. Yip, N. H. Dzierba, A. L. Ryan, P. G. Larson, E. L. | Dimens Crit Care Nurs | 2020 |
Cognitive interventions |
| Effect of early cognitive interventions on delirium in critically ill patients: a systematic review | Deemer, K. Zjadewicz, K. Fiest, K. Oviatt, S. Parsons, M. Myhre, B. Posadas-Calleja, J. | Can J Anaesth | 2020 |
Cognitive interventions |
| C-Reactive Protein and Procalcitonin Levels May Not Predict Delirium in Critically Ill Children | Dechnik, A. Mauer, E. A. Gerber, L. M. Traube, C. | Pediatr Crit Care Med | 2020 | |
| ‘Nonagenarians’ with a hip fracture: is a different orthogeriatric treatment strategy necessary? | de Groot, R. Nijmeijer, W. S. Folbert, E. C. Vollenbroek-Hutten, M. M. R. Hegeman, J. H. | Archives of Osteoporosis | 2020 |
cannulated screw |
| A quality improvement project for delirium prevention and management over the Greater Manchester Critical Care Network | Davis, J. Berry, K. McIntyre, R. Conway, D. Thomas, A. Hanison, J. | Journal of the Intensive Care Society | 2020 |
Delirium Critical Care Critical Illness Delirium Care Bundles Patient Care Bundles |
| Relationship Between Pain, Opioid Treatment, and Delirium in Older Emergency Department Patients | Daoust, R. Paquet, J. Boucher, V. Pelletier, M. Gouin, É Émond, M. | Acad Emerg Med | 2020 | |
| Impact of Early Reinitiation of Neuropsychiatric Medications on Agitation and Delirium in the Intensive Care Unit: A Retrospective Study | Cucci, M. D. Cunningham, B. S. Patel, J. S. Shimer, A. T. Mofleh, D. I. Mullen, C. L. | Ann Pharmacother | 2020 |
agitation |
| Valproic Acid for the Management of Agitation and Delirium in the Intensive Care Setting: A Retrospective Analysis | Crowley, K. E. Urben, L. Hacobian, G. Geiger, K. L. | Clin Ther | 2020 |
agitation |
| Multimodal Pain Management and Postoperative Outcomes in Lumbar Spine Fusion Surgery: A Population-based Cohort Study | Cozowicz, C. Bekeris, J. Poeran, J. Zubizarreta, N. Schwenk, E. Girardi, F. Memtsoudis, S. G. | Spine (Phila Pa 1976) | 2020 | |
| Systematic symptom and problem assessment at admission to the palliative care ward - Perspectives and prognostic impacts | Coym, A. Ullrich, A. Hackspiel, L. K. Ahrenholz, M. Bokemeyer, C. Oechsle, K. | BMC Palliative Care | 2020 |
adult |
| What are we asking for when requesting "Specialling" for the confused hospitalised older person? A concept analysis | Coyle, M. A. Wilson, V. Lapkin, S. Traynor, V. | Int J Older People Nurs | 2020 |
acute care |
| Delirium accompanies kidney dysfunction in hospitalized elderly patients | Coppolino, G. Castagna, A. Provenzano, M. Ruberto, C. Leonardi, G. Greco, L. Battaglia, G. G. Cerra, R. P. Andreucci, M. Bolignano, D. Ruotolo, G. | Journal of Gerontology and Geriatrics | 2020 |
low density lipoprotein cholesterol |
| An observational study of older patient specialling in acute hospital settings | Cook, J. Palesy, D. Lapkin, S. Chenoweth, L. | Int J Older People Nurs | 2020 |
acute hospital |
| Fundamental care for people with cognitive impairment in the hospital setting: A study combining positive organisational scholarship and video-reflexive ethnography | Collier, A. De Bellis, A. Hosie, A. Dadich, A. Symonds, T. Prendergast, J. Rodrigues, J. Bevan, A. | J Clin Nurs | 2020 |
Gait speed |
| Comparison of multidimensional frailty score, grip strength, and gait speed in older surgical patients | Choi, J. Y. Kim, K. I. Choi, Y. Ahn, S. H. Kang, E. Oh, H. K. Kim, D. W. Kim, E. K. Yoon, Y. S. Kang, S. B. Kim, H. H. Han, H. S. Kim, C. H. | J Cachexia Sarcopenia Muscle | 2020 |
Gait speed |
| Sleep Disturbance Strongly Related to the Development of Postoperative Delirium in Proximal Femoral Fracture Patients Aged 60 or Older | Cho, M. R. Song, S. K. Ryu, C. H. | Hip Pelvis | 2020 |
Delirium |
| Variation in the Management of Pain, Agitation, and Delirium in Intensive Care Units in British Columbia | Chiu, J. A. Shergill, M. Dhingra, V. Ronco, J. J. LeBlanc, A. Pamplin, C. McKeown, S. Dodek, P. M. | Am J Crit Care | 2020 | |
| Is hospitalisation a risk factor for cognitive decline in the elderly? | Chinnappa-Quinn, L. Bennett, M. Makkar, S. R. Kochan, N. A. Crawford, J. D. Sachdev, P. S. | Curr Opin Psychiatry | 2020 | |
| Clinical studies on the relationship of the short duration of use of midazolam with the occurrence of delirium in icu patients with mechanical ventilation | Chen, Z. F. | Farmacia | 2020 |
midazolam |
| Preoperative Circulating MiR-210, a Risk Factor for Postoperative Delirium among Elderly Patients with Gastric Cancer Undergoing Curative Resection | Chen, Y. Zheng, J. Chen, J. | Curr Pharm Des | 2020 |
Gastric cancer |
| The Incidence and Predictors of Postoperative Delirium After Brain Tumor Resection in Adults: A Cross-Sectional Survey | Chen, H. Jiang, H. Chen, B. Fan, L. Shi, W. Jin, Y. Ren, X. Lang, L. Zhu, F. | World Neurosurg | 2020 |
Delirium |
| Baclofen has a risk of encephalopathy in older adults receiving dialysis | Chauvin, K. J. Blake, P. G. Garg, A. X. Weir, M. A. Bathini, L. Dixon, S. N. McArthur, E. Sontrop, J. M. Moist, L. Kim, R. B. Muanda, F. T. | Kidney Int | 2020 |
baclofen |
| Delirium Among Hospitalized Older Adults in Thailand: An Integrative Review | Chang, H. C. R. Neal, K. Traynor, V. Ho, M. H. Kankom, W. | J Gerontol Nurs | 2020 | |
| American Society for Enhanced Recovery and Perioperative quality initiative joint consensus statement on the role of neuromonitoring in perioperative outcomes: Electroencephalography | Chan, M. T. V. Hedrick, T. L. Egan, T. D. García, P. S. Koch, S. Purdon, P. L. Ramsay, M. A. Miller, T. E. McEvoy, M. D. Gan, T. J. Hughes, C. G. Boncyk, C. S. Culley, D. J. Fleisher, L. A. Leung, J. M. McDonagh, D. L. Thiele, R. H. Shaw, A. Bartels, K. | Anesthesia and Analgesia | 2020 |
anesthesiologist |
| Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients | Celis-Rodríguez, E. Díaz Cortés, J. C. Cárdenas Bolívar, Y. R. Carrizosa González, J. A. Pinilla, D. I. Ferrer Záccaro, L. E. Birchenall, C. Caballero López, J. Argüello, B. M. Castillo Abrego, G. Castorena Arellano, G. Dueñas Castell, C. Jáure | Med Intensiva | 2020 |
Agitación |
| Patient care during the COVID-19 pandemic: do not leave delirium behind | Castro, R. E. V. Garcez, F. B. Avelino-Silva, T. J. | Braz J Psychiatry | 2020 | |
| The financial and social costs of delirium | Caplan, G. A. Teodorczuk, A. Streatfeild, J. Agar, M. R. | European Geriatric Medicine | 2020 |
cost control |
| Clinical impression for identification of vulnerable older patients in the emergency department | Calf, A. H. Lubbers, S. van den Berg, A. A. van den Berg, E. Jansen, C. J. van Munster, B. C. de Rooij, S. E. Ter Maaten, J. C. | Eur J Emerg Med | 2020 | |
| Is Delirium Pediatric Confusion Assessment Method Tools Confiable? | Caino de Oliveira, F. R. Ribeiro de Araujo, O. Brunow de Carvalho, W. | Pediatr Crit Care Med | 2020 |
Brazil |
| Research in brief: Inpatient hip fractures and nomenclature of delirium and acute encephalopathy | Cacciottolo, T. M. Ferrigan, L. | Clin Med (Lond) | 2020 | |
| Prolonged Confusional state as first manifestation of COVID-19 | Butt, I. Sawlani, V. Geberhiwot, T. | Ann Clin Transl Neurol | 2020 |
Covid-19 |
| Delirium After Withdrawal From Valerian Root: A Case Report | Burke, H. Jiang, S. Chatham, P. Stern, T. A. | Psychosomatics | 2020 | |
| Deciphering delirium through semantics: a selective synopsis | Bugiani, O. | Neurol Sci | 2020 |
Ageing |
| Predicting incident delirium diagnoses using data from primary-care electronic health records | Bowman, K. Jones, L. Masoli, J. Mujica-Mota, R. Strain, D. Butchart, J. Valderas, J. M. Fortinsky, R. H. Melzer, D. Delgado, J. | Age Ageing | 2020 |
at home |
| Comparison of Self-Reported and Behavioral Pain Assessment Tools in Critically Ill Patients | Bouajram, R. H. Sebat, C. M. Love, D. Louie, E. L. Wilson, M. D. Duby, J. J. | J Intensive Care Med | 2020 |
Behavioral Pain Scale |
| Practical Training of Anesthesia Clinicians in Electroencephalogram-Based Determination of Hypnotic Depth of General Anesthesia | Bombardieri, A. M. Wildes, T. S. Stevens, T. Wolfson, M. Steinhorn, R. Ben Abdallah, A. Sleigh, J. Avidan, M. S. | Anesth Analg | 2020 |
Anesthesia, Inhalation |
| A multisite study of nurse-reported perceptions and practice of ABCDEF bundle components | Boehm, L. M. Pun, B. T. Stollings, J. L. Girard, T. D. Rock, P. Hough, C. L. Hsieh, S. J. Khan, B. A. Owens, R. L. Schmidt, G. A. Smith, S. Ely, E. W. | Intensive Crit Care Nurs | 2020 |
ABCDEF bundle |
| Cognitive impairment, clinical symptoms and functional disability in patients emerging from the minimally conscious state | Bodien, Y. G. Martens, G. Ostrow, J. Sheau, K. Giacino, J. T. | NeuroRehabilitation | 2020 |
adult |
| Effect of intravenous iron on functional outcomes in hip fracture: a randomised controlled trial | Bielza, R. Llorente, J. Thuissard, I. J. Andreu-Vázquez, C. Blanco, D. Sanjurjo, J. López, N. Herráez, M. R. Molano, C. Morales, A. Arias, E. Neira, M. Lung, A. Escalera, J. Portillo, L. Larrubia, Y. García, C. Zambrana, F. Gómez Cerezo, J. | Age Ageing | 2020 |
anaemia |
| Tapering with Pharmaceutical GHB or Benzodiazepines for Detoxification in GHB-Dependent Patients: A Matched-Subject Observational Study of Treatment-as-Usual in Belgium and The Netherlands | Beurmanjer, H. Luykx, J. J. De Wilde, B. van Rompaey, K. Buwalda, V. J. A. De Jong, C. A. J. Dijkstra, B. A. G. Schellekens, A. F. A. | CNS Drugs | 2020 | |
| Clinical characteristics and outcomes of inpatients with neurologic disease and COVID-19 in Brescia, Lombardy, Italy | Benussi, A. Pilotto, A. Premi, E. Libri, I. Giunta, M. Agosti, C. Alberici, A. Baldelli, E. Benini, M. Bonacina, S. Brambilla, L. Caratozzolo, S. Cortinovis, M. Costa, A. Piccinelli, S. C. Cottini, E. Cristillo, V. Delrio, I. Filosto, M. Gamba, M. Gazzina | Neurology | 2020 | |
| Palliative sedation: beliefs and decision-making among Spanish palliative care physicians | Benítez-Rosario, M. A. Ascanio-León, B. | Support Care Cancer | 2020 |
Cancer patients |
| A Tunisian version of the confusion assessment method for the intensive care unit (CAM-ICU): translation and validation | Ben Saida, I. Kortli, S. Amamou, B. Kacem, N. Ghardallou, M. Ely, E. W. Ben Saad, H. Boussarsar, M. | BMC Psychiatry | 2020 |
Critical illness |
| 'Socialised care futility' in the care of older people in hospital who call out repetitively: An ethnographic study | Beaver, J. Goldberg, S. E. Edgley, A. Harwood, R. H. | Int J Nurs Stud | 2020 |
Acute hospitals |
| Delirium in COVID-19: A case series and exploration of potential mechanisms for central nervous system involvement | Beach, S. R. Praschan, N. C. Hogan, C. Dotson, S. Merideth, F. Kontos, N. Fricchione, G. L. Smith, F. A. | Gen Hosp Psychiatry | 2020 |
Akinetic mutism |
| Prevalence of delirium in intensive care patients and association with sedoanalgesia, severity and mortality | Bastos, A. S. Beccaria, L. M. Silva, D. C. D. Barbosa, T. P. | Revista gaucha de enfermagem | 2020 |
adult |
| Antipsychotics and the Risk of Mortality or Cardiopulmonary Arrest in Hospitalized Adults | Basciotta, M. Zhou, W. Ngo, L. Donnino, M. Marcantonio, E. R. Herzig, S. J. | J Am Geriatr Soc | 2020 |
antipsychotics |
| Comprehensive analysis of in-hospital delirium after major surgical oncology procedures: A population-based study | Bandini, M. Marchioni, M. Preisser, F. Nazzani, S. Tian, Z. Graefen, M. Montorsi, F. Saad, F. Shariat, S. F. Schips, L. Briganti, A. Karakiewicz, P. I. | Can Urol Assoc J | 2020 |
adult |
| Sepsis Associated Delirium | Atterton, B. Paulino, M. C. Povoa, P. Martin-Loeches, I. | Medicina (Kaunas) | 2020 |
adult |
| Melatonin for delirium prevention in acute medically ill, and perioperative geriatric patients | Asleson, D. R. Chiu, A. W. | Aging Medicine | 2020 |
adult |
| The short- And long-term outcomes of esophagectomy for esophageal cancer in patients older than 75 years | Aoyama, T. Hara, K. Kazama, K. Atsumi, Y. Tamagawa, H. Tamagawa, A. MacHida, D. Komori, K. Maezawa, Y. Kano, K. Hashimoto, I. Oshima, T. Murakawa, M. Numata, M. Yukawa, N. Masuda, M. Rino, Y. | Anticancer Research | 2020 |
antineoplastic agent |
| National French survey of COVID-19 symptoms in people aged 70 and over | Annweiler, C. Sacco, G. Salles, N. Aquino, J. P. Gautier, J. Berrut, G. Guérin, O. Gavazzi, G. | Clin Infect Dis | 2020 | |
| COVID-19: ICU delirium management during SARS-CoV-2 pandemic-pharmacological considerations | Andrews, L. J. Benken, S. T. | Crit Care | 2020 |
Betacoronavirus |
| The Intersection of Architecture/Medicine/Quality and the Clinical Nurse Specialist: Designing for the Prevention of Delirium | Anderson, D. C. Jacoby, S. R. Scruth, E. A. | Clinical nurse specialist CNS | 2020 | |
| The Agents Intervening against Delirium in the Intensive Care Unit-Trial (AID-ICU trial):- a detailed statistical analysis plan | Andersen-Ranberg, N. Poulsen, L. M. Perner, A. Wetterslev, J. Mathiesen, O. Mortensen, C. B. Estrup, S. Ebdrup, B. H. Hästbacka, J. Citerio, G. Caballero, J. Morgan, M. P. G. Oxenbøll-Collet, M. Weber, S. O. Andreasen, A. S. Bestle, M. H. Pedersen, H. B | Acta Anaesthesiol Scand | 2020 | |
| A systematic review of the overlap of fluid biomarkers in delirium and advanced cancer-related syndromes | Amgarth-Duff, I. Hosie, A. Caplan, G. Agar, M. | BMC Psychiatry | 2020 |
Advanced cancer |
| Toward best practice methods for delirium biomarker studies: An international modified Delphi study | Amgarth-Duff, I. Hosie, A. Caplan, G. Agar, M. | Int J Geriatr Psychiatry | 2020 |
consensus |
| Preoperative cognitive dysfunction in older elective noncardiac surgical patients in South Africa | Amado, L. A. Perrie, H. Scribante, J. Ben-Israel, K. A. | Br J Anaesth | 2020 |
Mini-Cog |
| The etiology and age-related properties of patients with delirium in coronary intensive care unit and its effects on inhospital and follow up prognosis | Altay, S. Gürdoğan, M. Kaya, Ç Kardaş, F. Zeybey, U. Çakir, B. Ebik, M. Demir, M. | Ideggyogy Sz | 2020 |
delirium in coronary intensive care unit |