What is the Delirium Bibliography? The searchable Delirium Bibliography page is one of our most popular features, allowing you to quickly gain access to the literature on delirium and acute care of older persons. It is primarily intended for clinicians and researchers interested in exploring these topics. The NIDUS team keeps it updated for you on a monthly basis!
How to Search for Articles: Search by author, title, year, and/or keywords. Each article is indexed by keywords taken from MEDLINE and other relevant databases. Click on the title of the article to read the abstract, journal, etc.
Reference Information
- Title
- Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery.
- Authors
- Miller, D. Lewis, S. R. Pritchard, M. W. Schofield-Robinson, O. J. Shelton, C. L. Alderson, P. Smith, A. F.
- Year
- 2018
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
BACKGROUND: The use of anaesthetics in the elderly surgical population (more than 60 years of age) is increasing. Postoperative delirium, an acute condition characterized by reduced awareness of the environment and a disturbance in attention, typically occurs between 24 and 72 hours after surgery and can affect up to 60% of elderly surgical patients. Postoperative cognitive dysfunction (POCD) is a new-onset of cognitive impairment which may persist for weeks or months after surgery.Traditionally, surgical anaesthesia has been maintained with inhalational agents. End-tidal concentrations require adjustment to balance the risks of accidental awareness and excessive dosing in elderly people. As an alternative, propofol-based total intravenous anaesthesia (TIVA) offers a more rapid recovery and reduces postoperative nausea and vomiting. Using TIVA with a target controlled infusion (TCI) allows plasma and effect-site concentrations to be calculated using an algorithm based on age, gender, weight and height of the patient.TIVA is a viable alternative to inhalational maintenance agents for surgical anaesthesia in elderly people. However, in terms of postoperative cognitive outcomes, the optimal technique is unknown. OBJECTIVES: To compare maintenance of general anaesthesia for elderly people undergoing non-cardiac surgery using propofol-based TIVA or inhalational anaesthesia on postoperative cognitive function, mortality, risk of hypotension, length of stay in the postanaesthesia care unit (PACU), and hospital stay. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2017, Issue 11), MEDLINE (1946 to November 2017), Embase (1974 to November 2017), PsycINFO (1887 to November 2017). We searched clinical trials registers for ongoing studies, and conducted backward and forward citation searching of relevant articles. SELECTION CRITERIA: We included randomized controlled trials (RCTs) with participants over 60 years of age scheduled for non-cardiac surgery under general anaesthesia. We planned to also include quasi-randomized trials. We compared maintenance of anaesthesia with propofol-based TIVA versus inhalational maintenance of anaesthesia. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed studies for inclusion, extracted data, assessed risk of bias, and synthesized findings. MAIN RESULTS: We included 28 RCTs with 4507 randomized participants undergoing different types of surgery (predominantly cardiovascular, laparoscopic, abdominal, orthopaedic and ophthalmic procedures). We found no quasi-randomized trials. Four studies are awaiting classification because we had insufficient information to assess eligibility.All studies compared maintenance with propofol-based TIVA versus inhalational maintenance of anaesthesia. Six studies were multi-arm and included additional TIVA groups, additional inhalational maintenance or both. Inhalational maintenance agents included sevoflurane (19 studies), isoflurane (eight studies), and desflurane (three studies), and was not specified in one study (reported as an abstract). Some studies also reported use of epidural analgesia/anaesthesia, fentanyl and remifentanil.We found insufficient reporting of randomization methods in many studies and all studies were at high risk of performance bias because it was not feasible to blind anaesthetists to study groups. Thirteen studies described blinding of outcome assessors. Three studies had a high of risk of attrition bias, and we noted differences in the use of analgesics between groups in six studies, and differences in baseline characteristics in five studies. Few studies reported clinical trials registration, which prevented assessment of risk of selective reporting bias.We found no evidence of a difference in incidences of postoperative delirium according to type of anaesthetic maintenance agents (odds ratio (OR) 0.59, 95% confidence interval (CI) 0.15 to 2.26; 321 participants; five studies; very low-certainty evidence); we noted during sensitivity analysis that using different time points in one study may influence direction of this result. Thirteen studies (3215 participants) reported POCD, and of these, six studies reported data that could not be pooled; we noted no difference in scores of POCD in four of these and in one study, data were at a time point incomparable to other studies. We excluded one large study from meta-analysis because study investigators had used non-standard anaesthetic management and this study was not methodologically comparable to other studies. We combined data for seven studies and found low-certainty evidence that TIVA may reduce POCD (OR 0.52, 95% CI 0.31 to 0.87; 869 participants).We found no evidence of a difference in mortality at 30 days (OR 1.21, 95% CI 0.33 to 4.45; 271 participants; three studies; very low-certainty evidence). Twelve studies reported intraoperative hypotension. We did not perform meta-analysis for 11 studies for this outcome. We noted visual inconsistencies in these data, which may be explained by possible variation in clinical management and medication used to manage hypotension in each study (downgraded to low-certainty evidence); one study reported data in a format that could not be combined and we noted little or no difference between groups in intraoperative hypotension for this study. Eight studies reported length of stay in the PACU, and we did not perform meta-analysis for seven studies. We noted visual inconsistencies in these data, which may be explained by possible differences in definition of time points for this outcome (downgraded to very low-certainty evidence); data were unclearly reported in one study. We found no evidence of a difference in length of hospital stay according to type of anaesthetic maintenance agent (mean difference (MD) 0 days, 95% CI -1.32 to 1.32; 175 participants; four studies; very low-certainty evidence).We used the GRADE approach to downgrade the certainty of the evidence for each outcome. Reasons for downgrading included: study limitations, because some included studies insufficiently reported randomization methods, had high attrition bias, or high risk of selective reporting bias; imprecision, because we found few studies; inconsistency, because we noted heterogeneity across studies. AUTHORS’ CONCLUSIONS: We are uncertain whether maintenance with propofol-based TIVA or with inhalational agents affect incidences of postoperative delirium, mortality, or length of hospital stay because certainty of the evidence was very low. We found low-certainty evidence that maintenance with propofol-based TIVA may reduce POCD. We were unable to perform meta-analysis for intraoperative hypotension or length of stay in the PACU because of heterogeneity between studies. We identified 11 ongoing studies from clinical trials register searches; inclusion of these studies in future review updates may provide more certainty for the review outcomes.
- PMID
- Keywords
Aged
Anesthesia, Inhalation
Anesthesia, Intravenous
Anesthetics, Inhalation
Anesthetics, Intravenous/*adverse effects
Cognition/*drug effects
Cognition Disorders/chemically induced
Delirium/chemically induced
Desflurane
Humans
Hypotension/chemically induced
Isoflurane/adverse effects/analogs & derivatives
Methyl Ethers/adverse effects
Middle Aged
Postoperative Complications/chemically induced/mortality
Propofol/*adverse effects
Randomized Controlled Trials as Topic
Sevoflurane
*Surgical Procedures, Operative
- Page(s)
- Volume
- 8
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Effect of clock rhythm on emergence agitation and early postoperative delirium in older adults undergoing thoracoscopic lung cancer surgery: protocol for a prospective, observational, cohort study | Jiang, L. Wang, J. Chen, W. Wang, Z. Xiong, W. | BMC Geriatr | 2024 |
Humans |
| Scientific rationale for the use of α2A-adrenoceptor agonists in treating neuroinflammatory cognitive disorders | Arnsten, A. F. T. Ishizawa, Y. Xie, Z. | Mol Psychiatry | 2023 |
Humans |
| The role of perioperative sedative anesthetics in preventing postoperative delirium: a systematic review and network-meta analysis including 6679 patients | Huang, J. X. Zhang, S. S. Wang, S. X. Xi, D. S. Luo, F. R. Liu, C. J. Li, H. | BMC Cardiovasc Disord | 2024 |
PMID: 38448835 PMCID: PMC10916082 |
| Preventive Effects of Melatonin on Delirium in Intensive Care Unit Patients: A Meta-Analysis of Randomized Controlled Trials | Zhao, L. Feng, Z. Wang, Q. Jiang, Z. Qiu, X. | Altern Ther Health Med | 2024 |
ICU Delirium Melatonin Length of Stay Meta-Analysis Mechanical Ventilation |
| Mitochondrial Dysfunction of Peripheral Platelets as a Predictive Biomarker for Postoperative Delirium in Elderly Patients | Yang, Y. Zhang, W. Liu, Y. Liu, X. Xie, J. Xu, R. Huang, Y. Hao, J. Sun, Y. Gu, X. Ma, Z. | Ann Neurol | 2024 |
Postoperative Delirium Bioenergetic Health Index Surgery Mitochondria MMSE
|
| Effect of Esketamine on Postoperative Delirium in Patients Undergoing Cardiac Valve Replacement with Cardiopulmonary Bypass: A Randomized Controlled Trial | Xiong, X. Shao, Y. Chen, D. Chen, B. Lan, X. Shi, J. | Anesth Analg | 2024 |
Postoperative Delirium Esketamine Cardiac Valve Replacement Cardiopulmonary Bypass CAM CAM-ICU MMSE |
| Prolonged Hourly Neurologic Examinations are Associated with Increased Delirium and No Discernible Benefit in Mild/Moderate Geriatric Traumatic Brain Injury | Ruiz, R. A. F. Canas, M. Diaz, L. Aldana, J. A. Afzal, H. Falcon, A. F. Del Toro, D. Day, A. McCarthy, J. Stansfield, K. Bochicchio, G. V. Niziolek, G. Kranker, L. M. Rosengart, M. R. Hoofnagle, M. Leonard, J. | J Trauma Acute Care Surg | 2024 |
NeuroChecks Delirium TBI CAM-ICU |
| Association of Intravenous Neostigmine and Anticholinergics or Sugammadex with Postoperative Delirium: A Retrospective Cohort Study | Rössler, J. Abramczyk, E. Paredes, S. Anusic, N. Pu, X. Maheshwari, K. Turan, A. Ruetzler, K. | Anesth Analg | 2024 |
bCAM Postoperative Delirium Sugammadex Neostigmine Anesthesia Noncardiac Surgery |
| Metformin Use in Type 2 Diabetics and Delirium After Noncardiac Surgery: A Retrospective Cohort Analysis | Paredes, S. Harb, A. Rössler, J. Nikoo, M. Z. Ruetzler, K. Turan, A. Pu, X. Sessler, D. I. | Anesth Analg | 2024 |
Type 2 Diabetes CAM-ICU bCAM Postoperative Delirium Metformin
|
| Preoperative Intrathecal Morphine is Associated With Reduced Postoperative Pain, Agitation, and Delirium In Living Donor Kidney Transplantation Recipients | Lee, J. E. Lee, K. W. Gil, E. Park, J. B. Kim, B. J. Kim, H. Y. Kim, G. S. | Transplant Proc | 2024 |
Kidney Transplant Postoperative Delirium Intrathecal Morphine CAM-ICU Postoperative Pain Anesthesia |
| Neuropsychological follow-up of isoflurane sedated intensive care patients: a substudy of a randomized trial | Fuchs, V. F. Simon, H. V. Soldinger, N. Volk, T. Meiser, A. | Minerva Anestesiol | 2024 |
Critical care Isoflurane Propofol Delirium |
| Feasibility and Acceptability of Using Wireless Limited Polysomnography to Capture Sleep Before, During, and After Hospitalization for Patients With Planned Cardiothoracic Surgery | Cordoza, M. L. Anderson, B. J. Cevasco, M. Diamond, J. M. Younes, M. Gerardy, B. Iroegbu, C. Riegel, B. | J Cardiovasc Nurs | 2024 |
Critical Illness Intensive Care Unit Polysomnography Sleep Thoracic Surgery |
| Antipsychotics in the Treatment of Delirium in Critically Ill Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials | Carayannopoulos, K. L. Alshamsi, F. Chaudhuri, D. Spatafora, L. Piticaru, J. Campbell, K. Alhazzani, W. Lewis, K. | Crit Care Med | 2024 |
Antipsychotic medication Delirium Systematic review Critically Ill Cognitive Impairment Coma |
| Burnout and perceived burden levels related to delirium in physicians and nurses | Yamagata, H. Takihara, T. Kobayashi, R. Hirose, K. Higuchi, K. Miyahara, M. Komatsu, D. | Gen Hosp Psychiatry | 2024 |
Humans |
| Bell's mania as a clinical presentation in a neurosurgical setting from a tertiary care neuropsychiatric hospital in India | Mamtani, H. Utagi, S. Chaurasia, K. K. Reddy, P. V. Arasappa, R. Prasad, C. Srinivas, D. Rao, M. B. Thippeswamy, H. | Indian J Psychiatry | 2024 |
Craniopharyngioma |
| Correlation analysis between plasma biomarkers albumin, fibrinogen, and their ratio with postoperative delirium in patients undergoing non-cardiac surgery: a systematic review and meta-analysis | Lu, Z. Wang, B. Liu, M. Yu, D. Li, J. | Am J Transl Res | 2024 |
Albumin |
| Risk factors for hypoactive delirium in patients with nontraumatic ARDS: a prospective observational study | Lian, F. Li, F. Tang, X. Yuan, Y. | Sci Rep | 2024 |
Humans |
| Current Practices and Attitudes of Cardiac Nurses Regarding Cognitive Screening in Patients With Acute Coronary Syndrome | Zhao, E. Lowres, N. Bloomfield, J. Weddell, J. Tofler, G. Gallagher, R. | Heart Lung Circ | 2024 |
Acute coronary syndrome |
| Related factors of delirium after transsphenoidal endoscopic pituitary adenoma resection-A matched retrospective cohort study | Zhang, S. Chen, Y. Wang, X. Liu, J. Chen, Y. Zhang, G. | J Clin Neurosci | 2024 |
Neuroendoscopy |
| Prevalence of post-stroke delirium in acute settings: A systematic review and meta-analysis | Ye, F. Ho, M. H. Lee, J. J. | Int J Nurs Stud | 2024 |
Acute setting |
| Predictive factors for postoperative delirium in thoracic surgery | Yaguchi, T. Ichinokawa, H. Kirino, E. Suzuki, M. Komori, K. Matsunaga, T. Takamochi, K. Suzuki, K. | Gen Thorac Cardiovasc Surg | 2024 |
Postoperative delirium |
| Preoperative cognitive impairment and postoperative delirium among Holocaust survivors who achieved longevity | Weiss, Y. Zarour, S. Kiselevich, Y. Abu Ghanim, M. Hikry, D. Sinai Brzezinski, I. Zac, L. Cohen, B. Matot, I. | J Am Geriatr Soc | 2024 |
Holocaust |
| Substance use problems and disorders among adults 50 years and older receiving mental health treatment for a primary neurocognitive disorder | Ware, O. D. Baik, S. Becker, T. D. Neukrug, H. Zimmerman, S. | Aging Ment Health |
Aging |
|
| The risk of delirium after sedation with propofol or midazolam in intensive care unit patients | van Gelder, T. G. van Diem-Zaal, I. J. Dijkstra-Kersten, S. M. A. de Mul, N. Lalmohamed, A. Slooter, A. J. C. | Br J Clin Pharmacol | 2024 |
critical care |
| Incidence and Risk Factors for ICU-Associated Delirium in the Alert Geriatric Trauma Population | Ulderich Williams, S. C. Qaddoumi, A. I. Meghreblian, J. T. McBride, M. E. King, S. A. Elahi, M. A. Tuggle, D. Heidel, R. E. Smith, L. M. | Am Surg | 2024 |
Glasgow Coma Score |
| Opioid use and subsequent delirium risk in patients with advanced cancer in palliative care: a multicenter registry study | Yoo, S. H. Kang, J. Kim, H. J. Lee, S. W. Hong, M. Jung, E. H. Kim, Y. J. Yon, D. K. Kang, B. | Sci Rep | 2024 |
Humans |
| Point prevalence and clinical profile of patients with delirium admitted in internal medicine department at tertiary care centre in eastern Nepal: a descriptive cross-sectional study | Yogi, T. N. Puri, S. Shah, B. Nepal, S. Mishra, A. | Ann Med Surg (Lond) | 2024 |
alcoholism |
| Reducing the use of psychotropics in a convalescent rehabilitation ward | Uematsu, T. Tomita, T. Obara, R. Gonai, T. Hattori, K. Aonuma, T. Usui, K. Tanifuji, H. Ishizawa, F. Ishii, H. Suzuki, E. | Neuropsychopharmacol Rep | 2024 |
Humans |
| The impact of postoperative agitated delirium on dementia in surgical patients | Sun, M. Chen, W. M. Wu, S. Y. Zhang, J. | Brain Commun | 2024 |
Psm |
| The impact of postoperative agitated delirium on dementia in surgical patients | Sun, M. Chen, W. M. Wu, S. Y. Zhang, J. | Brain Commun | 2024 |
Psm |
| Effects of human herpesvirus 6B reactivation on cognitive function in cord blood transplant recipients: a prospective multicenter study | Ogata, M. Oshima, K. Takano, K. Kawano, R. Ueda, Y. Imamura, T. Nakamura, Y. Okada, T. Toubai, T. Ueki, T. Uoshima, N. Ishida, H. Shinohara, A. Seo, S. Fukuda, T. Inagaki, M. | Int J Hematol | 2024 |
Humans |
| Modification in ICU Design May Affect Delirium and Circadian Melatonin: A Proof of Concept Pilot Study | Spies, C. Piazena, H. Deja, M. Wernecke, K. D. Willemeit, T. Luetz, A. | Crit Care Med | 2024 |
Adult |
| The effect of nonpharmacological interventions applied by nurses to intensive care patients on the duration of delirium: a meta-analysis study | Söylemez, G. K. Uzun, S. | Ir J Med Sci | 2024 |
Humans |
| Prevalence, risk factors and impact of delirium in adult inpatients in a tertiary care hospital: A point prevalence study | Schiess, C. Hofer, L. Von Felten, S. Bartussek, J. Petry, H. Ernst, J. | J Clin Nurs | 2024 |
cross-sectional studies |
| The association between cerebral blood flow variations during on-pump coronary artery bypass grafting surgery and postoperative delirium | Sampaolesi, C. Casarotta, E. Gresti, G. Mariotti, G. Pisani, L. Veccia, D. Di Eusanio, M. Malvindi, P. G. Donati, A. Münch, C. M. | Perfusion | 2024 |
cerebral blood flow |
| Correlation of Sedation Depth During Critical Care Transport and Hospitalization | Roginski, M. A. Carroll, M. C. Trautwein, M. L. Watkins, E. D. Esteves, A. M. | J Intensive Care Med | 2024 |
Adult |
| The Health Outcomes of a Telegeriatrics Follow-Up Model on Dementia Patients and Their Caregivers in Cairo | Mossad, N. A. Hamza, S. A. Wahba, H. M. F. Youssif, H. Y. Tolba, M. F. | Telemed J E Health | 2024 |
caregiver satisfaction |
| Protect the neck: Devastating outcomes of cervical spine fractures in the elderly | Mormol, J. Krech, L. Pounders, S. Fisk, C. Chapman, A. Karek, M. Hing, K. K. | Am J Surg | 2024 |
Aged |
| Prevalence of clinical electroencephalography findings in stroke patients with delirium | Mintz, N. B. Andrews, N. Pan, K. Bessette, E. Asaad, W. F. Sherif, M. Rubinos, C. Mahta, A. Girard, T. D. Reznik, M. E. | Clin Neurophysiol | 2024 |
Delirium |
| Insulin resistance and osteocalcin associate with the incidence and severity of postoperative delirium in elderly patients undergoing joint replacement | Mi, Y. Wen, O. Lei, Z. Ge, L. Xing, L. Xi, H. | Geriatr Gerontol Int | 2024 |
elderly patients |
| Single-channel qEEG characteristics distinguish delirium from no delirium, but not postoperative from non-postoperative delirium | Lodema, D. Y. Ditzel, F. L. Hut, S. C. A. van Dellen, E. Otte, W. M. Slooter, A. J. C. | Clin Neurophysiol |
Acute encephalopathy |
|
| A Mendelian randomization-based study of the causal relationship between leisure sedentary behavior and delirium | Liu, C. Lv, X. Meng, L. Li, J. Cao, G. | J Affect Disord | 2024 |
Causal relationship |
| Understanding family carer experiences and perceptions of engagement in delirium prevention and care for adults in hospital: Qualitative systematic review | Lee-Steere, K. Mudge, A. Liddle, J. Bennett, S. | J Clin Nurs | 2024 |
Adult |
| The use of the DOS and Delirium Prevalence: a quantitative longitudinal study at a Swiss-German central hospital | Lauffer-Vogt, S. U. Hediger, H. Lauener, S. K. Schubert, M. | Pflege | 2024 |
Female |
| Melatonin does not reduce delirium severity in hospitalized older adults: Results of a randomized placebo-controlled trial | Lange, P. W. Turbić, A. Soh, C. H. Clayton-Chubb, D. Lim, W. K. Conyers, R. Watson, R. Maier, A. B. | J Am Geriatr Soc | 2024 |
aged neurocognitive disorders |
| Immunological Analysis of Postoperative Delirium after Thoracic Aortic Surgery | Ko, H. Kayumov, M. Lee, K. S. Oh, S. G. Na, K. J. Jeong, I. S. | J Chest Surg | 2024 |
Aorta |
| Risk Factors for Postoperative Cognitive Decline After Orthopedic Surgery in Elderly Chinese Patients: A Retrospective Cohort Study | Li, X. Lai, H. Wang, P. Feng, S. Feng, X. Kong, C. Wu, D. Yin, C. Shen, J. Yan, S. Han, R. Liu, J. Ren, X. Li, Y. Tang, L. Xue, D. Zhao, Y. Huang, H. Li, X. Zhang, Y. Wang, X. Wang, C. Jin, P. Lu, S. Wang, T. Zhao, G. Wang, C. | Clin Interv Aging | 2024 |
Aged |
| Clinical Impact of the Implementation Strategies Used to Apply the 2013 Pain, Agitation/Sedation, Delirium or 2018 Pain, Agitation/Sedation, Delirium, Immobility, Sleep Disruption Guideline Recommendations: A Systematic Review and Meta-Analysis | Hume, N. E. Zerfas, I. Wong, A. Klein-Fedyshin, M. Smithburger, P. L. Buckley, M. S. Devlin, J. W. Kane-Gill, S. L. | Crit Care Med | 2024 |
Adult |
| Delirium and incident dementia in hospital patients in New South Wales, Australia: retrospective cohort study | Gordon, E. H. Ward, D. D. Xiong, H. Berkovsky, S. Hubbard, R. E. | Bmj | 2024 |
Male |
| Effect of subanesthetic dose of esketamine on postoperative pain in elderly patients undergoing laparoscopic gastrointestinal tumor Surgery:A prospective, double-blind, randomized controlled trial | Jing, Z. Han, Y. Li, Y. Zeng, R. Wu, J. Wang, Y. Jiang, P. | Heliyon | 2024 |
Analgesia |
| Predictive Ability of Amplitude Integrated Electroencephalography for Adverse Outcomes in Neonates with Sepsis-Associated Encephalopathy: A Cohort Study | Jain, P. Saini, S. S. Sahu, J. K. Madaan, P. Sundaram, V. Dutta, S. | Indian J Pediatr | 2024 |
Cerebral function monitor |
| Perioperative knowledge, self-efficacy and clinical practices related to postoperative delirium care in older people across geographical regions in Australia | Igwe, E. O. Nealon, J. O'Shaughnessy, P. Ormonde, C. Traynor, V. | Aust J Rural Health | 2024 |
Australia |
| A survey of non-consultant hospital doctors' perspectives, knowledge, and practices toward delirium in a large Irish hospital | Hassabo, M. Mc Cluskey, P. Browne, J. Ntlholang, O. | Ir J Med Sci | 2024 |
4at |
| Dynamic delirium - Nursing intervention to reduce delirium in patients critically Ill, a randomized control trial | Gómez Tovar, L. O. Henao Castaño, A. M. | Intensive Crit Care Nurs | 2024 |
Clinical Trial |
| Delirium is more common and associated with worse outcomes in Parkinson's disease compared to older adult controls: results of two prospective longitudinal cohort studies | Gerakios, F. Yarnall, A. J. Bate, G. Wright, L. Davis, D. Stephan, B. C. M. Robinson, L. Brayne, C. Stebbins, G. Taylor, J. P. Burn, D. J. Allan, L. M. Richardson, S. J. Lawson, R. A. | Age Ageing | 2024 |
Humans |
| Effectiveness of remimazolam in preventing postoperative delirium in elderly patients with proximal femoral fractures | Fujimoto, D. Obata, N. Mizobuchi, S. | J Anesth | 2024 |
Elderly |
| Association between body mass index and delirium incidence in critically ill patients: a retrospective cohort study based on the MIMIC-IV Database | Fu, J. Zhang, X. Zhang, G. Wei, C. Fu, Q. Gui, X. Ji, Y. Chen, S. | BMJ Open | 2024 |
Humans |
| Structural disconnectivity in postoperative delirium: A perioperative two-center cohort study in older patients | Fislage, M. Winzeck, S. Woodrow, R. Lammers-Lietz, F. Stamatakis, E. A. Correia, M. M. Preller, J. Feinkohl, I. Hendrikse, J. Pischon, T. Spies, C. D. Slooter, A. J. C. Winterer, G. Menon, D. K. Zacharias, N. | Alzheimers Dement | 2024 |
brain health |
| Effects of short-term preoperative intranasal dexmedetomidine plus conventional treatment on delirium following cardiac surgery in patients with sleep disorders | Fang, J. Yang, J. Zhai, M. Zhang, Q. Zhang, M. Xie, Y. | Perioper Med (Lond) | 2024 |
Cognitive function |
| The predictive value of confusion assessment method-intensive care unit and intensive care delirium screening checklist for delirium in critically ill patients in the intensive care unit: A systematic review and meta-analysis | Diao, Y. Yu, X. Zhang, Q. Chen, X. | Nurs Crit Care | 2024 |
Cam‐icu |
| Factors associated with disagreement between clinician app-based ultra-brief Confusion Assessment Method and reference standard delirium assessments | Dhliwayo, R. Trivedi, S. Ngo, L. Fick, D. M. Inouye, S. K. Boltz, M. Leslie, D. Husser, E. Shrestha, P. Marcantonio, E. R. | J Am Geriatr Soc | 2024 |
Humans |
| Cognitive disorders in advanced Parkinson's disease: challenges in the diagnosis of delirium | Daniels, C. Rodríguez-Antigüedad, J. Jentschke, E. Kulisevsky, J. Volkmann, J. | Neurol Res Pract | 2024 |
Cognition |
| Assessment and management of delirium in a tertiary hospital-Improvements in cognitive screening and use of non-pharmacological strategies with a multidisciplinary approach | Clarke, E. Newman, E. Dravid, M. Ricciardello, M. Jones, E. Caudle, K. Kilshaw, L. Hilmi, S. Flicker, L. | Australas J Ageing | 2024 |
Humans |
| Assessment of level of knowledge, attitude, and associated factors toward delirium among health professionals working in intensive care unit multicenter, cross-sectional study, Amhara region comprehensive specialized hospitals, Northwest Ethiopia, 2023 | Ayanaw Eyayu, R. Gudayu Zeleke, T. Chekol, W. B. Yaregal Melesse, D. Enyew Ashagrie, H. | Front Public Health | 2024 |
Humans |
| The evaluation of frequency and predictors of delirium and its short-term and long-term outcomes in hospitalized older adults' | Ajmera, Y. Paul, K. Khan, M. A. Kumari, B. Kumar, N. Chatterjee, P. Dey, A. B. Chakrawarty, A. | Asian J Psychiatr | 2024 |
Humans |
| The impact of ketamine on outcomes in critically ill patients: a systematic review with meta-analysis and trial sequential analysis of randomized controlled trials | Abdildin, Y. Tapinova, K. Nemerenova, A. Viderman, D. | Acute Crit Care | 2024 |
critical care |
| Spanish transcultural adaptation of the 4AT score for the evaluation of delirium in the emergency department: a prospective diagnostic test accuracy study | Morales-Puerto, M. Ruiz-Díaz, M. García-Mayor, S. León-Campos, Á Morales-Asencio, J. M. Canca-Sánchez, J. C. Gavira-Guerra, S. Toledo-Fernandez, C. Aranda-Gallardo, M. | BMC Nurs | 2024 |
4at |
| Face and content validity of a mobile delirium screening tool adapted for use in the medical setting (eDIS-MED): Welcome to the machine | Eeles, E. Tronstad, O. Teodorczuk, A. Flaws, D. Fraser, J. F. Dissanayaka, N. | Australas J Ageing | 2924 |
computerized adaptive testing |
| Social determinants of health and incident postoperative delirium: Exploring key relationships in the SAGES study | Arias, F. Dufour, A. B. Jones, R. N. Alegria, M. Fong, T. G. Inouye, S. K. | J Am Geriatr Soc | 2024 |
Humans |
| Combining biomarkers of BNIP3 L, S100B, NSE and accessible measures to prediction sepsis-associated encephalopathy: a prospective observational study | Zhang, N. Xie, K. Yang, F. Wang, Y. Yang, X. Zhao, L. | Curr Med Res Opin | 2024 |
Bnip3 l |
| Association between preoperative albumin levels and postoperative delirium in geriatric hip fracture patients | Wang, W. Yao, W. Tang, W. Li, Y. Lv, Q. Ding, W. | Front Med (Lausanne) | 2024 |
Pod |
| Antipsychotic Use for ICU Delirium and Associated Inflammatory Markers | Torbic, H. Chen, A. Lumpkin, M. Yerke, J. Mehkri, O. Abraham, S. Wang, X. Duggal, A. Scheraga, R. G. | J Intensive Care Med | 2024 |
Adult |
| Delirium is frequently underdiagnosed among older hospitalised patients despite available information in hospital medical records | Titlestad, I. Haugarvoll, K. Solvang, S. H. Norekvål, T. M. Skogseth, R. E. Andreassen, O. A. Årsland, D. Neerland, B. E. Nordrehaug, J. E. Tell, G. S. Giil, L. M. | Age Ageing | 2024 |
Humans |
| Factors associated with delirium in a real-world acute-care setting: analysis considering the interdependence of clinical variables with the frailty syndrome | Ticinesi, A. Parise, A. Delmonte, D. Coppi, C. Prati, B. Cerundolo, N. Guerra, A. Nouvenne, A. Meschi, T. | Eur Geriatr Med | 2024 |
Acute cerebral dysfunction |
| Increased IgA-mediated responses to the gut paracellular pathway and blood-brain barrier proteins predict delirium due to hip fracture in older adults | Thisayakorn, P. Thipakorn, Y. Tantavisut, S. Sirivichayakul, S. Vojdani, A. Maes, M. | Front Neurol | 2024 |
bacterial translocation |
| Association of peripheral B cells and delirium: combined single-cell sequencing and Mendelian randomization analysis | Tan, S. Pan, S. Wei, L. Chen, W. Pan, B. Kong, G. Chen, J. Xie, Y. | Front Neurol | 2024 |
B cell |
| Clinical Outcomes after Multivalve Surgery in Octogenarians: Evaluating the Need for a Paradigm Shift | Taghizadeh-Waghefi, A. Petrov, A. Arzt, S. Alexiou, K. Tugtekin, S. M. Matschke, K. Kappert, U. Wilbring, M. | J Clin Med | 2024 |
multivalve disease |
| Evaluating early lymphocyte-to-monocyte ratio as a predictive biomarker for delirium in older adult patients with sepsis: insights from a retrospective cohort analysis | Shi, X. Yang, L. Bai, W. Jing, L. Qin, L. | Front Med (Lausanne) | 2024 |
Mimic-iv |
| The Association of Preoperative Diabetes With Postoperative Delirium in Older Patients Undergoing Major Orthopedic Surgery: A Prospective Matched Cohort Study | Shang, Z. Jiang, Y. Fang, P. Zhu, W. Guo, J. Li, L. Liang, Y. Zhang, S. Ma, S. Mei, B. Fan, Y. Xie, Z. Shen, Q. Liu, X. | Anesth Analg | 2024 |
Postoperative delirium diabetes orthopedic surgery elective surgery 3D-CAM delirium severity
|
| The role of neurohospitalism in a specialized cardiovascular hospital | Serôdio, M. Magriço, M. Sobral-Pinho, A. Ventura, R. Serrazina, F. Cabral, G. Meira, B. Fernandes, M. Salavisa, M. Saraiva, M. Marto, J. P. Sá, F. Calado, S. Baptista, M. V. | Eur Neurol | 2024 |
Cardiovascular neurology delirium altered mental status AIS
|
| Bringing Delirium to Light: Impact of CAM-ICU Tool to Improve Care Coordination | Savino, T. Vergara, F. H. Ramos, M. D. Warzecha, D. | Prof Case Manag | 2024 |
Delirium CCU Early assessment CAM-ICU Length of Stay Case Management |
| Delirium and Its Associations with Critical Care Utilizations and Outcomes at the Time of Hospital Discharge in Patients with Acute Brain Injury | Raquer, A. P. Fong, C. T. Walters, A. M. Souter, M. J. Lele, A. V. | Medicina (Kaunas) | 2024 |
Humans |
| Data-derived subtypes of delirium during critical illness | Potter, K. M. Kennedy, J. N. Onyemekwu, C. Prendergast, N. T. Pandharipande, P. P. Ely, E. W. Seymour, C. Girard, T. D. | EBioMedicine | 2024 |
Adult |
| Infection, delirium, and risk of dementia in patients with and without white matter disease on previous brain imaging: a population-based study | Pendlebury, S. T. Luengo-Fernandez, R. Seeley, A. Downer, M. B. McColl, A. Rothwell, P. M. | Lancet Healthy Longev | 2024 |
United States |
| A novel risk assessment tool for postoperative delirium in vascular surgery: The stress model (Siena posTopeRative dElirium in vaScular Surgery) | Pasqui, E. de Donato, G. Brancaccio, B. Casilli, G. Ferrante, G. Palasciano, G. | Vascular | 2024 |
Vascular surgery |
| The Delphi Delirium Management Algorithms. A practical tool for clinicians, the result of a modified Delphi expert consensus approach | Ottens, T. H. Hermes, C. Page, V. Oldham, M. Arora, R. Bienvenu, O. J., 3rd van den Boogaard, M. Caplan, G. Devlin, J. W. Friedrich, M. E. van Gool, W. A. Hanison, J. Hansen, H. C. Inouye, S. K. Kamholz, B. Kotfis, K. Maas, M. B. MacLullich, A. M. J. Marc | Delirium (Bielef) | 2024 |
Clinical practice algorithm |
| Identification of early delirium and its outcomes after cardiopulmonary bypass among adult patients with cardiovascular disease: a prospective observational study | Othman, S. M. A. Xu, Q. Zhao, K. Kafi, L. Aziz, M. A. A. | Indian J Thorac Cardiovasc Surg | 2024 |
Bypass machine |
| Association between Preoperative Glucose Dysregulation and Delirium after Non-Cardiac Surgery | Oh, A. R. Lee, D. Y. Lee, S. Lee, J. H. Yang, K. Choi, B. Park, J. | J Clin Med | 2024 |
delirium |
| Epidural vs. systemic analgesia in the Intensive Care Unit: retrospective study of patient outcomes | Naser, A. Meyer, A. Ifrach, N. Dichtwald, S. | Minerva Anestesiol | 2024 |
Humans |
| Whole blood thiamine, intravenous thiamine supplementation and delirium occurrence in the intensive care unit: retrospective cohort analyses | Mumin, M. A. McKenzie, C. A. Page, V. J. Hadfield, D. Aitken, L. M. Hanks, F. Cunningham, E. Blackwood, B. Van Dellen, E. Slooter, A. J. C. Grocott, M. P. W. McAuley, D. F. Spronk, P. E. | Int J Clin Pharm | 2024 |
Critical care |
| Intraoperative Blood Pressure Management and Its Effects on Postoperative Delirium After Cardiac Surgery: A Single-Center Retrospective Cohort Study | Mohr, N. L. Krannich, A. Jung, H. Hulde, N. von Dossow, V. | J Cardiothorac Vasc Anesth | 2024 |
Ioh |
| Implementing pain, agitation, delirium, and sleep deprivation protocol in critically ill patients: A pilot study on pharmacological interventions | Luetrakool, P. Taesotikul, S. Susantitapong, K. Suthisisang, C. Morakul, S. Sutherasan, Y. Tangsujaritvijit, V. Dilokpattanamongkol, P. | Clin Transl Sci | 2024 |
Humans |
| An exploratory research report on brain mineralization in postoperative delirium and cognitive decline | Lammers-Lietz, F. Borchers, F. Feinkohl, I. Hetzer, S. Kanar, C. Konietschke, F. Lachmann, G. Chien, C. Spies, C. Winterer, G. Zaborszky, L. Zacharias, N. Paul, F. | Eur J Neurosci | 2024 |
anaesthesia |
| Delirium Severity and Physical Function in Hospitalized Persons Living With Dementia: Moderation by Age, Sex, and Race | Kuzmik, A. Boltz, M. Resnick, B. McPherson, R. Rodriguez, M. Drazich, B. F. Galik, E. | Alzheimer Dis Assoc Disord | 2024 |
Male |
| Effectiveness of antipsychotics for managing agitated delirium in patients with advanced cancer: a secondary analysis of a multicenter prospective observational study in Japan (Phase-R) | Kurisu, K. Inada, S. Maeda, I. Nobata, H. Ogawa, A. Iwase, S. Uchida, M. Akechi, T. Amano, K. Nakajima, N. Morita, T. Sumitani, M. Yoshiuchi, K. | Support Care Cancer | 2024 |
Humans |
| The spectrum of psychological disorders in family members of patients suffering from delirium associated with critical illness: a prospective, observational study | Kotfis, K. Maj, P. Szylińska, A. Pankowiak, M. Reszka, E. Ely, E. W. Marra, A. | Sci Rep | 2024 |
Adult |
| Impact of Prefracture Cognitive Impairment and Postoperative Delirium on Recovery After Hip Fracture Surgery | Kamimura, T. Kobayashi, Y. Tamaki, S. Koinuma, M. | J Am Med Dir Assoc | 2024 |
Cognitive impairment |
| Development of a Prediction Model for Delirium in Hospitalized Patients with Advanced Cancer | Jung, E. H. Yoo, S. H. Lee, S. W. Kang, B. Kim, Y. J. | Cancer Res Treat | 2024 |
Delirium |
| Nurses' Knowledge and Subjective Strain in Delirium Care: Impact of a Web-based Instructional Module on Nurses Competence | Jose, S. Cyriac, M. C. Dhandapani, M. | Indian J Crit Care Med | 2024 |
Delirium |
| Difficulties faced by intensive care nurses in caring for patients with delirium: A cross-sectional, multicentre study | Jiang, T. Tung, T. H. Wang, Y. Zheng, X. T. Jia, L. Zhang, W. | Aust Crit Care | 2024 |
Cross-sectional study |