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
- Interventions for preventing intensive care unit delirium in adults.
- Authors
- Herling, S. F. Greve, I. E. Vasilevskis, E. E. Egerod, I. Bekker Mortensen, C. Møller, A. M. Svenningsen, H. Thomsen, T.
- Year
- 2018
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
Background: Delirium is defined as a disturbance in attention, awareness and cognition with reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the environment. Critically ill patients in the intensive care unit (ICU) frequently develop ICU delirium. It can profoundly affect both them and their families because it is associated with increased mortality, longer duration of mechanical ventilation, longer hospital and ICU stay and long-term cognitive impairment. It also results in increased costs for society. Objectives: To assess existing evidence for the effect of preventive interventions on ICU delirium, in-hospital mortality, the number of delirium- and coma-free days, ventilator-free days, length of stay in the ICU and cognitive impairment. Search methods: We searched CENTRAL, MEDLINE, Embase, BIOSIS, International Web of Science, Latin American Caribbean Health Sciences Literature, CINAHL from 1980 to 11 April 2018 without any language limits. We adapted the MEDLINE search for searching the other databases. Furthermore, we checked references, searched citations and contacted study authors to identify additional studies. We also checked the following trial registries: Current Controlled Trials; ClinicalTrials.gov; and CenterWatch.com (all on 24 April 2018). Selection criteria: We included randomized controlled trials (RCTs) of adult medical or surgical ICU patients receiving any intervention for preventing ICU delirium. The control could be standard ICU care, placebo or both. We assessed the quality of evidence with GRADE. Data collection and analysis: We checked titles and abstracts to exclude obviously irrelevant studies and obtained full reports on potentially relevant ones. Two review authors independently extracted data. If possible we conducted meta-analyses, otherwise we synthesized data narratively. Main results: The electronic search yielded 8746 records. We included 12 RCTs (3885 participants) comparing usual care with the following interventions: commonly used drugs (four studies); sedation regimens (four studies); physical therapy or cognitive therapy, or both (one study); environmental interventions (two studies); and preventive nursing care (one study). We found 15 ongoing studies and five studies awaiting classification. The participants were 48 to 70 years old; 48% to 74% were male; the mean acute physiology and chronic health evaluation (APACHE II) score was 14 to 28 (range 0 to 71; higher scores correspond to more severe disease and a higher risk of death). With the exception of one study, all participants were mechanically ventilated in medical or surgical ICUs or mixed. The studies were overall at low risk of bias. Six studies were at high risk of detection bias due to lack of blinding of outcome assessors. We report results for the two most commonly explored approaches to delirium prevention: pharmacologic and a non-pharmacologic intervention. Haloperidol versus placebo (two RCTs, 1580 participants) The event rate of ICU delirium was measured in one study including 1439 participants. No difference was identified between groups, (risk ratio (RR) 1.01, 95% confidence interval (CI) 0.87 to 1.17) (moderate-quality evidence). Haloperidol versus placebo neither reduced or increased in-hospital mortality, (RR 0.98, 95% CI 0.80 to 1.22; 2 studies; 1580 participants (moderate-quality evidence)); the number of delirium- and coma-free days, (mean difference (MD) -0.60, 95% CI -1.37 to 0.17; 2 studies, 1580 participants (moderate-quality of evidence)); number of ventilator-free days (mean 23.8 (MD -0.30, 95% CI -0.93 to 0.33) 1 study; 1439 participants, (high-quality evidence)); length of ICU stay, (MD 0.18, 95% CI -0.60 to 0.97); 2 studies, 1580 participants; high-quality evidence). None of the studies measured cognitive impairment. In one study there were three serious adverse events in the intervention group and five in the placebo group; in the other there were five serious adverse events and three patients died, one in each group. None of the serious adverse eve ts were judged to be related to interventions received (moderate-quality evidence). Physical and cognitive therapy interventions (one study, 65 participants) The study did not measure the event rate of ICU delirium. A physical and cognitive therapy intervention versus standard care neither reduced nor increased in-hospital mortality, (RR 0.94, 95% CI 0.40 to 2.20, I2; = 0; 1 study, 65 participants; very low-quality evidence); the number of delirium- and coma-free days, (MD -2.8, 95% CI -10.1 to 4.6, I2; = 0; 1 study, 65 participants; very low-quality evidence); the number of ventilator-free days (within the first 28/30 days) was median 27.4 (IQR 0 to 29.2) and 25 (IQR 0 to 28.9); 1 study, 65 participants; very low-quality evidence, length of ICU stay, (MD 1.23, 95% CI -0.68 to 3.14, I2; = 0; 1 study, 65 participants; very low-quality evidence); cognitive impairment measured by the MMSE: Mini-Mental State Examination with higher scores indicating better function, (MD 0.97, 95% CI -0.19 to 2.13, I2; = 0; 1 study, 30 participants; very low-quality evidence); or measured by the Dysexecutive questionnaire (DEX) with lower scores indicating better function (MD -8.76, 95% CI -19.06 to 1.54, I2; = 0; 1 study, 30 participants; very low-quality evidence). One patient experienced acute back pain accompanied by hypotensive urgency during physical therapy. Authors’ conclusions: There is probably little or no difference between haloperidol and placebo for preventing ICU delirium but further studies are needed to increase our confidence in the findings. There is insufficient evidence to determine the effects of physical and cognitive intervention on delirium. The effects of other pharmacological interventions, sedation, environmental, and preventive nursing interventions are unclear and warrant further investigation in large multicentre studies. Five studies are awaiting classification and we identified 15 ongoing studies, evaluating pharmacological interventions, sedation regimens, physical and occupational therapy combined or separately, and environmental interventions, that may alter the conclusions of the review in future.
- PMID
- Keywords
ISRCTN83567338
NCT00095251
NCT00466492
NCT00675363
NCT00824239
NCT01270269
NCT01274819
NCT01739933
NCT01785290
NCT01791296
NCT0196768
NCT01983800
NCT02245256
NCT02548923
NCT02612948
NCT02615340
NCT02932358
NCT03002701
NCT03095443
NCT03125252
NCT03172897
NCT03215745
dexmedetomidine
haloperidol
lorazepam
placebo
adult
APACHE
artificial ventilation
bradycardia
cognitive defect
cognitive therapy
coma
critically ill patient
delirium
environmental intervention
health care cost
hospital mortality
human
intensive care unit
intention to treat analysis
intervention study
length of stay
nursing intervention
outcome assessment
physiotherapy
priority journal
randomized controlled trial (topic)
review
sedation
seizure
sensitivity analysis
treatment duration
ventilator weaning
- Page(s)
- Volume
- 2018
- Issue
- 11
| Title | Authors | Journal | Year | Keywords | |
|---|---|---|---|---|---|
| Delirium in older hospitalized patients-signs and actions: a retrospective patient record review. | Johansson, Y. A. Bergh, I. Ericsson, I. Sarenmalm, E. K. | BMC Geriatr | 2018 |
*Action by healthcare professionals |
|
| Delirium-A Framework to Improve Acute Care for Older Persons. | Inouye, S. K. | J Am Geriatr Soc | 2018 |
Acute care for elders |
|
| The minimal clinically important difference of the Richmond Agitation-Sedation Scale in patients with cancer with agitated delirium. | Hui, D. Hess, K. Dibaj, S. S. Arthur, J. Dev, R. Dalal, S. Reddy, S. Bruera, E. | Cancer | 2018 |
delirium |
|
| The use of cerebral imaging for investigating delirium aetiology. | Hijazi, Z. Lange, P. Watson, R. Maier, A. B. | Eur J Intern Med | 2018 |
Delirium |
|
| Medication Profiles of Patients with Cognitive Impairment and High Anticholinergic Burden. | Green, A. R. Reifler, L. M. Boyd, C. M. Weffald, L. A. Bayliss, E. A. | Drugs Aging | 2018 | ||
| Delirium Assessment Tools for Use in Critically Ill Adults: A Psychometric Analysis and Systematic Review. | Gelinas, C. Berube, M. Chevrier, A. Pun, B. T. Ely, E. W. Skrobik, Y. Barr, J. | Crit Care Nurse | 2018 | ||
| Postoperative Delirium in Glioblastoma Patients: Risk Factors and Prognostic Implications. | Flanigan, P. M. Jahangiri, A. Weinstein, D. Dayani, F. Chandra, A. Kanungo, I. Choi, S. Sankaran, S. Molinaro, A. M. McDermott, M. W. Berger, M. S. Aghi, M. K. | Neurosurgery | 2018 | ||
| The delirium and population health informatics cohort study protocol: ascertaining the determinants and outcomes from delirium in a whole population. | Davis, D. Richardson, S. Hornby, J. Bowden, H. Hoffmann, K. Weston-Clarke, M. Green, F. Chaturvedi, N. Hughes, A. Kuh, D. Sampson, E. Mizoguchi, R. Cheah, K. L. Romain, M. Sinha, A. Jenkin, R. Brayne, C. MacLullich, A. | BMC Geriatr | 2018 |
*Delirium |
|
| Cerebral oximetry during preoperative resuscitation in elderly patients with hip fracture: a prospective observational study. | Clemmesen, C. G. Pedersen, L. M. Hougaard, S. Andersson, M. L. Rosenkvist, V. Nielsen, H. B. Palm, H. Foss, N. B. | J Clin Monit Comput | 2018 |
Delirium |
|
| Clinical characteristics associated with the onset of delirium among long-term nursing home residents. | Cheung, E. N. M. Benjamin, S. Heckman, G. Ho, J. M. Lee, L. Sinha, S. K. Costa, A. P. | BMC Geriatr | 2018 |
*Delirium |
|
| Evaluation of a multicomponent pathway to address inpatient delirium on a neurosciences ward. | Brown, E. G. Josephson, S. A. Anderson, N. Reid, M. Lee, M. Douglas, V. C. | BMC Health Serv Res | 2018 |
*Cognitive aging |
|
| Subsyndromal delirium in the intensive care setting: Phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium. | Boettger S, Nuñez DG, Meyer R, Richter A, Schubert M, Jenewein J | Palliative & supportive care | 2017 |
Diagnostic and Statistical Manual of Mental Disorders |
|
| Incidence, risk factors, and clinical implications of post-operative delirium in lung transplant recipients. | Anderson, B. J. Chesley, C. F. Theodore, M. Christie, C. Tino, R. Wysoczanski, A. Ramphal, K. Oyster, M. Kalman, L. Porteous, M. K. Bermudez, C. A. Cantu, E. Kolson, D. L. Christie, J. D. Diamond, J. M. | J Heart Lung Transplant | 2018 |
acidic protein |
|
| Delirium and correlates of delirium among newly admitted elderly patients: A crosssectional study in a Saudi general hospital. | Alamri, S. H. Ashanqity, O. A. Alshomrani, A. B. Elmasri, A. H. Saeed, M. B. Yahya, S. A. Almasoud, A. I. Adam, Y. Alamoudi, H. M. Mukhtar, A. M. | Annals of Saudi Medicine | 2018 |
urinary catheter |
|
| Preoperative Cognitive Impairment As a Predictor of Postoperative Outcomes in a Collaborative Care Model. | Zietlow, K. McDonald, S. R. Sloane, R. Browndyke, J. Lagoo-Deenadayalan, S. Heflin, M. T. | J Am Geriatr Soc | 2018 |
co-management |
|
| Identifying Older Adults at Risk of Delirium Following Elective Surgery: A Systematic Review and Meta-Analysis. | Watt, J. Tricco, A. C. Talbot-Hamon, C. Pham, B. Rios, P. Grudniewicz, A. Wong, C. Sinclair, D. Straus, S. E. | J Gen Intern Med | 2018 |
delirium |
|
| Sedative Plasma Concentrations and Delirium Risk in Critical Illness. | Stollings, J. L. Thompson, J. L. Ferrell, B. A. Scheinin, M. Wilkinson, G. R. Hughes, C. G. Shintani, A. K. Ely, E. W. Girard, T. D. Pandharipande, P. P. Patel, M. B. | Ann Pharmacother | 2018 |
analgesics |
|
| A feasibility study of a randomised controlled trial to examine the impact of the ABCDE bundle on quality of life in ICU survivors. | Sosnowski, K. Mitchell, M. L. White, H. Morrison, L. Sutton, J. Sharratt, J. Lin, F. | Pilot Feasibility Stud | 2018 |
ABCDE bundle |
|
| Potentially Modifiable Risk Factors for Long-Term Cognitive Impairment After Critical Illness: A Systematic Review. | Sakusic, A. O'Horo, J. C. Dziadzko, M. Volha, D. Ali, R. Singh, T. D. Kashyap, R. Farrell, A. M. Fryer, J. D. Petersen, R. Gajic, O. Rabinstein, A. A. | Mayo Clin Proc | 2018 | ||
| Prevalence of Potentially Inappropriate Medication Use in Older Inpatients with and without Cognitive Impairment: A Systematic Review. | Redston, M. R. Hilmer, S. N. McLachlan, A. J. Clough, A. J. Gnjidic, D. | J Alzheimers Dis | 2018 |
Cognitive impairment |
|
| Identification of delirium and dementia in older medical inpatients in Tanzania: A comparison of screening and diagnostic methods. | Paddick, S. M. Lewis, E. G. Duinmaijer, A. Banks, J. Urasa, S. Tucker, L. Kisoli, A. Cletus, J. Lissu, C. Kissima, J. Dotchin, C. Gray, W. K. Muaketova-Ladinska, E. Cosker, G. Walker, R. W. | Journal of the Neurological Sciences | 2018 |
adult |
|
| Interactions between drugs and geriatric syndromes in nursing home and home care: results from Shelter and IBenC projects. | Onder, G. Giovannini, S. Sganga, F. Manes-Gravina, E. Topinkova, E. Finne-Soveri, H. Garms-Homolova, V. Declercq, A. van der Roest, H. G. Jonsson, P. V. van Hout, H. Bernabei, R. | Aging Clinical and Experimental Research | 2018 |
Delirium |
|
| Development of dementia in patients with femoral neck fracture who experience postoperative delirium-A three-year follow-up study. | Olofsson, B. Persson, M. Bellelli, G. Morandi, A. Gustafson, Y. Stenvall, M. | Int J Geriatr Psychiatry | 2018 |
cognitive impairment |
|
| Prediction and early detection of delirium in the intensive care unit by using heart rate variability and machine learning. | Oh, J. Cho, D. Park, J. Na, S. H. Kim, J. Heo, J. Shin, C. S. Kim, J. J. Park, J. Y. Lee, B. | Physiol Meas | 2018 |
Autonomic nervous system |
|
| Preoperative exercise capacity is associated with the prevalence of postoperative delirium in elective cardiac surgery. | Ogawa M, Izawa KP, Satomi-Kobayashi S, Kitamura A, Tsuboi Y, Komaki K, Ono R, Sakai Y, Tanaka H, Okita Y | Aging clinical and experimental research | 2017 |
Cardiac surgery |
|
| Effectiveness of multicomponent interventions on incidence of delirium in hospitalized older patients with hip fracture: a systematic review. | Oberai, T. Laver, K. Crotty, M. Killington, M. Jaarsma, R. | Int Psychogeriatr | 2018 |
Delirium-elderly patients |
|
| Controlled pre-post, mixed-methods study to determine the effectiveness of a national delirium clinical care standard to improve the diagnosis and care of patients with delirium in Australian hospitals: a protocol. | Mumford, V. Kulh, M. A. Hughes, C. Braithwaite, J. Westbrook, J. | BMJ Open | 2018 |
clinical governance |
|
| Incidence and Risk Factors of Postoperative Delirium following Pancreatic Surgery: Does the Administration of TJ-54 Reduce the Incidence of Delirium. | Mizuno, S. Takeuchi, S. Kishiwada, M. Mizutani, N. Matsuda, M. Sekoguchi, N. Iizawa, Y. Azumi, Y. Kuriyama, N. Usui, M. Sakurai, H. Maruyama, K. Okuda, M. Okada, M. Isaji, S. | Dig Surg | 2018 |
Delirium rating scale – Japanese version |
|
| Association of Integrated Care Coordination With Postsurgical Outcomes in High-Risk Older Adults: The Perioperative Optimization of Senior Health (POSH) Initiative. | McDonald, S. R. Heflin, M. T. Whitson, H. E. Dalton, T. O. Lidsky, M. E. Liu, P. Poer, C. M. Sloane, R. Thacker, J. K. White, H. K. Yanamadala, M. Lagoo-Deenadayalan, S. A. | JAMA Surg | 2018 | ||
| Effect of motor subtypes of delirium in the intensive care unit on fast-track failure after cardiac surgery | Lee, A. Mu, J. L. Chiu, C. H. Gin, T. Underwood, M. J. Joynt, G. M. | J Thorac Cardiovasc Surg | 2018 |
cardiac surgical procedures |
|
| Preoperative medication use and its association with postoperative length of hospital stay in surgical oncology patients receiving comprehensive geriatric assessment. | Jeong, Y. M. Lee, K. E. Lee, E. S. Kim, K. I. Chung, J. E. Lee, B. K. Gwak, H. S. | Geriatrics & Gerontology International | 2018 |
comprehensive geriatric assessment |
|
| Postoperative Delirium in Cardiac Surgery Patients. | Järvelä, K. Porkkala, H. Karlsson, S. Martikainen, T. Selander, T. Bendel, S. | Journal of Cardiothoracic and Vascular Anesthesia | 2018 |
aged |
|
| “Eight Days of Nightmares … ” – Octogenarian Patients’ Experiences of Postoperative Delirium after Transcatheter or Surgical Aortic Valve Replacement. | Instenes, I. Gjengedal, E. Eide, L. S. P. Kuiper, K. K. J. Ranhoff, A. H. Norekvål, T. M. | Heart Lung and Circulation | 2018 |
aged |
|
| General Anesthesia for Transcatheter Aortic Valve Replacement: Total Intravenous Anesthesia is Associated with Less Delirium as Compared to Volatile Agent Technique. | Goins, A. E. Smeltz, A. Ramm, C. Strassle, P. D. Teeter, E. G. Vavalle, J. P. Kolarczyk, L. | Journal of Cardiothoracic and Vascular Anesthesia | 2018 |
adult |
|
| The use of point-of-care ultrasound to diagnose patent foramen ovale in elective hip and knee arthroplasty patients and its association with postoperative delirium. | Gai, N. Lavi, R. Jones, P. M. Lee, H. Naudie, D. Bainbridge, D. | Can J Anaesth | 2018 | ||
| Comparison of Lurasidone Versus Quetiapine for the Treatment of Delirium in Critically Ill Patients. | Fox, M. A. Elefritz, J. L. Huang, B. M. Hunley, C. | J Intensive Care Med | 2018 |
atypical antipsychotic |
|
| Key components of the delirium syndrome and mortality: greater impact of acute change and disorganised thinking in a prospective cohort study. | Diwell, R. A. Davis, D. H. Vickerstaff, V. Sampson, E. L. | BMC Geriatr | 2018 |
*delirium |
|
| Postoperative Delirium in Indian Patients Following Major Abdominal Surgery for Cancer: Risk Factors and Associations. | Dhakharia, V. Sinha, S. Bhaumik, J. | Indian J Surg Oncol | 2017 |
Cancer |
|
| Effect of an interactive E-learning tool for delirium on patient and nursing outcomes in a geriatric hospital setting: findings of a before-after study. | Detroyer, E. Dobbels, F. Teodorczuk, A. Deschodt, M. Depaifve, Y. Joosten, E. Milisen, K. | BMC Geriatr | 2018 |
*Delirium |
|
| Melatonin and the Prevention and Management of Delirium: A Scoping Study. | Choy, S. W. Yeoh, A. C. Lee, Z. Z. Srikanth, V. Moran, C. | Front Med | 2017 |
delirium |
|
| The impact of sepsis, delirium, and psychological distress on self-rated cognitive function in ICU survivors-a prospective cohort study. | Bruck, E. Schandl, A. Bottai, M. Sackey, P. | J Intensive Care | 2018 |
Anxiety |
|
| Falls and Delirium in an Acute Care Setting: A Retrospective Chart Review Before and After an Organization Wide Interprofessional Education. | Babine, R. L. Hyrkas, K. E. Hallen, S. Wierman, H. R. Bachand, D. A. Chapman, J. L. Fuller, V. J. | J Clin Nurs | 2018 |
delirium |
|
| Prognostic effects of delirium motor subtypes in hospitalized older adults: A prospective cohort study. | Avelino-Silva, T. J. Campora, F. Curiati, J. A. E. Jacob-Filho, W. | PLoS One | 2018 | ||
| Recognition of Delirium Features in Clinical Practice: Data from the "Delirium Day 2015" National Survey. | Mossello, E. Tesi, F. Di Santo, S. G. Mazzone, A. Torrini, M. Cherubini, A. Bo, M. Musicco, M. Bianchetti, A. Ferrari, A. Ferrara, N. Trabucchi, M. Morandi, A. Bellelli, G. | J Am Geriatr Soc | 2017 |
arousal |
|
| A Pilot Analysis of the Association Between Types of Monitored Anesthesia Care Drugs and Outcomes in Transfemoral Aortic Valve Replacement Performed Without General Anesthesia. | Chen, E. Y. Sukumar, N. Dai, F. Akhtar, S. Schonberger, R. B. | Journal of Cardiothoracic and Vascular Anesthesia | 2017 |
age |
|
| Dexmedetomidine Based Sedation for Post-surgery Critically Ill Adults: A Meta-analysis of Randomized Controlled Trials. | Fan, H. Zhao, Y. Sun, M. Ye, J. H. Chen, G. D. Zhu, J. H. | Iran J Public Health | 2017 |
Delirium |
|
| Delirium and mental health history as predictors of aggression in individuals with dementia in inpatient settings. | Wharton T, Paulson D, Macri L, Dubin L | Aging & mental health | 2016 |
Mental Health |
|
| Development and Validation of an Abbreviated Questionnaire to Easily Measure Cognitive Failure in ICU Survivors: A Multicenter Study. | Wassenaar, Annelies De Reus, Jorn Donders, A. Rogier T. Schoonhoven, Lisette Cremer, Olaf L. De Lange, Dylan W. Van Dijk, Diederik Slooter, Arjen J. C. Pickkers, Peter Van Den Boogaard, Mark | Crit Care Med | 2018 |
Psychometrics — Statistics and Numerical Data |
|
| Practice Patterns and Outcomes Associated With Early Sedation Depth in Mechanically Ventilated Patients: A Systematic Review and Meta-Analysis. | Stephens, R. J. Dettmer, M. R. Roberts, B. W. Ablordeppey, E. Fowler, S. A. Kollef, M. H. Fuller, B. M. | Crit Care Med | 2017 | ||
| Nursing assessment as an effective tool for the identification of delirium risk in older in-patients: a case-control study. | Solà-Miravete E, López C, Martínez-Segura E, Adell-Lleixà M, Juvé-Udina ME, Lleixà-Fortuño M | Journal of clinical nursing | 2017 |
delirium |
|
| Implementing ACOVE quality indicators as an intervention checklist to improve care for hospitalized older adults. | Sinvani, L. Kozikowski, A. Smilios, C. Patel, V. Qiu, G. Akerman, M. Lesser, M. Rosenberg, D. Wolf-Klein, G. Pekmezaris, R. | Journal of Hospital Medicine | 2017 |
indwelling catheter |
|
| Health and social factors associated with a delayed discharge amongst inpatients in acute geriatric wards: A retrospective observational study. | Moore, G. Hartley, P. Romero-Ortuno, R. | Geriatrics & Gerontology International | 2017 |
frail older adults |
|
| Impact of restarting home neuropsychiatric medications on sedation outcomes in medical intensive care unit patients | La, M. K. Thompson Bastin, M. L. Gisewhite, J. T. Johnson, C. A. Flannery, A. H. | Journal of Critical Care | 2018 |
amfebutamone |
|
| Exposure to anticholinergic and sedative medicines as indicators of high-risk prescriptions in the elderly. | Jean-Bart, E. Moutet, C. Dauphinot, V. Krolak-Salmon, P. Mouchoux, C. | International Journal of Clinical Pharmacy | 2017 |
NCT01483456 |
|
| Delirium in hemodialysis predicts mortality: a single-center, long-term observational study. | Yasui-Furukori, N. Tarakita, N. Uematsu, W. Saito, H. Nakamura, K. Ohyama, C. Sugawara, N. | Neuropsychiatr Dis Treat | 2017 |
delirium |
|
| The prevention of delirium in elderly with obstructive sleep apnea (PODESA) study: protocol for a multi-centre prospective randomized, controlled trial. | Wong, Jean Lam, David Choi, Stephen Singh, Mandeep Siddiqui, Naveed Sockalingam, Sanjeev Chung, Frances | BMC Anesthesiology | 2018 |
Delirium — Prevention and Control — In Old Age |
|
| Using simulated family presence to decrease agitation in older hospitalized delirious patients: A randomized controlled trial. | Waszynski, Christine M. Milner, Kerry A. Staff, Ilene Molony, Sheila L. | International Journal of Nursing Studies | 2018 |
Dementia |
|
| DemDel, a nursing-led practice-based delirium intervention, improves certain outcomes for older cognitively impaired inpatients. | Wand, A. P. Teodorczuk, A. | Evidence-based nursing | 2017 |
delirium |
|
| Delirium Severity Post-Surgery and its Relationship with Long-Term Cognitive Decline in a Cohort of Patients without Dementia. | Vasunilashorn, S. M. Fong, T. G. Albuquerque, A. Marcantonio, E. R. Schmitt, E. M. Tommet, D. Gou, Y. Travison, T. G. Jones, R. N. Inouye, S. K. | Journal of Alzheimer's Disease | 2017 |
aged |
|
| Turning education into action: Impact of a collective social education approach to improve nurses' ability to recognize and accurately assess delirium in hospitalized older patients. | Travers, C. Henderson, A. Graham, F. Beattie, E. | Nurse Educ Today | 2017 |
Delirium |
|
| Reduced level of arousal and increased mortality in adult acute medical admissions: a systematic review and meta-analysis. | Todd, A. Blackley, S. Burton, J. K. Stott, D. J. Ely, E. W. Tieges, Z. MacLullich, A. M. J. Shenkin, S. D. | BMC Geriatr | 2017 |
Altered mental status |
|
| Risk factors and outcomes of critically ill patients with acute brain failure: A novel end point. | Singh, T. D. O'Horo, J. C. Gajic, O. Sakusic, A. Day, C. N. Mandrekar, J. Kashyap, R. Reddy, D. R. S. Rabinstein, A. A. | Journal of Critical Care | 2018 |
acute brain failure |
|
| Intraoperative oxygen concentration and neurocognition after cardiac surgery: study protocol for a randomized controlled trial. | Shaefi, S. Marcantonio, E. R. Mueller, A. Banner-Goodspeed, V. Robson, S. C. Spear, K. Otterbein, L. E. O'Gara, B. P. Talmor, D. S. Subramaniam, B. | Trials | 2017 |
Cardiac surgery |
|
| A novel scoring system to predict delirium and its relationship with the clinical course in patients with acute decompensated heart failure. | Sakaguchi, T. Watanabe, M. Kawasaki, C. Kuroda, I. Abe, H. Date, M. Ueda, Y. Yasumura, Y. Koretsune, Y. | J Cardiol | 2017 |
Acute heart failure |
|
| Feasibility of a Nurse-Managed Pain, Agitation, and Delirium Protocol in the Surgical Intensive Care Unit. | Rozycki, A. Jarrell, A. S. Kruer, R. M. Young, S. Mendez-Tellez, P. A. | Crit Care Nurse | 2017 | ||
| Development of core outcome sets for effectiveness trials of interventions to prevent and/or treat delirium (Del-COrS): Study protocol. | Rose, L. Agar, M. Burry, L. D. Campbell, N. Clarke, M. Lee, J. Siddiqi, N. Page, V. J. | BMJ Open | 2017 |
article |
|
| The association of geriatric syndromes with hospital outcomes. | Romero-Ortuno, R. Forsyth, D. R. Wilson, K. J. Cameron, E. Wallis, S. Biram, R. Keevil, V. | Journal of Hospital Medicine | 2017 |
acute confusion |
|
| Bright light and oxygen therapies decrease delirium risk in critically ill surgical patients by targeting sleep and acid-base disturbances. | Potharajaroen, S. Tangwongchai, S. Tayjasanant, T. Thawitsri, T. Anderson, G. Maes, M. | Psychiatry Res | 2017 |
Bicarbonate |
|
| Impact of delirium on postoperative frailty and long term cardiovascular events after cardiac surgery. | Ogawa, M. Izawa, K. P. Satomi-Kobayashi, S. Tsuboi, Y. Komaki, K. Gotake, Y. Sakai, Y. Tanaka, H. Okita, Y. | PLoS One | 2017 |
|
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| The correlation of the depth of anesthesia and postoperative cognitive impairment: A meta-analysis based on randomized controlled trials. | Lu, X. Jin, X. Yang, S. Xia, Y. | J Clin Anesth | 2017 |
Anesthesia |
|
| Geriatric Delirium Care: Using Chart Audits to Target Improvement Strategies. | Loftus, C. A. Wiesenfeld, L. A. | American Journal of Therapeutics | 2017 |
acute care |
|
| Preoperative medication use and postoperative delirium: a systematic review. | Kassie, G. M. Nguyen, T. A. Kalisch Ellett, L. M. Pratt, N. L. Roughead, E. E. | BMC Geriatr | 2017 |
Adverse drug event |
|
| Noise and light pollution in the hospital: A call for action. | Kamdar, B. B. Martin, J. L. Needham, D. M. | Journal of Hospital Medicine | 2017 |
circadian rhythm |
|
| Hydroxyethyl starch is associated with early postoperative delirium in patients undergoing esophagectomy. | Jung, D. M. Ahn, H. J. Yang, M. Kim, J. A. Kim, D. K. Lee, S. M. Park, J. H. | J Thorac Cardiovasc Surg | 2017 |
delirium |
|
| Earplugs could be an effective sleep hygiene strategy to reduce delirium in the ICU. | Hill, L. | Evidence-based nursing | 2017 |
delirium |
|
| Screening and detection of delirium in older ED patients: performance of the modified Confusion Assessment Method for the Emergency Department (mCAM-ED). A two-step tool. | Hasemann, W. Grossmann, F. F. Stadler, R. Bingisser, R. Breil, D. Hafner, M. Kressig, R. W. Nickel, C. H. | Intern Emerg Med | 2017 |
Algorithms |
|
| PERFECTED enhanced recovery (PERFECT-ER) care versus standard acute care for patients admitted to acute settings with hip fracture identified as experiencing confusion: study protocol for a feasibility cluster randomized controlled trial. | Hammond, S. P. Cross, J. L. Shepstone, L. Backhouse, T. Henderson, C. Poland, F. Sims, E. MacLullich, A. Penhale, B. Howard, R. Lambert, N. Varley, A. Smith, T. O. Sahota, O. Donell, S. Patel, M. Ballard, C. Young, J. Knapp, M. Jackson, S. Waring, J. Leav | Trials | 2017 |
Acute care |
|
| Improving the Accuracy of Delirium Assessments in Neuroscience Patients: Scaling a Quality Improvement Program to Improve Nurses' Skill, Compliance, and Accuracy in the Use of the Confusion Assessment Method in the Intensive Care Unit Tool. | DiLibero, Justin | Dimensions of Critical Care Nursing | 2018 |
Delirium — Evaluation |
|
| Attention, vigilance, and visuospatial function in hospitalized elderly medical patients: relationship to delirium syndromal status and motor subtype profile. | Daly, C. Leonard, M. O'Connell, H. Williams, O. Awan, F. Exton, C. O'Connor, M. Adamis, D. Dunne, C. P. Cullen, W. Meagher, D. J. | Int Psychogeriatr | 2017 |
assessment |
|
| Caring for a patient with delirium in an acute hospital: The lived experience of cardiology, elderly care, renal, and respiratory nurses. | Brooke, J. Manneh, C. | Int J Nurs Pract | 2018 |
aggression |
|
| Association between Delirium and Prehospitalization Medication in Poststroke Patients. | Hosoya, R. Sato, Y. Ishida, E. Shibamoto, H. Hino, S. Yokote, H. Kamata, T. | J Stroke Cerebrovasc Dis | 2018 |
Derilium |
|
| Acute Brain Dysfunction: Development and Validation of a Daily Prediction Model. | Marra, A. Pandharipande, P. P. Shotwell, M. S. Chandrasekhar, R. Girard, T. D. Shintani, A. K. Peelen, L. M. Moons, K. Dittus, R. S. Ely, E. W. Vasilevskis, E. E. | Chest | 2018 |
Coma |
|
| Delirium in the Elderly. | Hshieh, T. T. Inouye, S. K. Oh, E. S. | Psychiatr Clin North Am | 2018 |
Cognitive decline |
|
| Barriers to delirium assessment in the intensive care unit: A literature review. | Rowley-Conwy, G. | Intensive Crit Care Nurs | 2018 |
Critical Care Nursing/*methods |
|
| Exploratory and Confirmatory Factor Analyses of Delirium Symptoms in a Sample of Nursing Home Residents. | Moyo P, Huang TY, Simoni-Wastila L, Harrington D | Journal of applied gerontology : the official journal of the Southern Gerontological Society | 2016 |
confirmatory factor analysis |
|
| Neurosurgery in Octogenarians: A Prospective Study of Perioperative Morbidity, Mortality, and Complications in Elderly Patients. | Maldaner, N. Sarnthein, J. Bozinov, O. Regli, L. Neidert, M. C. | World Neurosurgery | 2018 |
glucocorticoid |
|
| Delirium in the Cardiac Intensive Care Unit. | Ibrahim, K. McCarthy, C. P. McCarthy, K. J. Brown, C. H. Needham, D. M. Januzzi, J. L., Jr. McEvoy, J. W. | J Am Heart Assoc | 2018 |
critical care |
|
| The Diagnostic Sensitivity of the Memorial Delirium Assessment Scale—Spanish Version | Barahona, E. Pinhao, R. Galindo, V. Noguera, A. | Journal of Pain and Symptom Management | 2018 |
adult |
|
| First- and second-line pharmacological treatment for delirium in general hospital setting-Retrospective analysis. | Wada, K. Morita, Y. Iwamoto, T. Mifune, Y. Nojima, S. | Asian J Psychiatr | 2018 |
Consultation liaison service |
|
| Increasing use of cognitive measures in the operational definition of frailty-A systematic review | Vella Azzopardi, R. Beyer, I. Vermeiren, S. Petrovic, M. Van Den Noortgate, N. Bautmans, I. Gorus, E. | Ageing Res Rev | 2018 |
Aged |
|
| Preoperative Hemoglobin Level is Associated with Increased Health Care Use After Elective Spinal Fusion (≥3 Levels) in Elderly Male Patients with Spine Deformity. | Elsamadicy, A. A. Adogwa, O. Ongele, M. Sergesketter, A. R. Tarnasky, A. Lubkin, D. E. T. Drysdale, N. Cheng, J. Bagley, C. A. Karikari, I. O. | World Neurosurg | 2018 |
aged |
|
| Comprehensive geriatric assessment for older people admitted to a surgical service. | Eamer, G. Taheri, A. Chen, S. S. Daviduck, Q. Chambers, T. Shi, X. Khadaroo, R. G. | Cochrane Database of Systematic Reviews | 2018 |
clinical assessment |
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| Effects of a Medication Review on Delirium in Older Hospitalised Patients: A Comparative Retrospective Cohort Study. | van Velthuijsen, E. L. Zwakhalen, S. M. G. Pijpers, E. van de Ven, L. I. Ambergen, T. Mulder, W. J. Verhey, F. R. J. Kempen, Gijm | Drugs Aging | 2018 | ||
| Effect of haloperidol on survival among critically ill adults with a high risk of delirium the REDUCE randomized clinical trial | Van Den Boogaard, M. Slooter, A. J. C. Brüggemann, R. J. M. Schoonhoven, L. Beishuizen, A. Vermeijden, J. W. Pretorius, D. De Koning, J. Simons, K. S. Dennesen, P. J. W. Van Der Voort, P. H. J. Houterman, S. Van Der Hoeven, J. G. Pickkers, P. | JAMA | 2018 |
adult |
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| Individualized Acute Medical Care for Cognitively Impaired Individuals: A Call Always to Pause Before Hospitalization. | Sheckter, C. C. Bott, N. T. Milstein, A. Leff, B. | J Am Geriatr Soc | 2018 |
cognitive defect |
|
| Baden Prevention and Reduction of Incidence of Postoperative Delirium Trial (PRIDe): a phase IV multicenter, randomized, placebo-controlled, double-blind clinical trial of ketamine versus haloperidol for prevention of postoperative delirium. | Riegger, H. Hollinger, A. Seifert, B. Toft, K. Blum, A. Zehnder, T. Siegemund, M. | Trials | 2018 |
Dos |
|
| Frequency and predictors of post-stroke delirium in PRospective Observational POLIsh Study (PROPOLIS) | Pasinska, P. Kowalska, K. Klimiec, E. Szyper-Maciejowska, A. Wilk, A. Klimkowicz-Mrowiec, A. | J Neurol | 2018 |
Delirium |
|
| Hypertension, mitral valve disease, atrial fibrillation and low education level predict delirium and worst outcome after cardiac surgery in older adults. | Oliveira, F. R. Oliveira, V. H. Oliveira, I. M. Lima, J. W. Calderaro, D. Gualandro, D. M. Caramelli, B. | BMC Anesthesiology | 2018 |
*Cardiac surgery |
|
| Delirium, Frailty, and Fast-Track Surgery in Oncogeriatrics: Is There a Link? | Monacelli, F. Signori, A. Prefumo, M. Giannotti, C. Nencioni, A. Romairone, E. Scabini, S. Odetti, P. | Dementia and Geriatric Cognitive Disorders Extra | 2018 |
aged |
|
| Confusion Strongly Associated with Antibiotic Prescribing Due to Suspected Urinary Tract Infections in Nursing Homes. | Mayne, S. Sundvall, P. D. Gunnarsson, R. | J Am Geriatr Soc | 2018 |
urinary catheter |