Delirium Bibliography

Delirium Bibliography books graphicWhat 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
Visualizing how to use antipsychotics for agitated delirium in the last days of life
Authors
Imai, K. Morita, T. Mori, M. Kikuchi, D. Yokomichi, N. Miwa, S. Okamoto, S. I. Yamauchi, T. Naito, A. S. D. Matsuda, Y. Maeda, I. Sugano, K. Inanga, M. Inoue, S. Satomi, E.
Year
2023
Journal
J Pain Symptom Manage
Abstract

CONTEXT: How physicians use antipsychotics for agitated delirium in the last days of life varies markedly, which could hamper the quality of care. OBJECTIVES: To examine adherence to an algorithm-based treatment for terminal agitated delirium, and explore its effectiveness and safety. METHODS: A single-center, prospective, observational study was conducted in a 27-bed palliative care unit in Japan. All adult cancer patients who developed agitated delirium with a modified Richmond Agitation-Sedation Scale (RASS) of +1 or more were included; the palliative care specialists determined that the etiology was irreversible, the estimated survival was 3 weeks or less, and the Eastern Cooperative Oncology Group (ECOG) performance status was 3 or 4. Patients were treated with an algorithm to visualize how to use antipsychotics, with the treatment goal defined as no agitation (RASS≤0) or acceptable agitation for patients and families. We provided all patients non-pharmacological management to alleviate the symptoms of delirium and administered antipsychotic medications when the non-pharmacological approach was insufficient. We measured the adherence rate, RASS, Nursing Delirium Screening Scale items 2, 3, 4 (Nu-DESC), and Agitation Distress Scale item 2 (ADS) on Days 0, 1, 3, 7, 14, 21, and 24 hours before death. RESULTS: A total of 164 patients were enrolled. Adherence rates were 99, 94, and 89%, and treatment goals were achieved in 66, 83, and 93% on Days 1, 3, and 7, respectively. The mean RASS decreased from +1.41 to -0.84 on Day 3; Nu-DESC decreased from 4.19 to 1.83, and ADS decreased from 1.54 to 0.38. There were 7 severe adverse events (Common Terminology Criteria for Adverse Events (CTCAE) of 3), including aspiration (n=3), apnea (n=2), tremor (n=1), and muscle rigidity (n=1) on Day 3. CONCLUSION: The algorithm-based treatment could be feasible, effective, and safe. Visualizing how palliative care specialists provide pharmacological management could be beneficial for non-specialist clinicians, and clinical, educational, and research implications warrant further empirical testing.

PMID

PMID: 36682673

Keywords

antipsychotics
chlorpromazine
haloperidol
levomepromazine
terminal agitated delirium
treatment algorithm

Page(s)
Issue

Search:
Total Records Found: 6015, showing 100 per page
TitleAuthorsJournalYearKeywords
Predicting postoperative delirium and postoperative cognitive decline with combined intraoperative electroencephalogram monitoring and cerebral near-infrared spectroscopy in patients undergoing cardiac interventions. Momeni, M. Meyer, S. Docquier, M. A. Lemaire, G. Kahn, D. Khalifa, C. Rosal Martins, M. Van Dyck, M. Jacquet, L. M. Peeters, A. Watremez, C. J Clin Monit Comput 2019

Burst suppression
Cerebral oximetry
Depth-of-anesthesia monitor
Postoperative cognitive decline
Postoperative delirium

Early Postoperative Actigraphy Poorly Predicts Hypoactive Delirium. Maybrier, H. R. King, C. R. Crawford, A. E. Mickle, A. M. Emmert, D. A. Wildes, T. S. Avidan, M. S. Palanca, B. J. A. J Clin Sleep Med 2019

actigraphy
anesthesia
arousal
postoperative delirium
sleep
surgery

Subsyndromal delirium is associated with poor functional outcome after ischemic stroke. Klimiec, E. Lis, A. Pera, J. Slowik, A. Dziedzic, T. Eur J Neurol 2019

confusion
delirium
outcome
stroke
subsyndromal delirium

Pharmacological Management of Delirium in the Intensive Care Unit: A Randomized Pragmatic Clinical Trial. Khan, B. A. Perkins, A. J. Campbell, N. L. Gao, S. Farber, M. O. Wang, S. Khan, S. H. Zarzaur, B. L. Boustani, M. A. J Am Geriatr Soc 2019

benzodiazepine
delirium
haloperidol
randomized trial

Use of medicines that may precipitate delirium prior to hospitalisation in older Australians with delirium: An observational study. Kassie, G. M. Kalisch Ellett, L. M. Nguyen, T. A. Roughead, E. E. Australas J Ageing 2019

delirium
drug utilization
inappropriate prescribing
medication review
older patients

Comprehensive risk factor evaluation of postoperative delirium following major surgery: clinical data warehouse analysis. Kang, S. Y. Seo, S. W. Kim, J. Y. Neurol Sci 2019

Clinical data warehouse
Delirium
Operation
Parkinsonism
Risk factor
Type of surgery

Lower risk of postoperative delirium using laparoscopic approach for major abdominal surgery. Ito, K. Suka, Y. Nagai, M. Kawasaki, K. Yamamoto, M. Koike, D. Nomura, Y. Tanaka, N. Kawaguchi, Y. Surg Endosc 2019

Laparoscopic approach
Major abdominal surgery
Open approach
Postoperative delirium

Delirium is associated with frequency band specific dysconnectivity in intrinsic connectivity networks: preliminary evidence from a large retrospective pilot case-control study. Fleischmann, R. Traenkner, S. Kraft, A. Schmidt, S. Schreiber, S. J. Brandt, S. A. Pilot Feasibility Stud 2019

Biomarker
Delirium
Oscillatory activity
Source analysis
electroencephalography
accordance with the ethical standards of the institutional research committee and
with the 1964 Helsinki declaration and its later amendments or comparable ethical
standards. As a retrospective study in Germany, a separate approval is waived.Not
applicable.The authors declare that they have no competing interests.Springer
Nature remains neutral with regard to jurisdictional claims in published maps and
institutional affiliations.

Risk Factors Associated With Postoperative Delirium in Patients Undergoing Head and Neck Free Flap Reconstruction. Densky, J. Eskander, A. Kang, S. Chan, J. Tweel, B. Sitapara, J. Ozer, E. Agrawal, A. Carrau, R. Rocco, J. Teknos, T. N. Old, M. JAMA Otolaryngol Head Neck Surg 2019
Deprescribing in the Pharmacologic Management of Delirium: A Randomized Trial in the Intensive Care Unit. Campbell, N. L. Perkins, A. J. Khan, B. A. Gao, S. Farber, M. O. Khan, S. Wang, S. Boustani, M. A. J Am Geriatr Soc 2019

anticholinergic
benzodiazepine
delirium
deprescribing

Reliability of mobility measures in older medical patients with cognitive impairment. Braun, T. Thiel, C. Schulz, R. J. Gruneberg, C. BMC Geriatr 2019

Cognitive impairment
Dementia
Limits of agreement
Measurement error
Minimal detectable change
Mobility limitation
Older people
Outcome measure
Reliability

Effectiveness of Melatonin for the Prevention of Intensive Care Unit Delirium. Baumgartner, L. Lam, K. Lai, J. Barnett, M. Thompson, A. Gross, K. Morris, A. Pharmacotherapy 2019

Delirium
intensive-care unit
melatonin
sleep

Validation of the Prediction of Delirium for Intensive Care model to predict subsyndromal delirium. Azuma, K. Mishima, S. Shimoyama, K. Ishii, Y. Ueda, Y. Sakurai, M. Morinaga, K. Fujikawa, T. Oda, J. Acute Med Surg 2019

Critical care
delirium
intensive care unit
psychiatry
sleep

Association Between Postoperative Delirium and Long-term Cognitive Function After Major Nonemergent Surgery. Austin, C. A. O'Gorman, T. Stern, E. Emmett, D. Sturmer, T. Carson, S. Busby-Whitehead, J. JAMA Surg 2019
'I hope you get normal again': an explorative study on how delirious octogenarian patients experience their interactions with healthcare professionals and relatives after aortic valve therapy. Instenes, I. Fridlund, B. Amofah, H. A. Ranhoff, A. H. Eide, L. S. Norekval, T. M. Eur J Cardiovasc Nurs 2018

Delirium
octogenarian patients
qualitative research
surgical aortic valve replacement
transcatheter aortic valve replacement

Establishing a successful perioperative geriatric service in an Australian acute surgical unit. Styan, L. Murphy, S. Fleury, A. McGowan, B. Wullschleger, M. ANZ Journal of Surgery 2018

aged
article
cohort analysis
complication
controlled study
delirium
female
general surgery
hospital mortality
human
length of stay
male
medical record review
morbidity
peroperative complication
retrospective study
surgery

Delirium and Antipsychotic Medications at Hospital Intake: Screening to Decrease Likelihood of Aggression in Inpatient Settings Among Unknown Patients With Dementia. Wharton, T. Paulson, D. Burcher, K. Lesch, H. Am J Alzheimers Dis Other Demen 2018

behavior
delirium
medication
screening

Preoperative assessment of frailty predicts age-related events after hepatic resection: a prospective multicenter study. Tanaka, S. Ueno, M. Iida, H. Kaibori, M. Nomi, T. Hirokawa, F. Ikoma, H. Nakai, T. Eguchi, H. Kubo, S. J Hepatobiliary Pancreat Sci 2018

Age Factors
Aged
Aged, 80 and over
Comorbidity
Female
Frailty/*diagnosis
*Geriatric Assessment
Hepatectomy/*adverse effects
Humans
Liver Diseases/surgery
Liver Neoplasms/*surgery
Male
Preoperative Period
Prospective Studies
Risk Factors
Delirium
Dependency
Kihon Checklist
Phenotypic frail index
Transfer

Efficacy and Tolerability of Atypical Antipsychotics in the Treatment of Delirium: A Systematic Review of the Literature. Rivière, J. van der Mast, R. C. Vandenberghe, J. Van Den Eede, F. Psychosomatics 2018

aged
article
comparative study
controlled study
delirium
drug combination
drug therapy
extrapyramidal symptom
female
human
incidence
male
Medline
meta analysis
open study
randomized controlled trial (topic)
sedation
systematic review
amisulpride
aripiprazole
asenapine
clozapine
haloperidol
iloperidone
lurasidone
olanzapine
paliperidone
perospirone
placebo
quetiapine
risperidone
sertindole
ziprasidone
zotepine

Outcomes of Prehospital Chemical Sedation With Ketamine Versus Haloperidol and Benzodiazepine or Physical Restraint Only. O'Connor, L. Rebesco, M. Robinson, C. Gross, K. Castellana, A. O'Connor, M. J. Restuccia, M. Preshosp Emerg Care 2018

agitated delirium
ketamine
restraint
sedation

Just another piece of paperwork": perceptions of clinicians on delirium screening following hip fracture repair elicited in focus groups. Oberai, T. Killington, M. Laver, K. Crotty, M. Jaarsma, R. Int Psychogeriatr 2018

aging
cognitive impairment
delirium
qualitative research

Altered mental status predicts mortality in cardiogenic shock – results from the CardShock study. Kataja, A. Tarvasmäki, T. Lassus, J. Køber, L. Sionis, A. Spinar, J. Parissis, J. Carubelli, V. Cardoso, J. Banaszewski, M. Marino, R. Nieminen, M. S. Mebazaa, A. Harjola, V. P. European Heart Journal: Acute Cardiovascular Care 2018

NCT01374867
adult
aged
arterial pH
article
cardiogenic shock
cardiovascular mortality
clinical assessment
female
heart left ventricle ejection fraction
human
lactate blood level
major clinical study
male
mental health
multicenter study
observational study
prevalence
priority journal
prospective study
systolic blood pressure

Nurses' and physicians' approaches to delirium management in the intensive care unit: A focus group investigation. Collet, M. O. Thomsen, T. Egerod, I. Aust Crit Care 2018

Delirium
Focus groups
Hermeneutics
Intensive care unit
Nursing care
Pharmacological action
Qualitative research

Low Plasma Cholinesterase Activity is Associated With Postoperative Delirium After Noncardiac Surgery in Elderly Patients: A Prospective Observational Study. Zhao, B. Ni, Y. Tian, X. Psychosomatics 2018

aged
alcohol consumption
APACHE
article
cholinesterase blood level
cohort analysis
comorbidity
confounding variable
controlled study
enzyme activity
female
Han Chinese
human
human tissue
incidence
major clinical study
male
multivariate logistic regression analysis
observational study
postoperative delirium
prospective study
risk factor
surgery
surgical intensive care unit
acetylcholinesterase
biological marker
cholinesterase
endogenous compound

Propofol compared with sevoflurane general anaesthesia is associated with decreased delayed neurocognitive recovery in older adults. Zhang, Y. Shan, G. J. Zhang, Y. X. Cao, S. J. Zhu, S. N. Li, H. J. Ma, D. Wang, D. X. British Journal of Anaesthesia 2018

ChiCTR-IPR-15006209
NCT02662257
propofol
sevoflurane
aged
anesthetic recovery
APACHE
article
bispectral index
bradycardia
bronchospasm
cancer surgery
cognition
comparative study
controlled study
delayed neurocognitive recovery
electrocardiogram
emergence agitation
end tidal carbon dioxide tension
female
general anesthesia
heart ventricle extrasystole
human
hypertension
hypotension
intraoperative monitoring
major clinical study
male
multicenter study
neuropsychological test
oxygen saturation
patient safety
perioperative period
postoperative cognitive dysfunction
postoperative nausea and vomiting
priority journal
randomized controlled trial
tachycardia
very elderly

Effect of dexmedetomidine on postoperative delirium in elderly patients undergoing hip fracture surgery. Xie, S. Xie, M. Pak J Pharm Sci 2018
Development and Validation of an Electronic Health Record-Based Machine Learning Model to Estimate Delirium Risk in Newly Hospitalized Patients Without Known Cognitive Impairment. Wong, A. Young, A. T. Liang, A. S. Gonzales, R. Douglas, V. C. Hadley, D. JAMA Netw Open 2018
Sedative drugs used for mechanically ventilated patients in intensive care units: a systematic review and network meta-analysis. Wang, H. Wang, C. Wang, Y. Tong, H. Feng, Y. Li, M. Jia, L. Yu, K. Curr Med Res Opin 2018

Sedative drugs
intensive care units
mechanical ventilation
mortality
network meta-analysis
systematic review

Prediction of length of hospital stay and mortality in patients with delirium: A prospective cohort analysis of 200 ICU patients. Tian, J. Chen, X. Liu, D. Journal of Biological Regulators and Homeostatic Agents 2018

adult
age
aged
article
cohort analysis
critically ill patient
disease association
female
hospital mortality
human
intensive care psychosis
length of stay
major clinical study
male
observational study
prediction
probability
prospective study

Ramelteon is Not Associated With Improved Outcomes Among Critically Ill Delirious Patients: A Single-Center Retrospective Cohort Study. Thom, R. Bui, M. Rosner, B. Teslyar, P. Levy-Carrick, N. Wolfe, D. Klompas, M. Psychosomatics 2018

Delirium
Melatonin
Mortality
Ramelteon
Ventilation

A daily multidisciplinary assessment of older adults undergoing elective colorectal cancer surgery is associated with reduced delirium and geriatric syndromes. Tarazona-Santabalbina, F. J. Llabata-Broseta, J. Belenguer-Varea, A. Alvarez-Martinez, D. Cuesta-Peredo, D. Avellana-Zaragoza, J. A. J Geriatr Oncol 2018

Colorectal surgery
Delirium
Frail
Geriatric assessment
Older patients

Preventive Effect of Suvorexant for Postoperative Delirium after Coronary Artery Bypass Grafting. Tamura, K. Maruyama, T. Sakurai, S. Ann Thorac Cardiovasc Surg 2018

Suvorexant
coronary artery bypass grafting
orexin receptor antagonist
postoperative delirium

Aproach to the risk of delirium in an orthogeriatric unit. Sopena Bert, E. Qanneta, R. Valenti Moreno, V. San Jose Laporte, A. Med Clin 2018

Delirium
Fractura de cadera
Hip fracture
Orthogeriatrics
Ortogeriatria

A systematic review of the use of music interventions to improve outcomes for patients undergoing hip or knee surgery. Sibanda, A. Carnes, D. Visentin, D. Cleary, M. J Adv Nurs 2018

anxiety
hip surgery
knee surgery
literature review
music interventions
nursing
pain
postoperative delirium

Use of "Months of the Year Backwards" (MOTYB) as a Screening Tool for Delirium in Palliative Care Patients in the Acute Hospital Setting. Ryan, S. Hayes, D. Creedon, B. Ir Med J 2018
Impact of psychotic symptoms on clinical outcomes in delirium. Paik, S. H. Ahn, J. S. Min, S. Park, K. C. Kim, M. H. PLoS ONE 2018

neuroleptic agent
age distribution
aged
article
clinical outcome
comorbidity
controlled study
delirium
Delirium Rating Scale revised 98
delusion
disease classification
disease course
disease severity
female
hospital mortality
human
major clinical study
male
medical record review
patient assessment
perception disorder
psychosis
retrospective study
scoring system
sex difference
thought disorder

Preoperative age and prognostic nutritional index are useful factors for evaluating postoperative delirium among patients with adult spinal deformity. Oe, S. Togawa, D. Yamato, Y. Hasegawa, T. Yoshida, G. Kobayashi, S. Yasuda, T. Banno, T. Arima, H. Mihara, Y. Ushirozako, H. Yamada, T. Matsuyama, Y. Spine 2018
Decreased Risk of Delirium With Use of Regional Analgesia in Geriatric Trauma Patients With Multiple Rib Fractures. O'Connell, K. M. Quistberg, D. A. Tessler, R. Robinson, B. R. H. Cuschieri, J. Maier, R. V. Rivara, F. P. Vavilala, M. S. Bhalla, P. I. Arbabi, S. Ann Surg 2018

OBJECTIVE: The aim of this study was to examine the risk of delirium in geriatric trauma patients with rib fractures treated with systemic opioids compared with those treated with regional analgesia (RA). SUMMARY OF BACKGROUND DATA: Delirium is a modifiable complication associated with increased morbidity and mortality. RA may reduce the need for opioid medications, which are associated with delirium in older adults. METHODS: Cohort study of patients >/=65 years admitted to a regional trauma center from 2011 to 2016. Inclusion factors were >/= 3 rib fractures, blunt trauma mechanism, and admission to intensive care unit (ICU). Exclusion criteria included head AIS >/=3, spine AIS >/=3, dementia, and death within 24 hours. The primary outcome was delirium positive ICU days, defined using the CAM-ICU assessment. Delirium incident rate ratios (IRRs) and 95% confidence intervals (95% CIs) were estimated using generalized linear mixed models with Poisson distribution and robust standard errors. RESULTS: Of the 144 patients included in the study, 27 (19%) received Acute Pain Service consultation and RA and 117 (81%) received opioid-based systemic analgesia. Patients with RA had more severe chest injury than those without. The risk of delirium decreased by 24% per day per patient with use of RA (IRR 0.76, 95% CI 0.61 to 0.96). Individual opioid use, as measured in daily morphine equivalents (MEDs), was significantly reduced after initiation of RA (mean difference -7.62, 95% CI -14.4 to -0.81). CONCLUSION: Although use of RA techniques in geriatric trauma patients with multiple rib fractures was associated with higher MED, opioid use decreased after RA initiation and Acute Pain Service consultation, and the risk of delirium was lower.

Hypotension and a positive fluid balance are associated with delirium in patients with shock. Nguyen, D. N. Huyghens, L. Parra, J. Schiettecatte, J. Smitz, J. Vincent, J. L. PLoS One 2018
End-Tidal Hypocapnia Under Anesthesia Predicts Postoperative Delirium. Mutch, W. A. C. El-Gabalawy, R. Girling, L. Kilborn, K. Jacobsohn, E. Front Neurol 2018

*anesthetic agent
*carbon dioxide
*cognition
*hypercapnia
*hypocapnia
*normocapnia
*postoperative complications
*postoperative delirium

Risk Factors for Delirium after Spine Surgery: An Age-Matched Analysis. Morino, T. Hino, M. Yamaoka, S. Misaki, H. Ogata, T. Imai, H. Miura, H. Asian Spine J 2018

Delirium
Hemorrhage
Multivariate analysis
Risk factors
Spine

Outcomes of Patients With Delirium in Long-Term Care Facilities: A Prospective Cohort Study. Moon, K. J. Park, H. J Gerontol Nurs 2018

Aged
Aged, 80 and over
Cohort Studies
Delirium/*mortality/*nursing
Dementia/*mortality/*nursing
Female
Hospitalization/statistics & numerical data
Humans
Incidence
Long-Term Care/*methods/*statistics & numerical data
Male
Middle Aged
Patient Discharge/statistics & numerical data
Prospective Studies
Republic of Korea
Skilled Nursing Facilities/*statistics & numerical data
Treatment Outcome

Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery. Miller, D. Lewis, S. R. Pritchard, M. W. Schofield-Robinson, O. J. Shelton, C. L. Alderson, P. Smith, A. F. Cochrane Database of Systematic Reviews 2018

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

Incidence, risk factors and clinical impact of postoperative delirium following open reduction and internal fixation (ORIF) for hip fractures: an analysis of 7859 patients from the ACS-NSQIP hip fracture procedure targeted database. Malik, A. T. Quatman, C. E. Phieffer, L. S. Ly, T. V. Khan, S. N. Eur J Orthop Surg Traumatol 2018

Delirium
Hip fracture
Nsqip
ORIF delirium
Open reduction internal fixation

Delirium After Cardiac Surgery and Cumulative Fluid Balance: A Case-Control Cohort Study. Mailhot, T. Cossette, S. Lambert, J. Beaubien-Souligny, W. Cournoyer, A. O'Meara, E. Maheu-Cadotte, M. A. Fontaine, G. Bouchard, J. Lamarche, Y. Benkreira, A. Rochon, A. Denault, A. J Cardiothorac Vasc Anesth 2019

cardiac surgery
cardiology
cohort study
critical care
delirium
fluid balance

The point-of-care EEG for delirium detection in the emergency department. Lee, S. Yuki, K. Chan, A. Cromwell, J. Shinozaki, G. Am J Emerg Med 2018

Bispectral EEG
Delirium
Power spectral density analysis

Intraoperative hypotension is not associated with postoperative cognitive dysfunction in elderly patients undergoing general anesthesia for surgery: results of a randomized controlled pilot trial. Langer, T. Santini, A. Zadek, F. Chiodi, M. Pugni, P. Cordolcini, V. Bonanomi, B. Rosini, F. Marcucci, M. Valenza, F. Marenghi, C. Inglese, S. Pesenti, A. Gattinoni, L. J Clin Anesth 2019

Anesthesia, general
Blood pressure
Cognitive dysfunction
Delirium
Frail elderly

Differences in healthcare outcomes between teaching and non teaching hospitals for patients with delirium: a retrospective cohort study. Kotwal, S. Abougergi, M. S. Wright, S. Int J Qual Health Care 2018
Gender differences in the use of atypical antipsychotic medications for ICU delirium. Karamchandani, K. Schoaps, R. S. Printz, J. Kowaleski, J. M. Carr, Z. J. Crit Care 2018
Whole-Genome mRNA Gene Expression Differs Between Patients With and Without Delirium. Kalantar, K. LaHue, S. C. DeRisi, J. L. Sample, H. A. Contag, C. A. Josephson, S. A. Wilson, M. R. Douglas, V. C. Journal of Geriatric Psychiatry and Neurology 2018

integrin
interleukin 6
interleukin 8
messenger RNA
paxillin
actin filament
aged
article
case control study
clinical article
cognition
complement system
controlled study
delirium
female
gene expression
genetic code
glioma
human
male
peripheral blood mononuclear cell
priority journal
prospective study
protein expression
quality control
RNA sequence
sequence alignment
systemic inflammatory response syndrome
transcription regulation
upregulation
urinary tract infection
whole genome sequencing

Incidence and risk factors of subsyndromal delirium after curative resection of gastric cancer. Hwang, H. Lee, K. M. Son, K. L. Jung, D. Kim, W. H. Lee, J. Y. Kong, S. H. Suh, Y. S. Lee, H. J. Yang, H. K. Hahm, B. J. BMC Cancer 2018

adult
age
aged
anesthesia
anxiety disorder
article
cancer surgery
cognition
delirium
depression
educational status
female
gastrectomy
human
incidence
major clinical study
male
postoperative complication
risk assessment
risk factor
sleep quality
stomach cancer
subsyndromal delirium

Performance of Electronic Prediction Rules for Prevalent Delirium at Hospital Admission. Halladay, C. W. Sillner, A. Y. Rudolph, J. L. JAMA Netw Open 2018
Harmonization of delirium severity instruments: a comparison of the DRS-R-98, MDAS, and CAM-S using item response theory. Gross, A. L. Tommet, D. D'Aquila, M. Schmitt, E. Marcantonio, E. R. Helfand, B. Inouye, S. K. Jones, R. N. BMC Med Res Methodol 2018

Delirium
Elderly
Item response theory
Psychometrics
Severity

Prognostic factors of inhospital death in elderly patients: A time-to-event analysis of a cohort study in Martinique (French West Indies). Godaert, L. Bartholet, S. Dorléans, F. Najioullah, F. Colas, S. Fanon, J. L. Cabié, A. Césaire, R. Dramé, M. BMJ Open 2018

aged
alcoholism
area under the curve
article
bootstrapping
cardiovascular disease
Charlson Comorbidity Index
chikungunya
cohort analysis
confusion
delirium
female
hospital admission
hospital mortality
hospitalization
human
internal validity
kidney failure
longitudinal study
major clinical study
male
Martinique
musculoskeletal pain
prediction
prognosis
proportional hazards model
receiver operating characteristic
respiratory tract infection
retrospective study
reverse transcription polymerase chain reaction
sensitivity and specificity
very elderly

The Critical Vital Sign of Cognitive Health and Delirium: Whose Responsibility Is It? Fick, D. M. J Gerontol Nurs 2018
Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Devlin, J. W. Skrobik, Y. Gelinas, C. Needham, D. M. Slooter, A. J. C. Pandharipande, P. P. Watson, P. L. Weinhouse, G. L. Nunnally, M. E. Rochwerg, B. Balas, M. C. van den Boogaard, M. Bosma, K. J. Brummel, N. E. Chanques, G. Denehy, L. Drouot, X. Fraser Crit Care Med 2018
Delirium etiology subtypes and their effect on six-month function and cognition in older emergency department patients. Cirbus, J. MacLullich, A. M. J. Noel, C. Ely, E. W. Chandrasekhar, R. Han, J. H. International Psychogeriatrics 2018

aged
article
central nervous system
checklist
cognitive defect
cohort analysis
controlled study
daily life activity
emergency ward
female
functional status
hospital patient
human
major clinical study
male
metabolic disorder
multiple linear regression analysis
outcome assessment
physician
prospective study
questionnaire
tertiary health care
university hospital

Perioperative Sedation in Mechanically Ventilated Cardiac Surgery Patients With Dexmedetomidine-Based Versus Propofol-Based Regimens. Chuich, T. Cropsey, C. L. Shi, Y. Johnson, D. Shotwell, M. S. Henson, C. P. Ann Pharmacother 2019

anesthesia
cardiology
critical care

Hospital discharge data under-reports delirium occurrence. Results from a point prevalence survey of delirium in a major Australian health service. Casey, P. Cross, W. Webb-St Mart, M. Baldwin, C. Riddell, K. Darzins, P. Intern Med J 2018

Adult
Delirium
International Classification of Diseases
Mental Status and Dementia Tests
Prevalence

TIME to think about delirium: improving detection and management on the acute medical unit. Bauernfreund, Y. Butler, M. Ragavan, S. Sampson, E. L. BMJ Open Qual 2018

Pdsa
hospital medicine
medical education
mental health
quality improvement

The Association of Delirium with Perioperative Complications in Primary Elective Total Hip Arthroplasty. Aziz, K. T. Best, M. J. Naseer, Z. Skolasky, R. L. Ponnusamy, K. E. Sterling, R. S. Khanuja, H. S. Clin Orthop Surg 2018

Aged
*Arthroplasty, Replacement, Hip/adverse effects/statistics & numerical data
Delirium/*complications/*epidemiology
Elective Surgical Procedures/adverse effects/statistics & numerical data
Female
Humans
Intraoperative Complications/*epidemiology
Male
Middle Aged
Postoperative Complications/*epidemiology
Retrospective Studies
Delirium
Hip arthroplasty
Postoperative complications
Preoperative complications
was reported.

Bispectral Index Monitoring During Anesthesia Promotes Early Postoperative Recovery of Cognitive Function and Reduces Acute Delirium in Elderly Patients with Colon Carcinoma: A Prospective Controlled Study using the Attention Network Test. Zhou, Y. Li, Y. Wang, K. Med Sci Monit 2018

Aged
Anesthesia, General/methods
Anesthesiology
Anesthetics, Intravenous/administration & dosage
Attention/drug effects/physiology
Cognition/drug effects
Colonic Neoplasms/complications
Consciousness Monitors
Delirium/*prevention & control
Executive Function/drug effects
Female
Humans
Male
Monitoring, Intraoperative/*methods
Postoperative Care
Postoperative Complications/*prevention & control
Postoperative Period
Prospective Studies

Military Service Members and Emergence Delirium Screening: An Evidence-Based Practice Project. Wheat, L. L., 2nd Turner, B. S. Diaz, A. Maani, C. V. J Perianesth Nurs 2018

emergence delirium
emergence delirium screening
preanesthesia screening
preoperative
quality improvement

Can delirium research activity impact on routine delirium recognition? A prospective cohort study. Welch, C. Jackson, T. A. BMJ Open 2018

dementia

Preoperative STOP-BANG Scores and Postoperative Delirium and Coma in Thoracic Surgery Patients. Wang, S. Sigua, N. L. Manchanda, S. Gradney, S. Khan, S. H. Perkins, A. Kesler, K. Khan, B. Ann Thorac Surg 2018
The Cost of ICU Delirium and Coma in the Intensive Care Unit Patient. Vasilevskis, E. E. Chandrasekhar, R. Holtze, C. H. Graves, J. Speroff, T. Girard, T. D. Patel, M. B. Hughes, C. G. Cao, A. Pandharipande, P. P. Ely, E. W. Med Care 2018
Pharmacologic prevention of postoperative delirium after on-pump cardiac surgery: A meta-analysis of randomized trials. Tao, R. Wang, X. W. Pang, L. J. Cheng, J. Wang, Y. M. Gao, G. Q. Liu, Y. Wang, C. Medicine 2018

Antipsychotic Agents/*therapeutic use
Cardiac Surgical Procedures/*adverse effects
Delirium/etiology/*prevention & control
Humans
Postoperative Complications/etiology/*prevention & control
*Randomized Controlled Trials as Topic

Epigenetics of Delirium and Aging: Potential Role of DNA Methylation Change on Cytokine Genes in Glia and Blood Along With Aging. Shinozaki, G. Braun, P. R. Hing, B. W. Q. Ratanatharathorn, A. Klisares, M. J. Duncan, G. N. Jellison, S. S. Heinzman, J. T. Nagahama, Y. Close, L. Sabbagh, S. Dlouhy, B. J. Howard, M. A. Kawasaki, H. Cho, H. R. Front Aging Neurosci 2018

DNA methylation
aging
cytokine
delirium
epigenetics
tNF-alpha

The Hospital Elder Life Program: Past and Future. Scheunemann, L. P. Girard, T. D. Skidmore, E. R. Resnick, N. M. Am J Geriatr Psychiatry 2018
Delirium in the Acute Phase of Ischemic Stroke: Incidence, Risk Factors, and Effects on Functional Outcome. Qu, J. Chen, Y. Luo, G. Zhong, H. Xiao, W. Yin, H. J Stroke Cerebrovasc Dis 2018

Activities of Daily Living
Aged
Brain Ischemia/diagnosis/*epidemiology/physiopathology/psychology
China/epidemiology
Delirium/diagnosis/*epidemiology/physiopathology/psychology
Diffusion Magnetic Resonance Imaging
Disability Evaluation
Female
Health Status
Humans
Incidence
Male
Middle Aged
Neuropsychological Tests
Prognosis
Prospective Studies
Recovery of Function
Risk Factors
Severity of Illness Index
Stroke/diagnosis/*epidemiology/physiopathology/psychology
Time Factors
Delirium
Mri
functional status
ischemic stroke
psychiatric symptoms

Effect of dynamic light at the coronary care unit on the length of hospital stay and development of delirium: A retrospective cohort study. Pustjens, T. Schoutens, A. M. C. Janssen, L. Heesen, W. F. Journal of Geriatric Cardiology 2018

neuroleptic agent
tranquilizer
adult
age
aged
article
cardiac patient
circadian rhythm
clinical effectiveness
clinical outcome
cohort analysis
consultation
controlled study
coronary care unit
delirium
evaluation study
female
fluorescent lighting
geriatric care
geriatrician
hospitalization
human
illumination
incidence
length of stay
major clinical study
male
observational study
outcome assessment
phototherapy
prescription
retrospective study
risk factor
risk reduction

Frailty and Delirium in Older Adults: A Systematic Review and Meta-Analysis of the Literature. Persico, I. Cesari, M. Morandi, A. Haas, J. Mazzola, P. Zambon, A. Annoni, G. Bellelli, G. J Am Geriatr Soc 2018

cognition
delirium
frailty
geriatric assessment
review

Medications and Patient Characteristics Associated With Falling in the Hospital. OʼNeil, C. A. Krauss, M. J. Bettale, J. Kessels, A. Costantinou, E. Dunagan, W. C. Fraser, V. J. Journal of Patient Safety 2018

adult
article
case control study
clinical evaluation
controlled study
dizziness
fall risk
female
human
incontinence
major clinical study
muscle
obesity
randomized controlled trial
risk assessment
risk factor
tertiary care center
underweight
anticonvulsive agent
haloperidol
insulin
proton pump inhibitor
tricyclic antidepressant agent

Delirium detection using relative delta power based on 1-minute single-channel EEG: a multicentre study. Numan, T. van den Boogaard, M. Kamper, A. M. Rood, P. J. T. Peelen, L. M. Slooter, A. J. C. Br J Anaesth 2018

complications, postoperative
delirium
electroencephalography
intensive care unit
monitoring
postoperative care

Low skeletal muscle mass as a risk factor for postoperative delirium in elderly patients undergoing colorectal cancer surgery. Mosk, C. A. L. A. van Vugt J de Jonge, H. Witjes, C. D. Buettner, S. Ijzermans, J. N. van der Laan, L. Clin Interv Aging 2018

Aged
Aged, 80 and over
Cohort Studies
Colorectal Neoplasms/*surgery
Correlation of Data
Delirium/epidemiology/*etiology
Disability Evaluation
Female
Humans
Male
*Muscle Strength
Netherlands
Postoperative Complications/*etiology
Protein-Energy Malnutrition/complications/epidemiology
Retrospective Studies
Risk Factors
Sarcopenia/*complications/epidemiology
*colorectal surgery
*elderly
*nomogram
*postoperative delirium
*sarcopenia
*skeletal muscle mass

Symptom expression in advanced cancer patients admitted to hospice or home care with and without delirium. Mercadante, S. Masedu, F. Maltoni, M. De Giovanni, D. Montanari, L. Pittureri, C. Berte, R. Russo, D. Ursini, L. Marinangeli, F. Aielli, F. Intern Emerg Med 2018

Advanced cancer
Delirium
Edmonton Symptom Assessment Scale
Memorial Delirium Assessment Scale
Palliative care

Symptom Expression in Patients with Advanced Cancer Admitted to an Acute Supportive/Palliative Care Unit With and Without Delirium. Mercadante, S. Adile, C. Ferrera, P. Cortegiani, A. Casuccio, A. Oncologist 2018

Advanced cancer
Delirium
Edmonton Symptom Assessment Scale
Memorial Delirium Assessment Scale
Palliative care
article.

Pain, agitation and delirium assessment and management in a community medical-surgical ICU: results from a prospective observational study and nurse survey. Maximous, R. Miller, F. Tan, C. Camargo, M. Ross, K. Marshall, C. Yung, P. Fleming, D. Law, M. Tsang, J. L. Y. BMJ Open Qual 2018

attitudes
critical care
nurses
performance measures

Evaluating the risk profile of quetiapine in treating delirium in the intensive care adult population: A retrospective review. Mangan, K. C. McKinzie, B. P. Deloney, L. P. Leon, S. M. Eriksson, E. A. J Crit Care 2018

Delirium
QTc prolongation
Quetiapine

Cerebral monitoring of anaesthesia on reducing cognitive dysfunction and postoperative delirium: a systematic review. Luo, C. Zou, W. J Int Med Res 2018

Anesthesia/*adverse effects/methods
Cognitive Dysfunction/etiology/*prevention & control
Delirium/etiology/*prevention & control
Electroencephalography
Humans
*Intraoperative Neurophysiological Monitoring/methods
Postoperative Complications/etiology/prevention & control
Randomized Controlled Trials as Topic
Cerebral monitoring
anaesthesia
cognitive dysfunction
meta-analysis
postoperative delirium
systematic review

Dysfunctional cerebral autoregulation is associated with delirium in critically ill adults. Lee, K. F. Wood, M. D. Maslove, D. M. Muscedere, J. G. Boyd, J. G. J Cereb Blood Flow Metab 2018

Cerebral autoregulation
cerebral oximetry
critical illness
delirium
near-infrared spectroscopy

Defining delirium in idiopathic Parkinson's disease: A systematic review. Lawson, R. A. McDonald, C. Burn, D. J. Parkinsonism and Related Disorders 2018

adult
adverse outcome
article
delirium
diagnosis
female
hospital patient
hospitalization
human
male
motor dysfunction
Parkinson disease
prevalence
prospective study
risk factor
systematic review

Delirium assessment in neuro-critically ill patients: A validation study. Larsen, L. K. Frokjaer, V. G. Nielsen, J. S. Skrobik, Y. Winkler, Y. Moller, K. Petersen, M. Egerod, I. Acta Anaesthesiol Scand 2018

acute brain injury
confusion assessment method for the ICU
delirium
intensive care delirium screening checklist
international classification of diseases-10
neurointensive care unit

Benzodiazepine Use and Neuropsychiatric Outcomes in the ICU: A Systematic Review Kok, L. Slooter, A. J. Hillegers, M. H. van Dijk, D. Veldhuijzen, D. S. Crit Care Med 2018
Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness Hshieh, T. T. Yang, T. Gartaganis, S. L. Yue, J. Inouye, S. K. Am J Geriatr Psychiatry 2018

Delirium prevention
Hospital Elder Life Program
multicomponent nonpharmacological intervention

Predictive Modeling for Geriatric Hip Fracture Patients: Early Surgery and Delirium Have the Largest Influence on Length of Stay. Hecht, G. Slee, C. A. Goodell, P. B. Taylor, S. L. Wolinsky, P. R. J Am Acad Orthop Surg 2018
The Erasmus Frailty Score is associated with delirium and 1-year mortality after Transcatheter Aortic Valve Implantation in older patients. The TAVI Care & Cure program. Goudzwaard, J. A. de Ronde-Tillmans, Mjag El Faquir, N. Acar, F. Van Mieghem, N. M. Lenzen, M. J. de Jaegere, P. P. T. Mattace-Raso, F. U. S. Int J Cardiol 2019

Delirium
Erasmus Frailty Score
Frailty
Mortality
Prognosis
Transcatheter Aortic Valve Implantation

Transcutaneous electrical acupoint stimulation for prevention of postoperative delirium in geriatric patients with silent lacunar infarction: a preliminary study. Gao, F. Zhang, Q. Li, Y. Tai, Y. Xin, X. Wang, X. Wang, Q. Clin Interv Aging 2018

*Acupuncture Points
Aged
Blood-Brain Barrier/physiology
Delirium/physiopathology/*prevention & control
Female
Finland
Humans
Inflammation Mediators/blood
Male
Middle Aged
Neurologic Examination
Postoperative Complications/physiopathology/*prevention & control
Preoperative Care
Risk Factors
Stroke, Lacunar/*complications/physiopathology
Transcutaneous Electric Nerve Stimulation/*methods
blood-brain barrier
delirium
geriatric
lacunar infarction
neuroinflammation
transcutaneous electrical acupoint stimulation

Dexmedetomidine in prevention and treatment of postoperative and intensive care unit delirium: a systematic review and meta-analysis. Flükiger, J. Hollinger, A. Speich, B. Meier, V. Tontsch, J. Zehnder, T. Siegemund, M. Annals of Intensive Care 2018

dexmedetomidine
haloperidol
midazolam
placebo
article
bradycardia
clinical outcome
Cochrane Library
drug use
human
hypertension
hypotension
Medline
meta analysis
mortality
postoperative delirium
priority journal
randomized controlled trial (topic)
systematic review

Long-term prognostic value of delirium in elderly patients with acute cardiac diseases admitted to two cardiac intensive care units: a prospective study (DELIRIUM CORDIS). Falsini, G. Grotti, S. Porto, I. Toccafondi, G. Fraticelli, A. Angioli, P. Ducci, K. Liistro, F. Pieroni, M. Taddei, T. Romanelli, S. Rossi, R. Bolognese, L. Eur Heart J Acute Cardiovasc Care 2018

Acute Disease
Aged
Aged, 80 and over
Delirium/epidemiology/*etiology
Female
Heart Diseases/*complications/mortality
Humans
Incidence
Intensive Care Units/*statistics & numerical data
Italy/epidemiology
Length of Stay/trends
Male
Prevalence
Prognosis
Prospective Studies
*Risk Assessment
Risk Factors
Survival Rate/trends
Delirium
cardiac intensive care unit
confusion assessment method
elderly
mortality

Persistent Delirium in Elderly patients Three Months After Hospital Discharge from a University Clinic. Constaín, G. A. Ocampo Saldarriaga, M. V. Velásquez Tirado, J. D. Rodríguez-Gázquez, M. D. L. Á Betancur Morales, L. M. Rico Escobar, J. J. Castilla Agudelo, G. A. Maya Osorno, A. F. Revista Colombiana de Psiquiatria 2018

aged
article
clinical article
delirium
descriptive research
DSM-5
follow up
hospital discharge
hospitalization
human
longitudinal study
persistent delirium
prevalence

A Web-Based Serious Game on Delirium as an Educational Intervention for Medical Students: Randomized Controlled Trial. Buijs-Spanjers, K. R. Hegge, H. H. Jansen, C. J. Hoogendoorn, E. de Rooij, S. E. JMIR Serious Games 2018

delirium
education
medical students
serious game

Relationship Between Near-Infrared Spectroscopy-Derived Cerebral Oxygenation and Delirium in Critically Ill Patients: A Systematic Review. Bendahan, N. Neal, O. Ross-White, A. Muscedere, J. Boyd, J. G. J Intensive Care Med 2018

Cam-icu
cerebral oxygenation
critical illness
delirium
intensive care unit
near-infrared spectroscopy

Ability of suvorexant to prevent delirium in patients in the intensive care unit: a randomized controlled trial. Azuma, K. Takaesu, Y. Soeda, H. Iguchi, A. Uchida, K. Ohta, S. Mishima, S. Inoue, T. Inoue, Y. Oda, J. Acute Med Surg 2018

Delirium
intensive care unit
prevention
suvorexant

Incidence of postoperative delirium in elderly ambulatory patients: A prospective evaluation using the FAM-CAM instrument. Aya, A. G. M. Pouchain, P. H. Thomas, H. Ripart, J. Cuvillon, P. J Clin Anesth 2018

Ambulatory surgery
Elderly
Fam-cam
Postoperative delirium

Potential Role of Exogenous Melatonin Supplement in Delirium Prevention in Critically Ill Patients: A Double-Blind Randomized Pilot Study. Abbasi, S. Farsaei, S. Ghasemi, D. Mansourian, M. Iran J Pharm Res 2018

Clinical trial
Critical care
Delirium
Melatonin

Predictive nomogram for postoperative delirium in elderly patients with a hip fracture. Zhang, X. Tong, D. K. Ji, F. Duan, X. Z. Liu, P. Z. Qin, S. Xu, K. H. Di-li, X. T. Injury 2018

aged
article
calibration
cognitive defect
comorbidity
controlled study
erythrocyte
female
femoral neck fracture
human
human cell
intensive care
major clinical study
male
nomogram
postoperative delirium
prevention
probability
retrospective study
risk assessment
risk factor
surgery

Advances in dementia with Lewy bodies Armstrong, M. J. Ther Adv Neurol Disord 2021

Lewy body dementia
Lewy body disease [MeSH]
dementia with Lewy bodies

Factors Influencing CAM-ICU Documentation and Inappropriate "Unable to Assess" Responses Awan, O. M. Buhr, R. G. Kamdar, B. B. Am J Crit Care 2021

Aged, 80 and over
*Delirium/diagnosis
Documentation
Humans
Intensive Care Units
*Nursing Care
Restraint, Physical

Prediction of Postictal Delirium Following Status Epilepticus in the ICU: First Insights of an Observational Cohort Study Baumann, S. M. Semmlack, S. Hunziker, S. Kaplan, P. W. De Marchis, G. M. Rüegg, S. Marsch, S. Sutter, R. Crit Care Med 2021

Aged
Benzodiazepines/administration & dosage
Cohort Studies
Delirium/*diagnosis/epidemiology
Female
Humans
Intensive Care Units/organization & administration/statistics & numerical data
Male
Mass Screening/methods/statistics & numerical data
Middle Aged
Proportional Hazards Models
Retrospective Studies
Risk Factors
Seizures/complications/epidemiology
Severity of Illness Index