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
- Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): a multicentre cohort study
- Authors
- Pun, B. T. Badenes, R. Heras La Calle, G. Orun, O. M. Chen, W. Raman, R. Simpson, B. K. Wilson-Linville, S. Hinojal Olmedillo, B. Vallejo de la Cueva, A. van der Jagt, M. Navarro Casado, R. Leal Sanz, P. Orhun, G. Ferrer Gómez, C. Núñez Vázquez, K. Pi
- Year
- 2021
- Journal
- Lancet Respir Med
- Abstract
BACKGROUND: To date, 750 000 patients with COVID-19 worldwide have required mechanical ventilation and thus are at high risk of acute brain dysfunction (coma and delirium). We aimed to investigate the prevalence of delirium and coma, and risk factors for delirium in critically ill patients with COVID-19, to aid the development of strategies to mitigate delirium and associated sequelae. METHODS: This multicentre cohort study included 69 adult intensive care units (ICUs), across 14 countries. We included all patients (aged ≥18 years) admitted to participating ICUs with severe acute respiratory syndrome coronavirus 2 infection before April 28, 2020. Patients who were moribund or had life-support measures withdrawn within 24 h of ICU admission, prisoners, patients with pre-existing mental illness, neurodegenerative disorders, congenital or acquired brain damage, hepatic coma, drug overdose, suicide attempt, or those who were blind or deaf were excluded. We collected de-identified data from electronic health records on patient demographics, delirium and coma assessments, and management strategies for a 21-day period. Additional data on ventilator support, ICU length of stay, and vital status was collected for a 28-day period. The primary outcome was to determine the prevalence of delirium and coma and to investigate any associated risk factors associated with development of delirium the next day. We also investigated predictors of number of days alive without delirium or coma. These outcomes were investigated using multivariable regression. FINDINGS: Between Jan 20 and April 28, 2020, 4530 patients with COVID-19 were admitted to 69 ICUs, of whom 2088 patients were included in the study cohort. The median age of patients was 64 years (IQR 54 to 71) with a median Simplified Acute Physiology Score (SAPS) II of 40·0 (30·0 to 53·0). 1397 (66·9%) of 2088 patients were invasively mechanically ventilated on the day of ICU admission and 1827 (87·5%) were invasively mechanical ventilated at some point during hospitalisation. Infusion with sedatives while on mechanical ventilation was common: 1337 (64·0%) of 2088 patients were given benzodiazepines for a median of 7·0 days (4·0 to 12·0) and 1481 (70·9%) were given propofol for a median of 7·0 days (4·0 to 11·0). Median Richmond Agitation-Sedation Scale score while on invasive mechanical ventilation was -4 (-5 to -3). 1704 (81·6%) of 2088 patients were comatose for a median of 10·0 days (6·0 to 15·0) and 1147 (54·9%) were delirious for a median of 3·0 days (2·0 to 6·0). Mechanical ventilation, use of restraints, and benzodiazepine, opioid, and vasopressor infusions, and antipsychotics were each associated with a higher risk of delirium the next day (all p≤0·04), whereas family visitation (in person or virtual) was associated with a lower risk of delirium (p<0·0001). During the 21-day study period, patients were alive without delirium or coma for a median of 5·0 days (0·0 to 14·0). At baseline, older age, higher SAPS II scores, male sex, smoking or alcohol abuse, use of vasopressors on day 1, and invasive mechanical ventilation on day 1 were independently associated with fewer days alive and free of delirium and coma (all p<0·01). 601 (28·8%) of 2088 patients died within 28 days of admission, with most of those deaths occurring in the ICU. INTERPRETATION: Acute brain dysfunction was highly prevalent and prolonged in critically ill patients with COVID-19. Benzodiazepine use and lack of family visitation were identified as modifiable risk factors for delirium, and thus these data present an opportunity to reduce acute brain dysfunction in patients with COVID-19. FUNDING: None. TRANSLATIONS: For the French and Spanish translations of the abstract see Supplementary Materials section.
- PMID
- Keywords
Aged
COVID-19/ psychology
Coma/ epidemiology/virology
Critical Illness/psychology
Delirium/ epidemiology/virology
Female
Humans
Hypnotics and Sedatives/therapeutic use
Intensive Care Units/statistics & numerical data
Male
Middle Aged
Prevalence
Respiration, Artificial/psychology/statistics & numerical data
Retrospective Studies
Risk Factors
SARS-CoV-2
- Page(s)
- 239-250
- Volume
- 9
- Issue
- 3
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Different Sedation Strategies in Older Patients Receiving Spinal Anesthesia for Hip Surgery on Postoperative Delirium: A Randomized Clinical Trial | Zhu, S. Liu, Y. Wang, X. Wang, L. Li, J. Xue, X. Li, Z. Liu, J. Liu, X. Zhao, S. | Drug Des Devel Ther | 2023 |
Humans, Aged, Propofol/adverse effects, Emergence Delirium, Hypnotics and Sedatives/adverse effects, Dexmedetomidine/adverse effects, Anesthesia, Spinal/adverse effects, Delirium/etiology, Postoperative Complications/epidemiology, anesthetics, hip surgery, propofol, spinal anesthesia |
| Frailty and post-operative delirium influence on functional status in patients with hip fracture: the GIOG 2.0 study | Gandossi, C. M. Zambon, A. Ferrara, M. C. Tassistro, E. Castoldi, G. Colombo, F. Mussi, C. Martini, E. Sergi, G. Coin, A. Zatti, G. Trevisan, C. Volpato, S. Ungar, A. Bellelli, G. | Aging Clin Exp Res | 2023 |
Humans |
| Associations between Alzheimer's disease biomarkers and postoperative delirium or cognitive dysfunction: A meta-analysis and trial sequential analysis of prospective clinical trials | Geng, J. Zhang, Y. Chen, H. Shi, H. Wu, Z. Chen, J. Luo, F. | Eur J Anaesthesiol | 2023 | |
| Delirium in oncological palliative care and clinical cardiology units: A comparative analysis | Grisales, E. S. Higuita, A. M. Correa, M. E. Gómez, J. J. V. González, C. P. Daveloza, A. K. Vásquez, J. G. F. | Palliat Support Care |
Humans |
|
| Risk Factors and Associated Outcomes of Postoperative Delirium After Open Abdominal Aortic Aneurysm Repair | Gutierrez, R. D. Smith, E. J. T. Matthay, Z. A. Gasper, W. J. Hiramoto, J. S. Conte, M. S. Finlayson, E. Walter, L. C. Iannuzzi, J. C. | J Vasc Surg | 2023 |
abdominal aortic aneurysm (AAA) |
| Effect of preoperative sleep disorders on delirium in proximal femoral surgery patients aged 60 or older | Han, F. Liu, X. Huang, H. Chu, H. Feng, W. | BMC Anesthesiol | 2023 |
Humans |
| Electroencephalogram measured functional connectivity for delirium detection: a systematic review | Hanna, A. Jirsch, J. Alain, C. Corvinelli, S. Lee, J. S. | Front Neurosci | 2023 |
Eeg |
| Development and evaluation of a concise nurse-driven non-pharmacological delirium reduction workflow for hospitalized patients: An interrupted time series study | Harrison, J. D. Rathfon, M. Binford, S. Miranda, J. Oreper, S. Holt, B. Rogers, S. E. | Geriatr Nurs | 2023 |
Delirium |
| Predicting postoperative delirium after cardiovascular surgeries from preoperative portable electroencephalography oscillations | Hata, M. Miyazaki, Y. Nagata, C. Masuda, H. Wada, T. Takahashi, S. Ishii, R. Miyagawa, S. Ikeda, M. Ueno, T. | Front Psychiatry | 2023 |
Eeg |
| Lower alpha frequency of intraoperative frontal EEG is associated with postoperative delirium: A secondary propensity-matched analysis | Hight, D. Ehrhardt, A. Lersch, F. Luedi, M. M. Stüber, F. Kaiser, H. A. | J Clin Anesth | 2023 |
Alpha rhythm |
| Inflammatory and nutritional markers predict the risk of post-operative delirium in elderly patients following total hip arthroplasty | Hu, W. Song, Z. Shang, H. Wang, J. Hao, Y. | Front Nutr | 2023 |
inflammatory markers |
| Evaluation of brain nerve function in ICU patients with Delirium by deep learning algorithm-based resting state MRI | Huang, X. Jiang, R. Peng, S. Wei, Y. Hu, X. Chen, J. Lian, W. | Open Life Sci | 2023 |
brain nerve function |
| Prevention and treatment of traumatic brain injury-related delirium: a systematic review | Huang, Y. Q. Weiss, S. Gros, P. Wong, E. Piché, P. P. Vyas, M. V. Tam, A. K. H. Watt, J. A. | J Neurol | 2023 |
Humans |
| The Efficacy of Dexmedetomidine alone or with Melatonin on Delirium after Coronary Artery Bypass Graft Surgery: A Randomized Clinical Trial | Javaherforooshzadeh, F. Babazadeh Dezfoli, A. Saki Malehi, A. Gholizadeh, B. | Anesth Pain Med | 2023 |
Cardiac Surgery |
| Cerebral autoregulation-based mean arterial pressure targets and delirium in critically ill adults without brain injury: a retrospective cohort study | Khan, J. M. Shore, A. Lee, K. F. H. Wood, M. D. Maslove, D. M. Hunt, M. Georgescu, I. Muscedere, J. Boyd, J. G. | Can J Anaesth | 2023 |
cerebral autoregulation |
| Clinical Features of Delirium among Patients in the Intensive Care Unit According to Motor Subtype Classification: A Retrospective Longitudinal Study | Kim, J. Oh, J. Ahn, J. S. Chung, K. Kim, M. K. Shin, C. S. Park, J. Y. | Yonsei Med J | 2023 |
Humans |
| The Efficacy of Ramelteon to Prevent Postoperative Delirium After General Anesthesia in the Elderly: A Double-Blind, Randomized, Placebo-Controlled Trial | Kinouchi, M. Mihara, T. Taguri, M. Ogura, M. | Am J Geriatr Psychiatry | 2023 |
Aged |
| Association of general anesthesia exposure with risk of postoperative delirium in patients receiving transcatheter aortic valve replacement: a meta-analysis and systematic review | Ko, C. C. Hung, K. C. Chang, Y. P. Liu, C. C. Cheng, W. J. Wu, J. Y. Li, Y. Y. Lin, T. C. Sun, C. K. | Sci Rep | 2023 |
Delirium is a heterogeneous and detrimental mental condition often seen in older, hospitalized patients and is currently hard to predict. In this study, we leverage large-scale, real- world data using the electronic health records (EHR) to identify two cohorts comprised of 7,492 UCSF patients and 19,417 UC health system patients (excluding UCSF patients) with an inpatient delirium diagnosis and the same number of propensity score-matched control patients without delirium. We found significant associations between comorbidities or laboratory test values and an inpatient delirium diagnosis which were validated independently. Most of these associations were those previously-identified as risk factors for delirium, including metabolic abnormalities, mental health diagnoses, and infections. Some of the associations were sex- specific, including those related to dementia subtypes and infections. We further explored the diagnostic associations with anemia and bipolar disorder by conducting longitudinal analyses from the time of first diagnosis of the risk factor to development of delirium demonstrating a significant relationship across time. Finally, we show that an inpatient delirium diagnosis leads to dramatic increases in mortality outcome across both cohorts. These results demonstrate the powerful application of leveraging EHR data to shed insights into prior diagnoses and laboratory test values that could help predict development of inpatient delirium and emphasize the importance of considering patient demographic characteristics including documented sex when making these assessments. ONE SENTENCE SUMMARY: Longitudinal analysis of electronic health record data reveals associations between inpatient delirium, comorbidities, and mortality. |
| Sex-stratified phenotyping of comorbidities associated with an inpatient delirium diagnosis using real world data | Kodama, L. Woldemariam, S. Tang, A. Li, Y. Oskotsky, T. Raphael, E. Sirota, M. | medRxiv | 2023 |
Delirium is a heterogeneous and detrimental mental condition often seen in older, hospitalized patients and is currently hard to predict. In this study, we leverage large-scale, real- world data using the electronic health records (EHR) to identify two cohorts comprised of 7,492 UCSF patients and 19,417 UC health system patients (excluding UCSF patients) with an inpatient delirium diagnosis and the same number of propensity score-matched control patients without delirium. We found significant associations between comorbidities or laboratory test values and an inpatient delirium diagnosis which were validated independently. Most of these associations were those previously-identified as risk factors for delirium, including metabolic abnormalities, mental health diagnoses, and infections. Some of the associations were sex- specific, including those related to dementia subtypes and infections. We further explored the diagnostic associations with anemia and bipolar disorder by conducting longitudinal analyses from the time of first diagnosis of the risk factor to development of delirium demonstrating a significant relationship across time. Finally, we show that an inpatient delirium diagnosis leads to dramatic increases in mortality outcome across both cohorts. These results demonstrate the powerful application of leveraging EHR data to shed insights into prior diagnoses and laboratory test values that could help predict development of inpatient delirium and emphasize the importance of considering patient demographic characteristics including documented sex when making these assessments. ONE SENTENCE SUMMARY: Longitudinal analysis of electronic health record data reveals associations between inpatient delirium, comorbidities, and mortality. |
| Comparison of the effectiveness of delirium evaluation tools in intensive care patients: pre-deliric versions 1 and 2, E-pre-deliric and ICDSC | Kucuk, O. Memis, D. Inal, M. T. Turan, F. N. Memis, I. | Eur Rev Med Pharmacol Sci | 2023 |
Male |
| New-onset delirium during hospitalization in older adults: incidence and risk factors | Lami Pereira, R. Bojanini Molina, L. Wilger, K. Hedges, M. S. Tolaymat, L. Haga, C. Walker, A. Gillis, M. Yin, M. Dawson, N. L. | Hosp Pract (1995) | 2023 |
Humans |
| The Potential Value of Systemic Inflammation Response Index on Delirium After Hip Arthroplasty Surgery in Older Patients: A Retrospective Study | Lu, W. Lin, S. Wang, C. Jin, P. Bian, J. | Int J Gen Med | 2023 |
geriatric |
| Incidence of delirium in older people with cancer: Systematic review and meta-analysis | Martínez-Arnau, F. M. Buigues, C. Pérez-Ros, P. | Eur J Oncol Nurs | 2023 |
Cancer |
| Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) for the diagnosis of delirium in adults in critical care settings | Miranda, F. Gonzalez, F. Plana, M. N. Zamora, J. Quinn, T. J. Seron, P. | Cochrane Database Syst Rev | 2023 |
Adult |
| Exploration of key drug target proteins highlighting their related regulatory molecules, functional pathways and drug candidates associated with delirium: evidence from meta-data analyses | Mosharaf, M. P. Alam, K. Gow, J. Mahumud, R. A. | BMC Geriatr | 2023 |
Humans |
| Development of postoperative delirium prediction models in patients undergoing cardiovascular surgery using machine learning algorithms | Nagata, C. Hata, M. Miyazaki, Y. Masuda, H. Wada, T. Kimura, T. Fujii, M. Sakurai, Y. Matsubara, Y. Yoshida, K. Miyagawa, S. Ikeda, M. Ueno, T. | Sci Rep | 2023 |
delirium, postoperative, machine learning, cardiovascular, hospital |
| EEG microstate quantifiers and state space descriptors during anaesthesia in patients with postoperative delirium: a descriptive analysis | Neuner, B. Wolter, S. McCarthy, W. J. Spies, C. Cunningham, C. Radtke, F. M. Franck, M. Koenig, T. | Brain Commun | 2023 |
EEG microstates |
| Efficacy and Safety of Risperidone in Patients With Delirium: The RIDDLE Pilot Study | Nguyen, P. V. Vu, T. T. M. | Aust Crit CareJ Clin Psychopharmacol | 2023 |
delirium, pilot study, risperidone, delirium rating scale, hospital |
| Intensive care unit nurses' perception of three different methods for delirium screening: A survey (DELIS-3) | Nielsen, A. H. Larsen, L. K. Collet, M. O. Lehmkuhl, L. Bekker, C. Jensen, J. F. Laerkner, E. Nielsen, T. A. Rossen, B. S. Thorn, L. Laursen, E. Fischer, S. Villumsen, M. Shiv, L. H. Høgh, M. Rahr, M. N. Svenningsen, H. | Aust Crit Care | 2023 |
Humans |
| Melatonin and Melatonin Agonists for Prevention of Delirium in the Cardiac Surgical ICU: A Meta-analysis | Niyogi, S. G. Naskar, C. Singh, A. Kumar, B. Grover, S. | Indian J Crit Care Med | 2023 |
Cardiac critical care |
| Association between Neuron-Specific Enolase, Memory Function, and Postoperative Delirium after Transfemoral Aortic Valve Replacement | Nübel, J. Buhre, C. Hoffmeister, M. Oess, S. Labrenz, O. Jost, K. Hauptmann, M. Schön, J. Fritz, G. Butter, C. Haase-Fielitz, A. | J Cardiovasc Dev Dis | 2023 |
Tavr |
| A retrospective, cross-sectional analysis of delirium in burn injury compared to other surgical specialities | O'Brien, A. Hopkins, J. Boardman, G. Stanley, G. Daly, P. Martin, L. Wood, F. | Burns | 2023 |
Humans |
| Postoperative Use of the Muscle Relaxants Baclofen and/or Cyclobenzaprine Associated With an Increased Risk of Delirium Following Lumbar Fusion | Perez, E. A. Ray, E. Gold, C. J. Park, B. J. Piscopo, A. Carnahan, R. M. Banks, M. Sanders, R. D. Olinger, C. R. Mueller, R. N. Woodroffe, R. W. | Spine (Phila Pa 1976) | 2023 |
Humans |
| Extracellular Vesicles as Possible Plasma Markers and Mediators in Patients with Sepsis-Associated Delirium-A Pilot Study | Plaschke, K. Brenner, T. Fiedler, M. O. Hölle, T. von der Forst, M. Wolf, R. C. Kopitz, J. Gebert, J. Weigand, M. A. | Int J Mol Sci | 2023 |
Humans |
| Rest-activity patterns associated with delirium in patients with intracerebral hemorrhage | Reznik, M. E. Mintz, N. Moody, S. Drake, J. Margolis, S. A. Rudolph, J. L. LaBuzetta, J. N. Kamdar, B. B. Jones, R. N. | J Neurol Sci | 2023 |
Humans |
| Development and validation of delirium prediction models for noncardiac surgery patients | Rössler, J. Shah, K. Medellin, S. Turan, A. Ruetzler, K. Singh, M. Sessler, D. I. Maheshwari, K. | J Pain Palliat Care Pharmacother | 2023 |
Anesthesia |
| Effects of Opioids, Steroids, Benzodiazepines, Anticholinergics, and Antihistamines on the Efficacy of Antipsychotics for Treating Delirium in End-of-Life Adult Patients Undergoing Palliative Care | Sato, J. Tanaka, R. | J Pain Palliat Care Pharmacother | 2023 |
Humans |
| Clinical Prediction Models for Hospital-Induced Delirium Using Structured and Unstructured Electronic Health Record Data: Protocol for a Development and Validation Study | Ser, S. E. Shear, K. Snigurska, U. A. Prosperi, M. Wu, Y. Magoc, T. Bjarnadottir, R. I. Lucero, R. J. | JMIR Res Protoc | 2023 |
big data |
| A Prospective Randomized Study of the Herbal Medicine Yokukansan for Preventing Delirium After Gastrointestinal Cancer Surgery | Tanio, A. Yamamoto, M. Uejima, C. Tada, Y. Yamanashi, T. Matsuo, R. Miura, A. Kajitani, N. Nishiguchi, T. Iwata, M. Fujiwara, Y. | Yonago Acta Med | 2023 |
gastrointestinal cancer |
| A protocol of an international validation study to assess the clinical accuracy of the eDIS-ICU delirium screening tool | Tronstad, O. Patterson, S. Sutt, A. L. Pearse, I. Hay, K. Liu, K. Sato, K. Koga, Y. Matsuoka, A. Hongo, T. Rätsep, I. Fraser, J. F. Flaws, D. | Aust Crit Care | 2023 |
Humans |
| Anaesthesia-related cognitive dysfunction following cardiothoracic surgery in late middle-age and younger adults: A scoping review | Varpaei, H. A. Robbins, L. B. Ling, J. Lehto, R. H. Bender, C. M. | Nurs Crit Care | 2023 |
anaesthesia |
| Long-term mortality of critically ill patients with cancer and delirium who survived to discharge: a retrospective cohort study | Vizzacchi, B. A. Pezzini, T. R. de Souza, J. M. Caruso, P. Nassar, A. P., Jr. | Can J Anaesth | 2023 |
Adult |
| The effect of anesthetic depth on postoperative delirium in older adults: a systematic review and meta-analysis | Wang, Y. Zhu, H. Xu, F. Ding, Y. Zhao, S. Chen, X. | BMC Geriatr | 2023 |
Humans |
| Unveiling the nexus of postoperative fever and delirium in cardiac surgery: identifying predictors for enhanced patient care | Wang, Y. P. Shen, B. B. Zhu, C. C. Li, L. Lu, S. Wang, D. J. Jin, H. Liu, Q. Wang, Z. Y. Ge, M. | Front Cardiovasc Med | 2023 |
Cpb |
| Long-term cognitive impairment after probable delirium in long-term care residents: A population-based retrospective cohort study | Webber, C. Milani, C. Pugliese, M. Lawlor, P. G. Bush, S. H. Watt, C. Casey, G. Knoefel, F. Thavorn, K. Momoli, F. Tanuseputro, P. | J Am Geriatr Soc | 2023 |
cognitive decline |
| Delirium Due to Potentially Avoidable Hospitalizations Among Older Adults | Whittington, C. Skains, R. M. Zhang, Y. Osborne, J. D. O'Leary, T. Freeman, H. B. Martin, R. C. Vickers, J. K. Flood, K. L. Markland, A. D. Buford, T. W. Brown, C. J. Kennedy, R. E. | J Gerontol A Biol Sci Med Sci | 2023 |
ambulatory care sensitive conditions |
| Quantitative electroencephalography predicts postoperative delirium in cardiac surgical patients after cardiopulmonary bypass: a prospective observational study | Xue, Y. Liu, W. Su, L. He, H. Chen, H. Long, Y. | Front Med (Lausanne) | 2023 |
cardiopulmonary bypass |
| Natural language processing to assess the epidemiology of delirium-suggestive behavioural disturbances in critically ill patients | Young, M. Holmes, N. Robbins, R. Marhoon, N. Amjad, S. Neto, A. S. Bellomo, R. | Crit Care Resusc | 2021 |
Background: There is no gold standard approach for delirium diagnosis, making the assessment of its epidemiology difficult. Delirium can only be inferred though observation of behavioural disturbance and described with relevant nouns or adjectives. Objective: We aimed to use natural language processing (NLP) and its identification of words descriptive of behavioural disturbance to study the epidemiology of delirium in critically ill patients. Study design: Retrospective study using data collected from the electronic health records of a university-affiliated intensive care unit (ICU) in Melbourne, Australia. Participants: 12 375 patients Intervention: Analysis of electronic progress notes. Identification using NLP of at least one of a list of words describing behavioural disturbance within such notes. Results: We analysed 199 648 progress notes in 12 375 patients. Of these, 5108 patients (41.3%) had NLP-diagnosed behavioural disturbance (NLP-Dx-BD). Compared with those who did not have NLP-Dx-DB, these patients were older, more severely ill, and likely to have medical or unplanned admissions, neurological diagnosis, chronic kidney or liver disease and to receive mechanical ventilation and renal replacement therapy (P < 0.001). The unadjusted hospital mortality for NLP-Dx-BD patients was 14.1% versus 9.6% for patients without NLP-Dx-BD. After adjustment for baseline characteristics and illness severity, NLP-Dx-BD was not associated with increased risk of death (odds ratio [OR], 0.94; 95% CI, 0.80-1.10); a finding robust to multiple sensitivity, subgroups and time of observation subcohort analyses. In mechanically ventilated patients, NLP-Dx-BD was associated with decreased hospital mortality (OR, 0.80; 95% CI, 0.65-0.99) after adjustment for baseline severity of illness and year of admission. Conclusions: NLP enabled rapid assessment of large amounts of data identifying a population of ICU patients with typical high risk characteristics for delirium. Moreover, this technique enabled identification of previously poorly understood associations. Further investigations of this technique appear justified. |
| Association between intraoperative mean arterial pressure variability and postoperative delirium after hip fracture surgery: a retrospective cohort study | Zhang, C. Song, Y. Wu, X. Miao, R. Lou, J. Ma, Y. Li, M. Mi, W. Cao, J. | BMC Geriatr | 2023 |
Aged |
| Impact of Clinical Decision Support System Assisted prevention and management for Delirium on guideline adherence and cognitive load among Intensive Care Unit nurses (CDSSD-ICU): Protocol of a multicentre, cluster randomized trial | Zhang, S. Ding, S. Cui, W. Li, X. Wei, J. Wu, Y. | Int J Nurs Stud | 2023 |
Humans |
| Non-pharmacological interventions to prevent and treat delirium in older people: An overview of systematic reviews | Zhao, Q. Liu, S. Zhao, H. Dong, L. Zhu, X. Liu, J. | Int J Nurs Stud | 2023 |
Humans |
| Online interpretable dynamic prediction models for postoperative delirium after cardiac surgery under cardiopulmonary bypass developed based on machine learning algorithms: A retrospective cohort study | Zhao, X. Li, J. Xie, X. Fang, Z. Feng, Y. Zhong, Y. Chen, C. Huang, K. Ge, C. Shi, H. Si, Y. Zou, J. | J Psychosom Res | 2023 |
Cardiac surgery |
| Dementia and Postoperative Delirium in Surgical Hip Fracture Patients: Unveiling Contrasting Risk Factors and Implications | Zhao, Y. Alderden, J. Missbrenner, N. | J Gerontol Nurs | 2023 |
Humans |
| Diagnostic accuracy of the Family Confusion Assessment Method for delirium detection: A systematic review and meta-analysis | Zhou, C. Wang, H. Wang, L. Zhou, Y. Wu, Q. | J Am Geriatr Soc | 2023 |
Fam-cam |
| The effects of a multidisciplinary pathway for perioperative management of patients with hip fracture | Ackermann, L. L. Schwenk, E. S. Li, C. J. Vaile, J. R. Weitz, H. | Hosp Pract (1995) | 2023 |
Humans, Aged, Analgesics, Opioid/therapeutic use, Prospective Studies |
| Precision-based approaches to delirium in critical illness: A narrative review | Ankravs, M. J. McKenzie, C. A. Kenes, M. T. | Pharmacotherapy | 2023 |
Humans, Delirium/diagnosis/drug therapy/etiology, Intensive Care Units |
| Associations between early in-hospital medications and the development of delirium in patients with stroke | Ryan, S. L. Liu, X. McKenna, V. Ghanta, M. Muniz, C. Renwick, R. Westover, M. B. Kimchi, E. Y. | J Stroke Cerebrovasc Dis | 2023 |
Humans |
| Family-centered delirium prevention and treatment using video calls: the FACE Delirium trial | Trabert, J. Schenk, A. Golbach, R. Püllen, R. Schütze, S. | Eur Geriatr Med | 2023 |
Delirium |
| Early Onset Delirium During Hospitalization Increases In-Hospital and Postdischarge Mortality in COVID-19 Patients: A Multicenter Prospective Study | Trevisan, C. Grande, G. Rebora, P. Zucchelli, A. Valsecchi, M. G. Focà, E. Ecarnot, F. Marengoni, A. Bellelli, G. | J Clin Psychiatry | 2023 |
Humans |
| Accuracy of a clinical decision support system based on the 3-minute diagnostic interview for CAM-defined delirium: A validation study(✰) | Wang, J. Ji, M. Huang, Y. Yang, F. Wu, Y. | Geriatr Nurs | 2023 |
Humans |
| Psychological stress and associated factors in caring for patients with delirium among intensive care unit nurses: A cross-sectional study | Wang, Y. Li, L. Tan, S. Guan, Y. Luo, X. | Aust Crit Care | 2023 |
Humans |
| Inflammatory biomarkers and delirium: a Mendelian randomization study | Yu, M. Li, Y. Li, B. Ge, Q. | Front Aging Neurosci | 2023 |
Il-6
|
| Knowledge, attitude and practice regarding hypoactive delirium among ICU nurses: A nationwide cross-sectional study | Yu, M. Mi, J. Zhang, C. Chen, H. Luo, X. | Nurse Educ Pract | 2023 |
Attitude |
| Potentials of Acetylcholinesterase and Butyrylcholinesterase Alterations in On-Pump Coronary Artery Bypass Surgery in Postoperative Delirium: An Observational Trial | Zajonz, T. S. Kunzemann, C. Schreiner, A. L. Beckert, F. Schneck, E. Boening, A. Markmann, M. Sander, M. Koch, C. | J Clin Med | 2023 |
cardiac surgery |
| Peripheral cholinesterase activity is not correlated with postoperative delirium in urological surgery | Zangl, Q. Sprinz, B. von Dossow, V. | J Perioper Pract | 2023 |
Acetylcholinesterase |
| Biologic correlates associated with poor functional recovery after delirium: A nested prospective cohort study | Dasgupta, M. Brymer, C. | Health Sci Rep | 2023 |
activities of daily living |
| ICU Delirium Is Associated with Cardiovascular Burden and Higher Mortality in Patients with Severe COVID-19 Pneumonia | Gutowski, M. Klimkiewicz, J. Michałowski, A. Ordak, M. Możański, M. Lubas, A. | J Clin Med | 2023 |
Covid-19 |
| Analysis of risk factors for postoperative delirium in middle-aged and elderly fracture patients in the perioperative period | An, Z. Xiao, L. Chen, C. Wu, L. Wei, H. Zhang, X. Dong, L. | Sci Rep | 2023 |
Aged |
| Korkatti-Puoskari, N. Tiihonen, M. Caballero-Mora, M. A. Topinkova, E. Szczerbińska, K. Hartikainen, S. | Therapeutic dilemma's: antipsychotics use for neuropsychiatric symptoms of dementia, delirium and insomnia and risk of falling in older adults, a clinical review | Eur Geriatr Med | 2023 |
Humans |
| The efficacy and safety of haloperidol for the treatment of delirium in critically ill patients: a systematic review and meta-analysis of randomized controlled trials | Huang, J. Zheng, H. Zhu, X. Zhang, K. Ping, X. | Front Med (Lausanne) | 2023 |
Icu |
| A prospective randomized study examining the impact of intravenous versus inhalational anesthesia on postoperative cognitive decline and delirium | Farrer, T. J. Monk, T. G. McDonagh, D. L. Martin, G. Pieper, C. F. Koltai, D. | Appl Neuropsychol Adult | 2023 |
Anesthesia type |
| Factors Associated with Improvement in Activities of Daily Living during Hospitalization: A Retrospective Study of Older Patients with Hip Fractures | Takeda, K. Wada, M. Yorozuya, K. Hara, Y. Watanabe, T. Hanaoka, H. | Ann Geriatr Med Res | 2023 |
Activities of daily living |
| Associations Between Dysphagia and Adverse Health Outcomes in Older Adults with Dementia in Intensive Care Units: A Retrospective Cohort Study | Cheng, H. Deng, X. Li, J. Tang, Y. Yuan, S. Huang, X. Wang, Z. Zhou, F. Lyu, J. | Clin Interv Aging | 2023 |
Humans |
| Microvascular reconstruction for oral cancer in older adult patients: the impact of age on surgical outcomes | Kouketsu, A. Kaneuji, T. Yamaguma, Y. Yamauchi, K. Sugiura, T. Takahashi, T. Ito, H. Yamashita, Y. | Oral Surg Oral Med Oral Pathol Oral Radiol | 2023 |
oral, cancer, surgical, adults, elderly |
| Postoperative delirium is a risk factor of institutionalization after hip fracture: an observational cohort study | Labaste, F. Delort, F. Ferré, F. Bounes, F. Reina, N. Valet, P. Dray, C. Minville, V. | Front Med (Lausanne) | 2023 |
delirium |
| Prognostic significance of delirium in patients with heart failure: a systematic review and meta-analysis | Niu, Z. Zhou, J. Li, Y. | Front Cardiovasc Med | 2023 |
delirium |
| Postoperative delirium in 47 379 individuals undergoing transcatheter aortic valve replacement: a systematic review and meta-analysis | Ochani, S. Adnan, A. Siddiqui, A. Kalwar, A. Kukreja, S. Ahmad, M. Ashraf, M. H. Asghar, M. A. | Ann Med Surg (Lond) | 2023 |
Cam, Tavr, confusion assessment method, delirium, stroke, transcatheter aortic valve replacement |
| ICU Readmission in Injured Older Adults: Modifiable Risk Factors and Implications | Agoubi, L. L. Reimel, B. A. Maine, R. G. O'Connell, K. M. Maier, R. V. McIntyre, L. K. | J Trauma Acute Care Surg | 2023 |
ICU, delirium, older adults, risk factors, readmission |
| Motorist disorientation syndrome; clinical features and vestibular findings | Ainsworth, C. Davies, R. Colvin, I. Murdin, L. | J Vestib Res | 2023 |
Humans |
| External validity of an automated delirium prediction model (DEMO) and comparison to the manual VMS-questions: a retrospective cohort study | Ali, M. I. M. Kalkman, G. A. Wijers, C. H. W. Fleuren, Hwha Kramers, C. de Wit, Hajm | Int J Clin Pharm | 2023 |
Humans |
| Role of Intraoperative Neuromonitoring to Predict Postoperative Delirium in Cardiovascular Surgery | Al-Qudah, A. M. Ta'ani, O. A. Thirumala, P. D. Sultan, I. Visweswaran, S. Nadkarni, N. Kiselevskaya, V. Crammond, D. J. Balzer, J. Anetakis, K. M. Shandal, V. Subramanium, K. Subramanium, B. Sadhasivam, S. | J Cardiothorac Vasc Anesth | 2023 |
Eeg, Ionm, Ssep, cardiac, delirium, postoperative |
| Comparison of the hemodynamic effects of opioid-based versus lidocaine-based induction of anesthesia with propofol in older adults: a randomized controlled trial | Amin, S. M. Hasanin, A. ElSayed, O. S. Mostafa, M. Khaled, D. Arafa, A. S. Hassan, A. | Anaesth Crit Care Pain Med | 2023 |
Humans |
| Effect of pharmacist-led intervention protocol on preventing postoperative delirium after elective cardiovascular surgery | Asai, Y. Yanagawa, T. Takahashi, M. | PLoS One | 2023 |
Adult, Humans, *Emergence Delirium, Pharmacists, Retrospective Studies, Benzodiazepines/adverse effects |
| Taming Postoperative Delirium with Dexmedetomidine: A Review of the Therapeutic Agent's Neuroprotective Effects following Surgery | Bargnes, V., 3rd Oliver, B. Wang, E. Greenspan, S. Jin, Z. Yeung, I. Bergese, S. | Pharmaceuticals (Basel) | 2023 |
dexmedetomidine |
| Level of implementation of pain management and early mobilization strategies to prevent delirium in geriatric trauma patients: A mixed-methods study | Beaudoin, M. Belzile, E. L. Gélinas, C. Trépanier, D. Émond, M. Gagnon, M. A. Bérubé, M. | Int J Orthop Trauma Nurs | 2023 |
Delirium, Early mobilization, Geriatric trauma, Mixed-methods, Pain management, Practice guidelines |
| Dose-dependent QTc interval prolongation under haloperidol and pipamperone in the management of delirium in a naturalistic setting | Bohny, P. Boettger, S. Jenewein, J. | Front Psychiatry | 2023 |
QTc interval, delirium, haloperidol, pipamperone, torsades de pointes |
| Prevalence and risk factors of subsyndromal delirium among postoperative patients: A systematic review and meta-analysis | Chen, S. Tang, L. Chen, J. Cai, L. Liu, C. Song, J. Chen, Y. Liu, Y. Zheng, S. | J Adv Nurs | 2023 |
Subsyndromal delirium, meta-analysis, nurse, nursing, postoperative care, prevalence, risk factors, surgery |
| Incidence change of postoperative delirium after implementation of processed electroencephalography monitoring during surgery: a retrospective evaluation study | Chen, Y. C. Hung, I. Y. Hung, K. C. Chang, Y. J. Chu, C. C. Chen, J. Y. Ho, C. H. Yu, C. H. | BMC Anesthesiol | 2023 |
Humans |
| Incidence and risk factors for postoperative delirium after head and neck cancer surgery: an updated meta-analysis | Dong, B. Yu, D. Jiang, L. Liu, M. Li, J. | BMC Neurol | 2023 |
Humans |
| Five-year stroke prognosis. Influence of post-stroke delirium and post-stroke dementia on mortality and disability (Research Study - Part of the PROPOLIS Study) | Droś, J. Segiet, N. Początek, G. Klimkowicz-Mrowiec, A. | Neurol Sci | 2023 |
Cognition disorders, Delirium, Dementia, Mortality, Stroke |
| Comparison of continuous sedatives in the burn ICU on delirium and coma | Falksen, J. Young, S. R. Lee, J. A. | J Burn Care Res | 2023 |
burn, coma, delirium, sedation |
| Associations between depression symptom burden and delirium risk: a prospective cohort study | Gaba, A. Li, P. Xi, Z. Gao, C. Ruixue, C. Hu, K. Gao, L. | medRxiv | 2023 |
Altered mental status |
| Delirium and Previous Psychiatric History Independently Predict Poststroke Posttraumatic Stress Disorder | Griffin, T. T. Bhave, V. McNulty, J. Christophe, B. R. Garton, A. L. A. Sander Connolly, E., Jr. | Neurologist | 2023 |
Humans, Female, *Stress Disorders, Post Traumatic/epidemiology/etiology/diagnosis, *Stroke/complications/epidemiology, *Delirium/diagnosis/epidemiology/etiology |
| Incidence of Postoperative Delirium in Cancer Patients After Head and Neck Surgery: A Proportional Meta-analysis | Ho, M. H. Li, P. W. C. Lin, Y. K. Lee, J. J. Lin, C. C. | Otolaryngol Head Neck Surg | 2023 |
cancer, delirium, head and neck cancer, incidence, postoperative, proportional Meta-analysis |
| Triglyceride-glucose index as a valuable predictor for aged 65-years and above in critical delirium patients: evidence from a multi-center study | Huang, X. Cheng, H. Yuan, S. Ling, Y. Tan, S. Tang, Y. Niu, C. Lyu, J. | BMC Geriatr | 2023 |
Humans |
| Reliability and Validity of the Spanish Adaptation of the Stanford Proxy Test for Delirium in 2 Clinical Spanish-Speaking Communities | Infante, S. Behn, A. González, M. Pintor, L. Franco, E. Araya, P. Maldonado, J. R. | J Acad Consult Liaison Psychiatry | 2023 |
Stanford proxy test for delirium, confusion assessment method, delirium, delirium and COVID, factor analysis |
| Association between preoperative neutrophil-lymphocyte ratio, uric acid, and postoperative delirium in elderly patients undergoing degenerative spine surgery | Kato, K. Kinoshita, H. Kumagai, G. Takekawa, D. Nitobe, Y. Asari, T. Wada, K. Kushikata, T. Ishibashi, Y. Hirota, K. | J Anesth | 2023 |
Neuroprotection, Neutrophil–lymphocyte ratio, Postoperative delirium, Spine surgery, Uric acid |
| Preoperative assessment of postoperative delirium: a cross-sectional study of patients and anesthesiologists in Canada | Khaled, M. Youssef, N. Choi, S. Uppal, V. Chui, J. Marcucci, M. Madden, K. Shanthanna, H. | Can J Anaesth | 2023 |
Humans |
| Resting-state prefrontal EEG biomarker in correlation with postoperative delirium in elderly patients | Kim, J. Park, S. Kim, K. N. Ha, Y. Shin, S. J. Cha, W. Lee, K. Y. Choi, J. Koo, B. N. | Front Aging Neurosci | 2023 |
elderly, electroencephalography, median dominant frequency, postoperative complications, postoperative delirium |
| Risk of delirium with antiepileptic drug use: a study based on the Japanese Adverse Drug Event Report database | Kubo, T. Sogawa, R. Tsuruhashi, S. Murakawa-Hirachi, T. Matsuoka, A. Mizoguchi, Y. Monji, A. Shimanoe, C. | Int J Clin Pharm | 2023 |
Humans |