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
- Withdrawal versus continuation of long-term antipsychotic drug use for behavioural and psychological symptoms in older people with dementia.
- Authors
- Van Leeuwen, E. Petrovic, M. van Driel, M. L. De Sutter, A. I. M. Vander Stichele, R. Declercq, T. Christiaens, T.
- Year
- 2018
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
Background: Antipsychotic agents are often used to treat neuropsychiatric symptoms (NPS) in people with dementia although there is uncertainty about the effectiveness of their long-term use for this indication and concern that they may cause harm, including higher mortality. When behavioural strategies have failed and treatment with antipsychotic drugs is instituted, regular attempts to withdraw them have been recommended in guidelines. Physicians, nurses and families of older people with dementia may be reluctant to stop antipsychotics, fearing deterioration of NPS. This is an update of a Cochrane Review published in 2013. Objectives: To evaluate whether withdrawal of antipsychotic agents is successful in older people with dementia and NPS in primary care or nursing home settings, to list the different strategies for withdrawal of antipsychotic agents in older participants with dementia and NPS, and to measure the effects of withdrawal of antipsychotic agents on participants’ behaviour and assess safety. Search methods: We searched the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group (ALOIS), theCochrane Library, MEDLINE, Embase, PsycINFO, CINAHL, LILACS, clinical trials registries and grey literature sources up to 11 January 2018. Selection criteria: We included all randomised, controlled trials comparing an antipsychotic withdrawal strategy to continuation of antipsychotics in people with dementia who had been treated with an antipsychotic drug for at least three months. Data collection and analysis: We used standard methodological procedures according to the Cochrane Handbook for Systematic Reviews of Interventions. We rated the quality of evidence for each outcome using the GRADE approach. Main results: We included 10 studies involving 632 participants. One new trial (19 participants) was added for this update. One trial was conducted in a community setting, eight in nursing homes and one in both settings. Different types of antipsychotics at varying doses were discontinued in the studies. Both abrupt and gradual withdrawal schedules were used. Reported data were predominantly from studies at low or unclear risk of bias. We included nine trials with 575 randomised participants that used a proxy outcome for overall success of antipsychotic withdrawal. Pooling data was not possible due to heterogeneity of outcome measures used. Based on assessment of seven studies, discontinuation may make little or no difference to whether or not participants complete the study (low-quality evidence). Two trials included only participants with psychosis, agitation or aggression who had responded to antipsychotic treatment. In these two trials, stopping antipsychotics was associated with a higher risk of leaving the study early due to symptomatic relapse or a shorter time to symptomatic relapse. We found low-quality evidence that discontinuation may make little or no difference to overall NPS, measured using various scales (7 trials, 519 participants). There was some evidence from subgroup analyses in two trials that discontinuation may reduce agitation for participants with less severe NPS at baseline, but may be associated with a worsening of NPS in participants with more severe NPS at baseline. None of the studies assessed withdrawal symptoms. Adverse effects of antipsychotics (such as falls) were not systematically assessed. Low-quality evidence showed that discontinuation may have little or no effect on adverse events (5 trials, 381 participants), quality of life (2 trials, 119 participants), or cognitive function (5 trials, 365 participants). There were insufficient data to determine whether discontinuation of antipsychotics has any effect on mortality (very low-quality evidence). Authors’ conclusions: There is low-quality evidence that antipsychotics may be successfully discontinued in older people with dementia and NPS who have been taking antipsychotics for at least three months, and that discontinuation may have little or no important effect on behavioural and psychological symptoms. This i consistent with the observation that most behavioural complications of dementia are intermittent and often do not persist for longer than three months. Discontinuation may have little or no effect on overall cognitive function. Discontinuation may make no difference to adverse events and quality of life. Based on the trials in this review, we are uncertain whether discontinuation of antipsychotics leads to a decrease in mortality. People with psychosis, aggression or agitation who responded well to long-term antipsychotic drug use, or those with more severe NPS at baseline, may benefit behaviourally from continuation of antipsychotics. Discontinuation may reduce agitation for people with mild NPS at baseline. However, these conclusions are based on few studies or small subgroups and further evidence of benefits and harms associated with withdrawal of antipsychotic is required in people with dementia and mild and severe NPS. The overall conclusions of the review have not changed since 2013 and the number of available trials remains low.
- PMID
- Keywords
chlorpromazine
haloperidol
levomepromazine
lorazepam
loxapine
mesoridazine
neuroleptic agent
olanzapine
perphenazine
placebo
risperidone
thioridazine
tiotixene
trifluoperazine
aggression
agitation
akathisia
behavior disorder
blood pressure
body equilibrium
cardiovascular disease
cognition
confusion
dementia
drug fatality
drug megadose
drug response
drug safety
drug withdrawal
extrapyramidal symptom
falling
fracture
heart rate
human
insomnia
long term care
low drug dose
lung disease
mental disease
motor dysfunction
nausea
neurologic disease
nursing home
parkinsonism
physical mobility
primary medical care
priority journal
psychosis
quality of life
relapse
restlessness
review
sedation
side effect
systematic review
tardive dyskinesia
treatment outcome
vomiting
- Page(s)
- Volume
- Issue
- 3
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Intravenous infusion of dexmedetomidine during the surgery to prevent postoperative delirium and postoperative cognitive dysfunction undergoing non-cardiac surgery: a meta-analysis of randomized controlled trials | Wang, D. Liu, Z. Zhang, W. Zu, G. Tao, H. Bi, C. | Eur J Med Res | 2024 |
Humans |
| Triglyceride-glucose index predicts postoperative delirium in elderly patients with type 2 diabetes mellitus: a retrospective cohort study | Sun, M. Liu, M. Zhang, F. Sang, L. Song, Y. Li, P. Liu, S. Yang, H. Ma, L. Cao, J. Mi, W. Ma, Y. | Lipids Health Dis | 2024 |
Aged |
| Electroencephalogram Biomarkers from Anesthesia Induction to Identify Vulnerable Patients at Risk for Postoperative Delirium | Pollak, M. Leroy, S. Röhr, V. Brown, E. N. Spies, C. Koch, S. | Anesthesiology | 2024 |
Humans |
| Mesial temporal atrophy in preoperative MRI rather than steep Trendelenburg position is associated with postoperative delirium in patients undergoing a major urologic surgery | Park, J. H. Park, I. Yoon, J. Sim, Y. Kim, J. Lee, S. K. Joo, B. | Int Urol Nephrol | 2024 |
Male |
| Comparison of Remimazolam and Propofol on Postoperative Delirium in Elderly Patients Undergoing Radical Resection of Colon Cancer: A Single-Center Prospective Randomized Controlled Study | Liu, T. Zhao, H. Zhao, X. Qu, M. | Med Sci Monit | 2024 |
Humans |
| Dynamic Delirium Prediction in the Intensive Care Unit using Machine Learning on Electronic Health Records | Contreras, M. Silva, B. Shickel, B. Bandyopadhyay, S. Guan, Z. Ren, Y. Ozrazgat-Baslanti, T. Khezeli, K. Bihorac, A. Rashidi, P. | IEEE EMBS Int Conf Biomed Health Inform | 2023 |
Delirium ICU Machine learning system Delirium Prediction |
| The Role of Delirium on Short- and Long-Term Postoperative Outcomes Following Major Gastrointestinal Surgery for Cancer | Katayama, E. S. Stecko, H. Woldesenbet, S. Khalil, M. Munir, M. M. Endo, Y. Tsilimigras, D. Pawlik, T. M. | Ann Surg Oncol | 2024 |
Delirium Digestive tract surgery Surgical outcomes Postoperative delirium Expenditures |
| Long-term outcomes after treatment of delirium during critical illness with antipsychotics (MIND-USA): a randomised, placebo-controlled, phase 3 trial | Mart, M. F. Boehm, L. M. Kiehl, A. L. Gong, M. N. Malhotra, A. Owens, R. L. Khan, B. A. Pisani, M. A. Schmidt, G. A. Hite, R. D. Exline, M. C. Carson, S. S. Hough, C. L. Rock, P. Douglas, I. S. Feinstein, D. J. Hyzy, R. C. Schweickert, W. D. Bowton, D. L. | Lancet Respir Med | 2024 |
Delirium Critical illness Antipsychotics Long-term cognitive impairment Haloperidol Ziprasidone |
| Incidence and assessment of delirium following open cardiac surgery; A systematic review and meta-analysis | Petersson, N. B. Hansen, M. H. Hjelmborg, J. V. B. Instenes, I. Christoffersen, A. S. Larsen, K. L. Schmidt, H. Riber, L. P. S. Norekvål, T. M. Borregaard, B. | Eur J Cardiovasc Nurs | 2024 |
Open Cardiac Surgery Delirium Systematic Review CAM CAM-ICU Delirium assessment tools |
| Significance Analysis of the Improvement in Postoperative Recovery of Cardiac Surgery Patients Based on the Graded Management Established Using the Delirium Prediction Model | Zhang, H. Wang, Q. Feng, P. | Altern Ther Health Med | 2024 |
Cardiac Surgery Delirium Prediction Delirium ICU Delirium Type A aortic coarctation |
| Postoperative Delirium and the Older Adult: Untangling the Confusion | Thedim, M. Vacas, S. | J Neurosurg Anesthesiol | 2024 |
aging, anesthesia, delirium, inflammation, sleep |
| Efficacy and safety of music therapy for the treatment of anxiety and delirium in ICU patients: a meta-analysis and systematic review of randomized controlled trials | Xiao, M. Gong, C. Mai, M. Huang, M. Xiong, A. Liu, H. Jiang, R. | Minerva Anestesiol | 2024 |
Music therapy; Intensive care units; Anxiety; Delirium; Meta-analysis |
| Aripiprazole for treating delirium: A systematic review-Is it a valid yet understudied treatment? | Maddalena, S. Magistri, C. Mellini, C. Sarli, G. | J Psychopharmacol | 2024 |
Haloperidol |
| Delirium screening in the emergency department: evaluation and intervention | Meged-Book, T. Frenkel, R. Nikonov, A. Zeldetz, V. Kosto, A. Schwarzfuchs, D. Freud, T. Press, Y. | Isr J Health Policy Res | 2024 |
Humans |
| A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study | Aggar, C. Craswell, A. Bail, K. Compton, R. M. Hughes, M. Sorwar, G. Baker, J. Greenhill, J. Shinners, L. Nichols, B. Langheim, R. Wallis, A. Bowen, K. Bridgett, H. | J Gen Intern Med | 2024 |
caregiving |
| The role of heart rate variability in predicting delirium: A systematic review and meta-analysis | Amit Patel, K. Sethi, A. Al Azazi, E. McClurg, C. Chowdhury, T. | J Clin Neurosci | 2024 |
Delirium |
| Efficacy of melatonin in decreasing the incidence of delirium in critically ill adults: a randomized controlled trial | Bandyopadhyay, A. Yaddanapudi, L. N. Saini, V. Sahni, N. Grover, S. Puri, S. Ashok, V. | Crit Care Sci | 2024 |
Humans |
| Assessment and report of individual symptoms in studies of delirium in postoperative populations: a systematic review | Bowman, E. M. L. Sweeney, A. M. McAuley, D. F. Cardwell, C. Kane, J. Badawi, N. Jahan, N. Iqbal, H. K. Mitchell, C. Ballantyne, J. A. Cunningham, E. L. | Age Ageing | 2024 |
Humans |
| Systemic inflammation and delirium during critical illness | Brummel, N. E. Hughes, C. G. McNeil, J. B. Pandharipande, P. P. Thompson, J. L. Orun, O. M. Raman, R. Ware, L. B. Bernard, G. R. Harrison, F. E. Ely, E. W. Girard, T. D. | Intensive Care Med | 2024 |
Coma |
| Hospitalized Patients With Delirium and 28-Day Unplanned Hospital Readmissions: A Longitudinal Retrospective Cohort Study | Butala, A. Gilbert, J. M. Griffiths, A. A. Lim, W. K. | J Am Med Dir Assoc | 2024 |
Delirium |
| Validity and reliability of the Turkish version of the Informant Assessment of Geriatric Delirium Scale | Celik, B. Bilik, O. Koçbilek, Z. D. Damar, H. T. Öz, D. Denizmen, Z. | Ideggyogy Sz | 2024 |
Aged |
| Can admission Braden skin score predict delirium in older adults in the intensive care unit? Results from a multicenter study | Cheng, H. Huang, X. Yuan, S. Song, S. Tang, Y. Ling, Y. Tan, S. Wang, Z. Zhou, F. Lyu, J. | J Clin Nurs | 2024 |
Humans |
| Malnutrition-Related Health Outcomes in Older Adults with Hip Fractures: A Systematic Review and Meta-Analysis | Chiavarini, M. Ricciotti, G. M. Genga, A. Faggi, M. I. Rinaldi, A. Toscano, O. D. D'Errico, M. M. Barbadoro, P. | Nutrients | 2024 |
Humans |
| Organizational Context and Facilitation Interactions on Delirium Risk in Long-Term Care: A Cross-Sectional Study | Choroschun, K. Estabrooks, C. A. Duan, Y. Chamberlain, S. Shrestha, S. Cummings, G. G. Iaconi, A. Norton, P. G. Song, Y. Hoben, M. | J Am Med Dir Assoc | 2024 |
Organizational context |
| Delirium and delirium severity screening in the intensive care-correspondence of screenings tools | Collet, M. O. Nielsen, A. H. Larsen, L. K. Laerkner, E. Jensen, J. F. Mortensen, C. B. Lehmkuhl, L. Thorn, L. Rossen, B. S. Nielsen, T. A. Laursen, E. Shiv, L. H. Villumsen, M. Rahr, M. N. Svenningsen, H. | Aust Crit Care | 2024 |
Adult |
| A joint frailty model for recurrent and competing terminal events: Application to delirium in the ICU | Etzkorn, L. H. Coënt, Q. L. van den Boogaard, M. Rondeau, V. Colantuoni, E. | Stat Med | 2024 |
competing events |
| Nomogram for predicting the risk of postoperative delirium in elderly patients undergoing orthopedic surgery | Fan, Y. Yang, T. Liu, Y. Gan, H. Li, X. Luo, Y. Yang, X. Pang, Q. | Perioper Med (Lond) | 2024 |
Elderly patients |
| The Association of Plasma Leptin, Soluble Leptin Receptor and Total and High-Molecular Weight Adiponectin With the Risk of Perioperative Neurocognitive Disorders | Feinkohl, I. Janke, J. Slooter, A. J. C. Winterer, G. Spies, C. Pischon, T. | Am J Geriatr Psychiatry | 2024 |
Adiponectin |
| A novel nomogram for the prediction of subsyndromal delirium in patients in intensive care units: A prospective, nested case-controlled study | Gao, Y. Gan, X. | Int J Nurs Stud | 2024 |
Delirium |
| Association Between Preoperative Sleep Disturbance and Postoperative Delirium in Elderly: A Retrospective Cohort Study | Guo, H. Li, L. H. Lv, X. H. Su, F. Z. Chen, J. Xiao, F. Shi, M. Xie, Y. B. | Nat Sci Sleep | 2024 |
anesthesia |
| Validation to Spanish of nursing assessment scale for early diagnosis of delirium - Nu-DESC | Henao Castaño Á, M. Lozano González, L. M. Gómez Tovar, L. O. | Invest Educ Enferm | 2023 |
Adult |
| Predictive modeling for postoperative delirium in elderly patients with abdominal malignancies using synthetic minority oversampling technique | Hu, W. J. Bai, G. Wang, Y. Hong, D. M. Jiang, J. H. Li, J. X. Hua, Y. Wang, X. Y. Chen, Y. | World J Gastrointest Oncol | 2024 |
Abdominal cancer |
| Reliability and Validity of the Spanish Adaptation of the Stanford Proxy Test for Delirium in Two Clinical Spanish-Speaking Communities | Infante, S. Behn, A. González, M. Pintor, L. Franco, E. Araya, P. Maldonado, J. R. | J Acad Consult Liaison Psychiatry | 2024 |
Humans |
| Detection of delirium in older patients-A point prevalence study in surgical and non-surgical hospital wards | Instenes, I. Eide, L. S. P. Andersen, H. Fålun, N. Pettersen, T. Ranhoff, A. H. Rudolph, J. L. Steihaug, O. M. Wentzel-Larsen, T. Norekvål, T. M. | Scand J Caring Sci | 2024 |
4at |
| The impact of delirium on clinical and functional outcomes in hospitalized patients with acute coronary syndrome | Ioanna, D. Evangelos, F. John, S. Aikaterini, T. Ioannis, V. Dimitrios, P. Maria, S. | Nurs Crit Care | 2024 |
acute coronary syndrome |
| Improving the Detection, Assessment, Management and Prevention of Delirium in Hospices (the DAMPen-D study): Feasibility study of a flexible and scalable implementation strategy to deliver guideline-adherent delirium care | Jackson, G. P. Jackson, C. E. Boland, J. W. Featherstone, I. Huang, C. Ogden, M. Sartain, K. Siddiqi, N. Twiddy, M. Pearson, M. Johnson, M. J. | Palliat Med | 2024 |
Humans |
| Diffuse optical tomography for mapping cerebral hemodynamics and functional connectivity in delirium | Jiang, S. Huang, J. Yang, H. Czuma, R. Farley, L. Cohen-Oram, A. Hartney, K. Chechotka, K. Kozel, F. A. Jiang, H. | Alzheimers Dement | 2024 |
acute brain failure |
| Cognitive Training for Reduction of Delirium in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial | Jiang, Y. Xie, Y. Fang, P. Shang, Z. Chen, L. Zhou, J. Yang, C. Zhu, W. Hao, X. Ding, J. Yin, P. Wang, Z. Cao, M. Zhang, Y. Tan, Q. Cheng, D. Kong, S. Lu, X. Liu, X. Sessler, D. I. | JAMA Netw Open | 2024 |
Humans |
| Physical activity may a probably protective factor for postoperative delirium: the PNDABLE study | Kong, J. Lin, X. Wang, B. Xu, S. Wang, Y. Hua, S. Gong, H. Dong, R. Lin, Y. Li, C. Bi, Y. | Front Aging Neurosci | 2024 |
Alzheimer-related biomarkers |
| Effects of Exercise Intervention for the Management of Delirium in Hospitalized Older Adults: A Randomized Clinical Trial | Lozano-Vicario, L. Zambom-Ferraresi, F. Zambom-Ferraresi, F. L. Sáez de Asteasu M Galbete-Jiménez, A. Muñoz-Vázquez Á, J. Cedeno-Veloz, B. A. De la Casa-Marín, A. Ollo-Martínez, I. Fernández-Irigoyen, J. Santamaría, E. San Miguel Elcano, R. Ortiz | J Am Med Dir Assoc | 2024 |
delirium |
| The association between the fibrinogen-to-albumin ratio and delirium after deep brain stimulation surgery in Parkinson's disease | Lu, W. Wang, H. Lin, S. Chang, X. Wang, J. Wu, X. Yu, X. | Front Med (Lausanne) | 2024 |
Parkinson’s disease |
| The Application Value of Esketamine and Dexmedetomidine in Preventing Postoperative Delirium and Hyperalgesia in Elderly Patients with Thoracic Anesthesia | Lu, Y. Yin, G. Jin, C. Gu, K. Bao, D. Xu, W. Yang, Z. | Altern Ther Health Med | 2024 |
Humans |
| A Molecular Framework for Delirium | Lyman, K. A. | Neurohospitalist | 2024 |
attention |
| Evaluation of Delirium Among Elders in the Emergency Department: A Cross-Sectional Study | Marcomini, I. Pisoni, L. Mellino, A. Labaran, R. Milani, L. | Dimens Crit Care Nurs | 2024 |
Humans |
| A Mediation Analysis Examining High Risk, Anticholinergic Medication Use, Delirium, and Dementia After Major Surgery | Mohanty, S. Lindroth, H. Timsina, L. Holler, E. Jenkins, P. Ortiz, D. Hur, J. Gillio, A. Zarzaur, B. Boustani, M. | J Surg Res | 2024 |
Anticholinergics |
| Comparing the delirium objective structured clinical examination (OSCE) education package to standard education for post-registration nurses: A randomised controlled trial | Montgomery, A. Smerdely, P. Hickman, L. Traynor, V. | Nurse Educ Today | 2024 |
Delirium |
| Postoperative cognitive dysfunction: Review of pathophysiology, diagnostics and preventive strategies | Nešković, N. Budrovac, D. Kristek, G. Kovačić, B. Škiljić, S. | J Perioper Pract | 2024 |
Neuroinflammation |
| Prognostic implications of delirium after Left Ventricular Assist Device (LVAD) implantation: A retrospective study | Noufi, P. Anderson, K. M. Crowell, N. White, Y. Molina, E. Rao, S. D. Groninger, H. | J Acad Consult Liaison Psychiatry | 2024 |
Delirium |
| Sex Differences in Delirium after Coronary Artery Bypass Graft Surgery and Perioperative Neuropsychiatric Conditions: A Secondary Analysis of a Cohort Study | Oldham, M. A. Kukla, B. Walsh, P. Lee, H. B. | J Geriatr Psychiatry Neurol | 2024 |
coronary artery bypass graft surgery outcomes |
| Incidence of confusional syndrome (delirium) in a Latin American university hospital | Oviedo Lugo, G. F. García Martínez, P. A. Duarte Osorio, A. Rincón, C. J. López, A. Chavarría, R. Pineda Betancur, C. García Gil, N. Duarte Ariza, M. N. Patiño Trejos, J. A. Insignares, J. S. Gómez-Restrepo, C. | Rev Colomb Psiquiatr (Engl Ed) | 2024 |
Cam |
| Postoperative cognitive disorders and delirium in gynecologic surgery: Which surgery and anesthetic techniques to use to reduce the risk? | Pecorella, G. De Rosa, F. Licchelli, M. Panese, G. Carugno, J. T. Morciano, A. Tinelli, A. | Int J Gynaecol Obstet | 2024 |
anesthesia |
| Serum NFL and tau, but not serum UCHL-1 and GFAP or CSF SNAP-25, NPTX2, or sTREM2, correlate with delirium in a 3-year retrospective analysis | Piel, J. H. A. Bargemann, L. Leypoldt, F. Wandinger, K. P. Dargvainiene, J. | Front Neurol | 2024 |
Alzheimer’s disease |
| Age-stratified comorbid and pharmacologic analysis of patients with glioblastoma | Rabin, E. E. Huang, J. Kim, M. Mozny, A. Lauing, K. L. Penco-Campillo, M. Zhai, L. Bommi, P. Mi, X. Power, E. A. Prabhu, V. C. Anderson, D. E. Barton, K. P. Walunas, T. L. Schiltz, G. E. Amidei, C. Sanchez-Gomez, P. Thakkar, J. P. Lukas, R. V. Wainwright, | Brain Behav Immun Health | 2024 |
Confusion |
| Unraveling the Predictors for Delirium and ICU Stay Duration in Patients with Heart Failure and Reduced Ejection Fraction (HFrEF) Undergoing Coronary Artery Bypass Grafting-A Multicentric Analysis | Rustenbach, C. J. Reichert, S. Berger, R. Schano, J. Nemeth, A. Haeberle, H. Charotte, C. Caldonazo, T. Saqer, I. Saha, S. Schnackenburg, P. Djordjevic, I. Krasivskyi, I. Wendt, S. Serna-Higuita, L. M. Doenst, T. Hagl, C. Wahlers, T. Schlensak, C. Sandova | Biomedicines | 2024 |
Cabg |
| Validation of the Delirium Observation Screening Scale in long-term care facilities in Flanders | Sabbe, K. van der Mast, R. Dilles, T. Van Rompaey, B. | Geriatr Gerontol Int | 2024 |
delirium |
| Effect of hospital elder life program on the incidence of delirium: A systematic review and meta-analysis of clinical trials | Shen, H. Liu, X. Wu, L. Jia, J. Jin, X. | Geriatr Nurs | 2024 |
Humans |
| Impact of Delirium Onset and Duration on Mortality in Patients With Cancer Admitted to the ICU | Tao, J. Seier, K. P. Chawla, S. Tan, K. S. Wheeler, A. Sanzone, J. Marasigan-Stone, C. B. Simondac, J. S. Pascual, A. V. Kostelecky, N. T. Voigt, L. P. | J Intensive Care Med | 2024 |
ICU outcomes |
| Interventions to prevent and treat delirium: An umbrella review of randomized controlled trials | Veronese, N. Solimando, L. Bolzetta, F. Maggi, S. Fiedorowicz, J. G. Gupta, A. Fabiano, N. Wong, S. Boyer, L. Fond, G. Dragioti, E. Dominguez, L. J. Barbagallo, M. Romagnoli, S. Bellelli, G. Solmi, M. | Ageing Res Rev | 2024 |
Delirium |
| Study on the causal relationship between educational attainment and delirium: A two-sample Mendelian randomization study | Wan, X. Yu, H. Yang, M. Hou, W. Xie, J. Xu, K. Ma, Y. Ma, R. Wang, F. Xu, P. | Heliyon | 2024 |
Delirium |
| Potential value of serum prealbumin and serum albumin in the identification of postoperative delirium in patients undergoing knee/hip replacement: an observational study and internal validation study | Wang, B. Xin, Y. Tang, X. Wang, F. Hua, S. Yang, Y. Xu, S. Gong, H. Dong, R. Lin, Y. Li, C. Lin, X. Bi, Y. | Front Neurol | 2024 |
biomarkers |
| Understanding the association between pain and delirium in older hospital inpatients: systematic review and meta-analysis | White, N. Bazo-Alvarez, J. C. Koopmans, M. West, E. Sampson, E. L. | Age Ageing | 2024 |
Humans |
| Prognostic value of Geriatric-8 for adverse outcomes within 30 days of surgery in older adults with colorectal cancer: A retrospective cohort study | Winters, A. M. Bakker, J. Ten Hoor, J. Bilo, H. J. G. Roodbol, P. F. Edens, M. A. Finnema, E. J. | Eur J Oncol Nurs | 2024 |
Cognitive decline |
| An online delirium detection tool: Cross-cultural adaptation of a Chinese version of the Family Confusion Assessment Method | Xing, H. Zhu, S. Liu, S. Xia, M. Tong, S. Li, L. Li, L. | Aust Crit Care | 2024 |
Delirium |
| Value of Flemish Version of the Triage Risk Screening Tool in Predicting Unfavorable Outcomes after Elective Cancer Surgery: A Propensity Score-Matched Retrospective Cohort Study | Yajima, S. Nakanishi, Y. Ogasawara, R. A. Imasato, N. Hirose, K. Katsumura, S. Kataoka, M. Masuda, H. | Biomed Hub | 2024 |
Delirium |
| Impact of intraoperative dexmedetomidine on postoperative delirium and pro-inflammatory cytokine levels in elderly patients undergoing thoracolumbar compression fracture surgery: A prospective, randomized, placebo-controlled clinical trial | Ye, C. Shen, J. Zhang, C. Hu, C. | Medicine (Baltimore) | 2024 |
Humans |
| Development and validation of a machine learning model to predict postoperative delirium using a nationwide database: A retrospective, observational study | Yoshimura, M. Shiramoto, H. Koga, M. Morimoto, Y. | J Clin Anesth | 2024 |
Machine learning model |
| Tau and delirium superimposed on dementia: A case report | Yu, P. C. Kuo, C. M. Chen, I. C. | SAGE Open Med Case Rep | 2024 |
Tau |
| Quetiapine Versus Haloperidol in the Management of Hyperactive Delirium: Randomized Controlled Trial | Zakhary, T. Ahmed, I. Luttfi, I. Montasser, M. | Neurocrit Care | 2024 |
Antipsychotics |
| Associations between postoperative cognitive dysfunction, serum interleukin-6 and postoperative delirium among patients after coronary artery bypass grafting: A mediation analysis | Zhang, S. Tao, X. J. Ding, S. Feng, X. W. Wu, F. Q. Wu, Y. | Nurs Crit Care | 2024 |
cardiac surgery |
| Risk prediction models for postoperative delirium in elderly patients with fragility hip fracture: A systematic review and critical appraisal | Zhou, B. Wang, A. Cao, H. | Int J Orthop Trauma Nurs | 2024 |
Humans |
| An exploratory study on the heterogeneity of postoperative delirium: Preoperative cognitive screening does not detect hallucinatory delirium risk | Yajima, S. Nakanishi, Y. Ogasawara, R. A. Imasato, N. Hirose, K. Katsumura, S. Kataoka, M. Masuda, H. | Eur J Surg Oncol | 2024 |
Humans |
| Validation of a viable delirium detection test performed by nurses and physicians during routine patient care | Soboh, R. Gino-Moor, S. Jiris, N. Ginsberg, S. Oliven, R. | BMC Geriatr | 2024 |
Humans |
| Does Comprehensive Geriatric Assessment Reduce the Incidence of Postoperative Delirium? A Quasi-experimental Study in Older Adults Undergoing Transcatheter Aortic Valve Implantation | Schwesinger, A. Tsai, L. T. Lang, W. Mantegazza, N. Bauernschmitt, R. Wilhelm, M. J. Bischoff-Ferrari, H. A. Gagesch, M. | Clin Interv Aging | 2024 |
Humans |
| Butyrylcholinesterase activity in patients with postoperative delirium after cardiothoracic surgery or percutaneous valve replacement- an observational interdisciplinary cohort study | Schlake, K. Teller, J. Hinken, L. Laser, H. Lichtinghagen, R. Schäfer, A. Fegbeutel, C. Weissenborn, K. Jung, C. Worthmann, H. Gabriel, M. M. | BMC Neurol | 2024 |
Aged |
| Diagnostic accuracy of the pediatric CAM-ICU, pre-school CAM-ICU, Pediatric Anesthesia Emergence Delirium and Cornell Assessment of Pediatric Delirium for detecting delirium in the pediatric intensive care unit: A systematic review and meta-analysis | Rohmah, I. Chen, Y. C. Lin, C. J. Tsao, N. H. Chiu, H. Y. | Intensive Crit Care Nurs | 2024 |
Humans |
| Intraoperative Use of Phenylephrine versus Ephedrine and Postoperative Delirium: A Multicenter Retrospective Cohort Study | Ma, H. Ahrens, E. Wachtendorf, L. J. Suleiman, A. Shay, D. Munoz-Acuna, R. Tartler, T. M. Teja, B. Wagner, S. Subramaniam, B. Rhee, J. Schaefer, M. S. | Anesthesiology | 2024 |
Adult |
| Effect of clock rhythm on emergence agitation and early postoperative delirium in older adults undergoing thoracoscopic lung cancer surgery: protocol for a prospective, observational, cohort study | Jiang, L. Wang, J. Chen, W. Wang, Z. Xiong, W. | BMC Geriatr | 2024 |
Humans |
| Scientific rationale for the use of α2A-adrenoceptor agonists in treating neuroinflammatory cognitive disorders | Arnsten, A. F. T. Ishizawa, Y. Xie, Z. | Mol Psychiatry | 2023 |
Humans |
| The role of perioperative sedative anesthetics in preventing postoperative delirium: a systematic review and network-meta analysis including 6679 patients | Huang, J. X. Zhang, S. S. Wang, S. X. Xi, D. S. Luo, F. R. Liu, C. J. Li, H. | BMC Cardiovasc Disord | 2024 |
PMID: 38448835 PMCID: PMC10916082 |
| Preventive Effects of Melatonin on Delirium in Intensive Care Unit Patients: A Meta-Analysis of Randomized Controlled Trials | Zhao, L. Feng, Z. Wang, Q. Jiang, Z. Qiu, X. | Altern Ther Health Med | 2024 |
ICU Delirium Melatonin Length of Stay Meta-Analysis Mechanical Ventilation |
| Mitochondrial Dysfunction of Peripheral Platelets as a Predictive Biomarker for Postoperative Delirium in Elderly Patients | Yang, Y. Zhang, W. Liu, Y. Liu, X. Xie, J. Xu, R. Huang, Y. Hao, J. Sun, Y. Gu, X. Ma, Z. | Ann Neurol | 2024 |
Postoperative Delirium Bioenergetic Health Index Surgery Mitochondria MMSE
|
| Effect of Esketamine on Postoperative Delirium in Patients Undergoing Cardiac Valve Replacement with Cardiopulmonary Bypass: A Randomized Controlled Trial | Xiong, X. Shao, Y. Chen, D. Chen, B. Lan, X. Shi, J. | Anesth Analg | 2024 |
Postoperative Delirium Esketamine Cardiac Valve Replacement Cardiopulmonary Bypass CAM CAM-ICU MMSE |
| Prolonged Hourly Neurologic Examinations are Associated with Increased Delirium and No Discernible Benefit in Mild/Moderate Geriatric Traumatic Brain Injury | Ruiz, R. A. F. Canas, M. Diaz, L. Aldana, J. A. Afzal, H. Falcon, A. F. Del Toro, D. Day, A. McCarthy, J. Stansfield, K. Bochicchio, G. V. Niziolek, G. Kranker, L. M. Rosengart, M. R. Hoofnagle, M. Leonard, J. | J Trauma Acute Care Surg | 2024 |
NeuroChecks Delirium TBI CAM-ICU |
| Association of Intravenous Neostigmine and Anticholinergics or Sugammadex with Postoperative Delirium: A Retrospective Cohort Study | Rössler, J. Abramczyk, E. Paredes, S. Anusic, N. Pu, X. Maheshwari, K. Turan, A. Ruetzler, K. | Anesth Analg | 2024 |
bCAM Postoperative Delirium Sugammadex Neostigmine Anesthesia Noncardiac Surgery |
| Metformin Use in Type 2 Diabetics and Delirium After Noncardiac Surgery: A Retrospective Cohort Analysis | Paredes, S. Harb, A. Rössler, J. Nikoo, M. Z. Ruetzler, K. Turan, A. Pu, X. Sessler, D. I. | Anesth Analg | 2024 |
Type 2 Diabetes CAM-ICU bCAM Postoperative Delirium Metformin
|
| Preoperative Intrathecal Morphine is Associated With Reduced Postoperative Pain, Agitation, and Delirium In Living Donor Kidney Transplantation Recipients | Lee, J. E. Lee, K. W. Gil, E. Park, J. B. Kim, B. J. Kim, H. Y. Kim, G. S. | Transplant Proc | 2024 |
Kidney Transplant Postoperative Delirium Intrathecal Morphine CAM-ICU Postoperative Pain Anesthesia |
| Neuropsychological follow-up of isoflurane sedated intensive care patients: a substudy of a randomized trial | Fuchs, V. F. Simon, H. V. Soldinger, N. Volk, T. Meiser, A. | Minerva Anestesiol | 2024 |
Critical care Isoflurane Propofol Delirium |
| Feasibility and Acceptability of Using Wireless Limited Polysomnography to Capture Sleep Before, During, and After Hospitalization for Patients With Planned Cardiothoracic Surgery | Cordoza, M. L. Anderson, B. J. Cevasco, M. Diamond, J. M. Younes, M. Gerardy, B. Iroegbu, C. Riegel, B. | J Cardiovasc Nurs | 2024 |
Critical Illness Intensive Care Unit Polysomnography Sleep Thoracic Surgery |
| Antipsychotics in the Treatment of Delirium in Critically Ill Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials | Carayannopoulos, K. L. Alshamsi, F. Chaudhuri, D. Spatafora, L. Piticaru, J. Campbell, K. Alhazzani, W. Lewis, K. | Crit Care Med | 2024 |
Antipsychotic medication Delirium Systematic review Critically Ill Cognitive Impairment Coma |
| Burnout and perceived burden levels related to delirium in physicians and nurses | Yamagata, H. Takihara, T. Kobayashi, R. Hirose, K. Higuchi, K. Miyahara, M. Komatsu, D. | Gen Hosp Psychiatry | 2024 |
Humans |
| Bell's mania as a clinical presentation in a neurosurgical setting from a tertiary care neuropsychiatric hospital in India | Mamtani, H. Utagi, S. Chaurasia, K. K. Reddy, P. V. Arasappa, R. Prasad, C. Srinivas, D. Rao, M. B. Thippeswamy, H. | Indian J Psychiatry | 2024 |
Craniopharyngioma |
| Correlation analysis between plasma biomarkers albumin, fibrinogen, and their ratio with postoperative delirium in patients undergoing non-cardiac surgery: a systematic review and meta-analysis | Lu, Z. Wang, B. Liu, M. Yu, D. Li, J. | Am J Transl Res | 2024 |
Albumin |
| Risk factors for hypoactive delirium in patients with nontraumatic ARDS: a prospective observational study | Lian, F. Li, F. Tang, X. Yuan, Y. | Sci Rep | 2024 |
Humans |
| Current Practices and Attitudes of Cardiac Nurses Regarding Cognitive Screening in Patients With Acute Coronary Syndrome | Zhao, E. Lowres, N. Bloomfield, J. Weddell, J. Tofler, G. Gallagher, R. | Heart Lung Circ | 2024 |
Acute coronary syndrome |
| Related factors of delirium after transsphenoidal endoscopic pituitary adenoma resection-A matched retrospective cohort study | Zhang, S. Chen, Y. Wang, X. Liu, J. Chen, Y. Zhang, G. | J Clin Neurosci | 2024 |
Neuroendoscopy |
| Prevalence of post-stroke delirium in acute settings: A systematic review and meta-analysis | Ye, F. Ho, M. H. Lee, J. J. | Int J Nurs Stud | 2024 |
Acute setting |
| Predictive factors for postoperative delirium in thoracic surgery | Yaguchi, T. Ichinokawa, H. Kirino, E. Suzuki, M. Komori, K. Matsunaga, T. Takamochi, K. Suzuki, K. | Gen Thorac Cardiovasc Surg | 2024 |
Postoperative delirium |
| Preoperative cognitive impairment and postoperative delirium among Holocaust survivors who achieved longevity | Weiss, Y. Zarour, S. Kiselevich, Y. Abu Ghanim, M. Hikry, D. Sinai Brzezinski, I. Zac, L. Cohen, B. Matot, I. | J Am Geriatr Soc | 2024 |
Holocaust |
| Substance use problems and disorders among adults 50 years and older receiving mental health treatment for a primary neurocognitive disorder | Ware, O. D. Baik, S. Becker, T. D. Neukrug, H. Zimmerman, S. | Aging Ment Health |
Aging |
|
| The risk of delirium after sedation with propofol or midazolam in intensive care unit patients | van Gelder, T. G. van Diem-Zaal, I. J. Dijkstra-Kersten, S. M. A. de Mul, N. Lalmohamed, A. Slooter, A. J. C. | Br J Clin Pharmacol | 2024 |
critical care |