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
- Non-pharmacological interventions for preventing delirium in hospitalised non-ICU patients (Review)
- Authors
- Burton JK, Craig LE, Yong SQ, Siddiqi N, Teale EA, Woodhouse R, Barugh AJ, Shepherd AM, Brunton A, Freeman SC, Sutton AJ, Quinn TJ
- Year
- 2021
- Journal
- Cochrane Database of Systematic Reviews
- Abstract
Background: Delirium is an acute neuropsychological disorder that is common in hospitalised patients. It can be distressing to patients and carers and it is associated with serious adverse outcomes. Treatment options for established delirium are limited and so prevention of delirium is desirable. Non-pharmacological interventions are thought to be important in delirium prevention. OBJECTIVES: To assess the effectiveness of non-pharmacological interventions designed to prevent delirium in hospitalised patients outside intensive care units (ICU).
Search methods: We searched ALOIS, the specialised register of the Cochrane Dementia and Cognitive Improvement Group, with additional searches conducted in MEDLINE, Embase, PsycINFO, CINAHL, LILACS, Web of Science Core Collection, ClinicalTrials.gov and the World Health Organization Portal/ICTRP to 16 September 2020. There were no language or date restrictions applied to the electronic searches, and no methodological filters were used to restrict the search.
Selection criteria: We included randomised controlled trials (RCTs) of single and multicomponent non-pharmacological interventions for preventing delirium in hospitalised adults cared for outside intensive care or high dependency settings. We only included non-pharmacological interventions which were designed and implemented to prevent delirium. DATA COLLECTION AND ANALYSIS: Two review authors independently examined titles and abstracts identified by the search for eligibility and extracted data from full-text articles. Any disagreements on eligibility and inclusion were resolved by consensus. We used standard Cochrane methodological procedures. The primary outcomes were: incidence of delirium; inpatient and later mortality; and new diagnosis of dementia. We included secondary and adverse outcomes as pre-specified in the review protocol. We used risk ratios (RRs) as measures of treatment effect for dichotomous outcomes and between-group mean differences for continuous outcomes. The certainty of the evidence was assessed using GRADE. A complementary exploratory analysis was undertaker using a Bayesian component network meta-analysis fixed-effect model to evaluate the comparative effectiveness of the individual components of multicomponent interventions and describe which components were most strongly associated with reducing the incidence of delirium.
Main results: We included 22 RCTs that recruited a total of 5718 adult participants. Fourteen trials compared a multicomponent delirium prevention intervention with usual care. Two trials compared liberal and restrictive blood transfusion thresholds. The remaining six trials each investigated a different non-pharmacological intervention. Incidence of delirium was reported in all studies. Using the Cochrane risk of bias tool, we identified risks of bias in all included trials. All were at high risk of performance bias as participants and personnel were not blinded to the interventions. Nine trials were at high risk of detection bias due to lack of blinding of outcome assessors and three more were at unclear risk in this domain. Pooled data showed that multi-component non-pharmacological interventions probably reduce the incidence of delirium compared to usual care (10.5% incidence in the intervention group, compared to 18.4% in the control group, risk ratio (RR) 0.57, 95% confidence interval (CI) 0.46 to 0.71, I2 = 39%; 14 studies; 3693 participants; moderate-certainty evidence, downgraded due to risk of bias). There may be little or no effect of multicomponent interventions on inpatient mortality compared to usual care (5.2% in the intervention group, compared to 4.5% in the control group, RR 1.17, 95% CI 0.79 to 1.74, I2 = 15%; 10 studies; 2640 participants; low-certainty evidence downgraded due to inconsistency and imprecision). No studies of multicomponent interventions reported data on new diagnoses of dementia. Multicomponent interventions may result in a small reduction of around a day in the duration of a delirium episode (mean difference (MD) -0.93, 95% CI -2.01 to 0.14 days, I2 = 65%; 351 participants; low-certainty evidence downgraded due to risk of bias and imprecision). The evidence is very uncertain about the effect of multicomponent interventions on delirium severity (standardised mean difference (SMD) -0.49, 95% CI -1.13 to 0.14, I2=64%; 147 participants; very low-certainty evidence downgraded due to risk of bias and serious imprecision). Multicomponent interventions may result in a reduction in hospital length of stay compared to usual care (MD -1.30 days, 95% CI -2.56 to -0.04 days, I2=91%; 3351 participants; low-certainty evidence downgraded due to risk of bias and inconsistency), but little to no difference in new care home admission at the time of hospital discharge (RR 0.77, 95% CI 0.55 to 1.07; 536 participants; low-certainty evidence downgraded due to risk of bias and imprecision). Reporting of other adverse outcomes was limited. Our exploratory component network meta-analysis found that re-orientation (including use of familiar objects), cognitive stimulation and sleep hygiene were associated with reduced risk of incident delirium. Attention to nutrition and hydration, oxygenation, medication review, assessment of mood and bowel and bladder care were probably associated with a reduction in incident delirium but estimates included the possibility of no benefit or harm. Reducing sensory deprivation, identification of infection, mobilisation and pain control all had summary estimates that suggested potential increases in delirium incidence, but the uncertainty in the estimates was substantial. Evidence from two trials suggests that use of a liberal transfusion threshold over a restrictive transfusion threshold probably results in little to no difference in incident delirium (RR 0.92, 95% CI 0.62 to 1.36; I2 = 9%; 294 participants; moderate-certainty evidence downgraded due to risk of bias). Six other interventions were examined, but evidence for each was limited to single studies and we identified no evidence of delirium prevention. AUTHORS’ CONCLUSIONS: There is moderate-certainty evidence regarding the benefit of multicomponent non-pharmacological interventions for the prevention of delirium in hospitalised adults, estimated to reduce incidence by 43% compared to usual care. We found no evidence of an effect on mortality. There is emerging evidence that these interventions may reduce hospital length of stay, with a trend towards reduced delirium duration, although the effect on delirium severity remains uncertain. Further research should focus on implementation and detailed analysis of the components of the interventions to support more effective, tailored practice recommendations.
- PMID
- Keywords
- Page(s)
- Volume
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Factors contributing to sepsis-associated encephalopathy: a comprehensive systematic review and meta-analysis | Zhang, Z. Guo, L. Jia, L. Duo, H. Shen, L. Zhao, H. | Front Med (Lausanne) | 2024 |
delirium |
| Impact of delirium intervention on cognitive load among nurses in the intensive care unit: A multi-centre cluster randomized controlled trial | Zhang, S. Ji, M. Cui, W. Wei, J. Ding, S. Wu, Y. | Int J Nurs Pract | 2024 |
Humans |
| Incidence and risk factors of post-operative delirium in glioma patients: A prospective cohort study in general wards | Yuan, C. Cheng, Z. Liu, Y. You, Y. Wang, L. Li, D. Zhong, L. | J Clin Nurs | 2024 |
general ward |
| Effect of Morphine Used to Relieve Dyspnea Due to Heart Failure on Delirium | Yoshikai, S. Ueda, M. Ikeda, K. | J Palliat Med | 2024 |
delirium |
| Association of Delirium with Long-Term Mortality in Critically Ill Patients with COPD Who Survived to Discharge: A Retrospective Cohort Study | Xu, H. B. Xue, F. Ye, Y. Zhang, H. G. | Lung | 2024 |
Copd |
| Effect of obstructive sleep apnea on postoperative delirium: a system review and meta-analysis | Xiao, Y. Li, P. J. Guo, M. Y. Cao, Y. Liang, Z. A. | Sleep Breath | 2024 |
Delirium |
| A qualitative study of geriatric specialist nurses' experiences to navigate delirium in the elderly | Wu, M. Chen, Z. Xu, Y. Zhao, L. Zhao, L. Xia, L. | BMC Nurs | 2024 |
Care |
| The influence of low-dose s-ketamine on postoperative delirium and cognitive function in older adults undergoing thoracic surgery | Wang, Y. Ma, B. Wang, C. Wang, Y. Liu, A. Hang, L. | J Cardiothorac Surg | 2024 |
Humans |
| Neurological diagnostic tests for patients with and without delirium: a prospective observational study | Waefler, N. Abid, I. Montaut, V. Donzé, J. Zender, H. John, G. | Geroscience | 2024 |
CT scan |
| Preoperative cognitive function as a risk factor of postoperative delirium in cancer surgeries: A systematic review and meta-analysis | Varpaei, H. A. Robbins, L. B. Farhadi, K. Bender, C. M. | J Surg Oncol | 2024 |
cancer survivors |
| Role of oral melatonin in prevention of postoperative delirium in patients undergoing elective surgery under general anesthesia: A Randomized controlled trial | Thakur, T. Saini, V. Grover, S. Samra, T. | Indian J Psychiatry | 2024 |
Anxiety |
| Clinical characteristics of delirium in older patients with first-ever acute myocardial infarction who underwent percutaneous coronary intervention : A retrospective study | Tan, J. F. Duan, L. Han, J. C. Cui, J. J. | Herz | 2024 |
Acute myocardial infarction |
| Antibiotics for delirium in older adults with pyuria or bacteriuria: A systematic review | Stall, N. M. Kandel, C. Reppas-Rindlisbacher, C. Quinn, K. L. Wiesenfeld, L. MacFadden, D. R. Johnstone, J. Fralick, M. | J Am Geriatr Soc | 2024 |
antibiotics |
| Establishment and validation of the prediction model for postoperative delirium risk factors in older patients after total knee arthroplasty: A retrospective study | Song, L. X. Qin, Y. Yang, L. Xing, D. B. Li, Y. Lei, F. Q. Wang, L. H. | Medicine (Baltimore) | 2024 |
Humans |
| Predictive value of the Naples prognostic score on postoperative delirium in the elderly with gastrointestinal tumors: a retrospective cohort study | Song, C. Yu, D. Li, Y. Liu, M. Zhang, H. He, J. Li, J. | BMC Geriatr | 2024 |
Humans |
| Effect of prophylactic corticosteroids on postoperative neurocognitive dysfunction in the adult population: An updated systematic review, meta-analysis, and trial sequential analysis of randomised controlled trials | Singh, N. P. Makkar, J. K. Goel, N. Karamchandani, K. Singh, M. Singh, P. M. | Indian J Anaesth | 2024 |
Corticosteroids |
| Usefulness of the 4A's test for detecting delirium in critically ill patients: a multicenter prospective observation study | Sim, J. K. Chung, K. Chung, C. R. Lee, J. Hwang, S. Y. Lee, Y. S. | Intern Emerg Med | 2024 |
Critical illness |
| Incidence of Postoperative Delirium among Elderly Patients after Elective Surgeries under Anesthesia in the Charity Services of the Philippine General Hospital | Hermoso, R. M. L. Cruz, P. L. O. | Acta Med Philipp | 2024 |
elderly |
| Registered nurses' experiences of caring for patients with hypoactive delirium after cardiac surgery - A qualitative study | Hallberg Kristensen, A. Nymark, C. Stenman, M. Falk, A. | Intensive Crit Care Nurs | 2024 |
Cardiac surgical procedures |
| Determinants of delirium in elderly in-patients in a general ward setting in a teaching hospital: A case control study | Geetha, J. Babu, H. George, C. | Ind Psychiatry J | 2024 |
Delirium |
| Incidence and risk factors of delirium following brain tumor resection: A retrospective National Inpatient Sample database study | Fu, W. Li, Y. Liu, R. Li, J. | World Neurosurg | 2024 |
Brain tumor |
| Prolonged hourly neurological examinations are associated with increased delirium and no discernible benefit in mild/moderate geriatric traumatic brain injury | Fonseca, R. A. Canas, M. Diaz, L. Aldana, J. A. Afzal, H. De Filippis, A. 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 |
Humans |
| Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review | Fernandes, F. Santos, M. Anacleto, A. M. Jerónimo, C. Ferreira, Ó Baixinho, C. L. | Healthcare (Basel) | 2024 |
adult |
| Intraoperative electroencephalogram features related to frailty in older patients: an exploratory prospective observational study | Fang, P. P. Zhang, H. W. Hao, X. X. Shang, Z. X. Li, J. Liu, X. S. | J Clin Monit Comput | 2024 |
Humans |
| Managing Delirium in the Emergency Department: An Updated Narrative Review | Ehrlich, A. Oh, E. S. Ahmed, S. | Curr Geriatr Rep | 2024 |
Confusion |
| A narrative review of the development and performance characteristics of electronic delirium-screening tools | Eeles, E. Tran, D. D. Boyd, J. Tronstad, O. Teodorczuk, A. Flaws, D. Fraser, J. F. Dissanayaka, N. | Aust Crit Care | 2024 |
*Delirium/diagnosis |
| The Role of Neutrophil-to-Lymphocyte Ratio (NLR) in Urosepsis-Associated Delirium | Dragoescu, A. N. Padureanu, V. Stanculescu, A. D. Chiutu, L. Padureanu, R. Andrei, M. Radu, M. A. Mitroi, G. Dragoescu, P. O. | Cureus | 2024 |
diagnostic |
| Does Melatonin Decrease the Use of As-Needed Antipsychotics or Benzodiazepines in Noncritically Ill Hospitalized Patients? A Multicenter Retrospective Cohort Study | Dobry, P. Poparad-Stezar, A. Bacon, O. Boji, S. Giuliano, C. | J Integr Complement Med | 2024 |
Humans |
| Comparison of the frailty index and frailty phenotype and their associations with postoperative delirium incidence and severity | Deiner, S. G. Marcantonio, E. R. Trivedi, S. Inouye, S. K. Travison, T. G. Schmitt, E. M. Hshieh, T. Fong, T. G. Ngo, L. H. Vasunilashorn, S. M. | J Am Geriatr Soc | 2024 |
Humans |
| Frailty index and risk of delirium in hospitalized patients: a two-sample Mendelian randomization study | Chen, Y. Feng, F. Li, Q. Guo, H. Zhang, L. Liu, J. | Front Med (Lausanne) | 2024 |
Mendelian randomization study |
| Enhancing hospice care with psychological support and a nomogram to predict delirium in patients with advanced solid tumors | Chen, J. Huan, J. Chen, C. Xu, W. Jia, A. | Am J Cancer Res | 2024 |
Hospice care |
| The influence of sleep disorders on perioperative neurocognitive disorders among the elderly: A narrative review | Chen, C. Zhai, R. X. Lan, X. Yang, S. F. Tang, S. J. Xiong, X. L. He, Y. X. Lin, J. F. Feng, J. R. Chen, D. X. Shi, J. | Ibrain | 2024 |
insomnia |
| Prevalence of preoperative depression and adverse outcomes in older patients undergoing elective surgery: A systematic review and meta-analysis | Chen, A. An, E. Yan, E. Saripella, A. Khullar, A. Misati, G. Alhamdah, Y. Englesakis, M. Mah, L. Tartaglia, C. Chung, F. | J Clin Anesth | 2024 |
Delirium, older patients |
| Antipsychotic medications and severe sepsis in schizophrenia: A nested case-control study | Chang, C. W. Chen, W. Y. Chen, P. Y. Pan, C. H. Su, S. S. Tsai, S. Y. Chen, C. C. Kuo, C. J. | Aust N Z J Psychiatry | 2024 |
Sepsis |
| Selection of knowledge translation strategies to implement best practices on nonpharmacological prevention of delirium in intensive care unit | Boivin, A. Bérubé, M. | Rech Soins Infirm | 2024 |
Humans |
| Barriers to healthcare professionals recognizing and managing delirium in older adults during a hospital stay: A mixed-methods systematic review | Bianchi, L. A. Harris, R. Fitzpatrick, J. M. | J Adv Nurs | 2024 |
Humans |
| Burden of delirium on mortality and healthcare resource utilization in geriatric patients hospitalized for inflammatory bowel disease | Aldiabat, M. Aleyadeh, W. Rana, T. Ta'ani, O. A. Alahmad, M. Ayoub, M. Jaber, F. Obeidat, A. Numan, L. Manvar, A. Alhuneafat, L. | Proc (Bayl Univ Med Cent) | 2024 |
Geriatrics |
| Prophylactic Minocycline for Delirium in Critically Ill Patients: A Randomized Controlled Trial | Dal-Pizzol, F. Coelho, A. Simon, C. S. Michels, M. Corneo, E. Jeremias, A. Damásio, D. Ritter, C. | Chest | 2024 |
Humans |
| Clinical Significance of the Prognostic Nutritional Index in Predicting Delirium among Critically Ill Patients: A Retrospective Cohort Study | Xu, F. Zhong, X. | Crit Care Res Pract | 2024 |
Delirium Prognostic Nutrition Index ICU Critically ill patients MIMIC IV |
| Impact of Continuous Infusion Ketamine Compared to Continuous Infusion Benzodiazepines on Delirium in the Intensive Care Unit | Vollmer, N. J. Wieruszewski, E. D. Nei, A. M. Mara, K. C. Rabinstein, A. A. Brown, C. S. | J Intensive Care Med | 2024 |
benzodiazepines |
| Preoperative ketamine administration for prevention of postoperative neurocognitive disorders after major orthopedic surgery in elderly patients: A multicenter randomized blinded placebo-controlled trial | Verdonk, F. Lambert, P. Gakuba, C. Nelson, A. C. Lescot, T. Garnier, F. Constantin, J. M. Saurel, D. Lasocki, S. Rineau, E. Diemunsch, P. Dreyfuss, L. Tavernier, B. Bezu, L. Josserand, J. Mebazaa, A. Coroir, M. Nouette-Gaulain, K. Macouillard, G. Glasman, | Anaesth Crit Care Pain Med | 2024 |
Delayed neurocognitive recovery |
| Dexmedetomidine in Palliative Care: A Versatile New Weapon Against Delirium and Pain-Systematic Review | Tavares, T. Almeida, J. Gonçalves, E. Abelha, F. | J Palliat Med | 2024 |
agitation |
| The Effect of Dexmedetomidine as a Local Anesthetic Adjuvant for Iliac Fascia Compartment Block on Postoperative Delirium in Elderly Patients Undergoing Elective Hip Surgery | Liu, X. H. Zhang, Q. F. Zhang, X. Q. Lu, Q. W. Wu, J. H. Gao, X. H. Chen, Z. Y. | Gerontology | 2024 |
Humans |
| Serum NPTX2 as a Potential Predictive Biomarker for Postoperative Delirium in Patients with Acute Type A Aortic Dissection | Liu, W. Wang, Y. Jiang, Y. Lu, S. Zhu, J. Tian, Y. Pan, J. Xu, Z. Wang, D. | Neuropsychiatr Dis Treat | 2024 |
Nptx2 |
| Incidence and risk factors of postoperative delirium following hepatic resection: a retrospective national inpatient sample database study | Liu, R. Liu, N. Suo, S. Yang, Q. Deng, Z. Fu, W. Wang, M. | BMC Surg | 2024 |
Humans |
| Simplified Pain Management Including Fentanyl TTS in PACU Patients With Hip Fracture Surgery to Improve Patients' Well-Being: A Double-Blind Randomized Trial | Labmayr, V. Rief, M. Reinbacher, P. Gebauer, D. Smigaj, J. Sandner-Kiesling, A. Papamargaritis, V. Michaeli, K. Bornemann-Cimenti, H. Schittek, G. A. | J Perianesth Nurs | 2024 |
Humans |
| Preventive Effects of Ramelteon, Suvorexant, and Lemborexant on Delirium in Hospitalized Patients With Physical Disease: A Retrospective Cohort Study | Henmi, R. Nakamura, T. Mashimoto, M. Takase, F. Ozone, M. | J Clin Psychopharmacol | 2024 |
Sleep-inducing drugs Ramelton Suvorexant Lemborexant Delirium Hospitalized patients |
| Delirium detection in the emergency department: A diagnostic accuracy meta-analysis of history, physical examination, laboratory tests, and screening instruments | Carpenter, C. R. Lee, S. Kennedy, M. Arendts, G. Schnitker, L. Eagles, D. Mooijaart, S. Fowler, S. Doering, M. LaMantia, M. A. Han, J. H. Liu, S. W. | Acad Emerg Med | 2024 |
Geriatrics Delirium Screening accuracy Systematic Review Emergency Department |
| Association of preoperative neutrophil-to-lymphocyte ratio with the risk of postoperative delirium in elderly patients undergoing noncardiac surgery: a systematic review and meta-analysis | Zhou, B. Yu, D. D. Xu, X. Wang, J. Li, J. | Psychogeriatrics | 2024 |
neutrophil |
| Peripheral nerve block and cognitive impairment after thoracic surgery: a systematic review and meta-analysis | Zhang, Y. Liu, M. He, J. Zhang, H. Zhang, M. Li, J. | Minerva Anestesiol | 2024 |
Humans |
| Clinical characteristics of older patients with suspected or diagnosed dementia during hospitalization | Yoshino, H. Takechi, H. | Geriatr Gerontol Int | 2024 |
Humans |
| Development of an individualized model for predicting postoperative delirium in elderly patients with hepatocellular carcinoma | Yan, M. Lin, Z. Zheng, H. Lai, J. Liu, Y. Lin, Z. | Sci Rep | 2024 |
Humans |
| The relationship between intraoperative hypothermia and postoperative delirium: The PNDRFAP study | Wang, J. Zhu, L. Li, C. Lin, Y. Wang, B. Lin, X. Bi, Y. | Brain Behav | 2024 |
Humans |
| Interpretable machine learning model for early prediction of delirium in elderly patients following intensive care unit admission: a derivation and validation study | Tang, D. Ma, C. Xu, Y. | Front Med (Lausanne) | 2024 |
Icu |
| Effects of gabapentin on slow-wave sleep period in critically ill adult patients: A randomized controlled trial | Susantitapong, K. Dilokpattanamongkol, P. Sutherasan, Y. Liamsombut, S. Suthisisang, C. | Clin Transl Sci | 2024 |
Humans |
| Association between postoperative hyperactive delirium and major complications in elderly patients undergoing emergency hip fracture surgery: A large-scale cohort study | Sun, M. Chen, W. M. Wu, S. Y. Zhang, J. | Geriatr Gerontol Int | 2024 |
elderly |
| The 4AT scale for rapid detection of delirium in emergency department triage | Soler-Sanchis, A. Martínez-Arnau, F. M. Sánchez-Frutos, J. Pérez-Ros, P. | Front Med (Lausanne) | 2024 |
aged |
| Efficacy and safety of perioperative melatonin for postoperative delirium in patients undergoing surgery: a systematic review and meta-analysis | Shin, H. W. Kwak, J. S. Choi, Y. J. Kim, J. W. You, H. S. Shin, H. J. Jang, Y. K. | J Int Med Res | 2024 |
*Melatonin/therapeutic use/administration & dosage/adverse effects |
| Characterizing medical patients with delirium: A cohort study comparing ICD-10 codes and a validated chart review method | Sheehan, K. A. Shin, S. Hall, E. Mak, D. Y. F. Lapointe-Shaw, L. Tang, T. Marwaha, S. Gandell, D. Rawal, S. Inouye, S. Verma, A. A. Razak, F. | PLoS One | 2024 |
Humans |
| Postoperative Delirium and Dementia in Patients Undergoing Cardiac Surgery: A Review of Randomized Controlled Trials | Shahabi Raberi, V. Solati Kooshk Qazi, M. Zolfi Gol, A. GhorbaniNia, R. Kahourian, O. Faramarz Zadeh, R. | Galen Med J | 2023 |
Cardiac Surgery |
| The association of hemoglobin with postoperative delirium and atrial fibrillation after cardiac surgery: a retrospective sub-study | Sari, S. Brooker, J. Montalvo-Campana, M. Shehata, P. Pu, X. Insler, S. Ruetzler, K. Troianos, C. A. Turan, A. | Braz J Anesthesiol | 2024 |
Humans |
| A novel objective measure for terminal delirium: Activity scores measured by a sheet-type sensor | Otani, H. Yokomichi, N. Imai, K. Toyota, S. Yamauchi, T. Miwa, S. Yuasa, M. Okamoto, S. Kogure, T. Inoue, S. Morita, T. | J Pain Symptom Manage | 2024 |
Agitation |
| A comparison of changes in drug burden index between older inpatients who fell and people who have not fallen: A case-control study | O'Leary, C. E. T. Wilkinson, T. J. Hanger, H. C. | Australas J Ageing | 2024 |
aged |
| Characterizing Ertapenem Neurotoxicity: A Systematic Review and Experience at a Tertiary Medical Center | Mitaka, H. Hasegawa, S. Lan, K. F. Jain, R. Rakita, R. M. Pottinger, P. S. | Open Forum Infect Dis | 2024 |
carbapenems |
| Prevalence of clinical electroencephalography findings in stroke patients with delirium | Mintz, N. B. Andrews, N. Pan, K. Bessette, E. Asaad, W. F. Sherif, M. Rubinos, C. Mahta, A. Girard, T. D. Reznik, M. E. | Clin Neurophysiol | 2024 |
Humans |
| Development and validation of a nomogram to predict postoperative delirium in older patients after major abdominal surgery: a retrospective case-control study | Luo, Y. G. Wu, X. D. Song, Y. X. Wang, X. L. Liu, K. Shi, C. T. Wang, Z. L. Ma, Y. L. Li, H. Liu, Y. H. Mi, W. D. Lou, J. S. Cao, J. B. | Perioper Med (Lond) | 2024 |
Delirium |
| Relationship Between Coronary Artery Revascularization and Postoperative Delirium: Progress and Perspectives | Lu, N. Chi, Y. Liu, M. | Angiology | 2024 |
cognitive decline |
| Intraoperative electroencephalogram patterns as predictors of postoperative delirium in older patients: a systematic review and meta-analysis | Likhvantsev, V. V. Berikashvili, L. B. Smirnova, A. V. Polyakov, P. A. Yadgarov, M. Y. Gracheva, N. D. Romanova, O. E. Abramova, I. S. Shemetova, M. M. Kuzovlev, A. N. | Front Aging Neurosci | 2024 |
anesthesia |
| Machine learning-based model to predict delirium in patients with advanced cancer treated with palliative care: a multicenter, patient-based registry cohort | Kim, Y. J. Lee, H. Woo, H. G. Lee, S. W. Hong, M. Jung, E. H. Yoo, S. H. Lee, J. Yon, D. K. Kang, B. | Sci Rep | 2024 |
Humans |
| Spinal Anesthesia Reduces Perioperative Polypharmacy and Opioid Burden in Patients Over 65 Who Undergo Transforaminal Lumbar Interbody Fusion | Karimi, H. Patel, J. Olmos, M. Kanter, M. Hernandez, N. S. Silver, R. E. Liu, P. Riesenburger, R. I. Kryzanski, J. | World Neurosurg | 2024 |
Humans |
| Effects of Intranasal Insulin Pretreatment on Preoperative Sleep Quality and Postoperative Delirium in Patients Undergoing Valve Replacement for Rheumatic Heart Disease | Huang, Q. Wu, X. Lei, N. Chen, X. Yu, S. Dai, X. Shi, Q. Gong, G. Shu, H. F. | Nat Sci Sleep | 2024 |
intranasal insulin |
| Association between residential greenness and incident delirium: A prospective cohort study in the UK Biobank | He, Q. Sun, M. Wang, Y. Li, G. Zhao, H. Ma, Z. Feng, Z. Li, T. Han, Q. Sun, N. Li, L. Shen, Y. | Sci Total Environ | 2024 |
Air pollution |
| Effects of Chinese traditional five-element music intervention on postoperative delirium and sleep quality in elderly patients after non-cardiac surgery: a randomized controlled trial | Han, S. Cai, Z. Cao, L. Li, J. Huang, L. | Perioper Med (Lond) | 2024 |
Aged |
| Machine learning with clinical and intraoperative biosignal data for predicting postoperative delirium after cardiac surgery | Han, C. Kim, H. I. Soh, S. Choi, J. W. Song, J. W. Yoon, D. | iScience | 2024 |
Bioinformatics |
| The frequency of sepsis-associated delirium in intensive care unit and its effect on nurse workload | Alıcı, Ş Öztürk Birge, A. | J Clin Nurs | 2024 |
delirium |
| Delirium Knowledge, Risk Factors, and Attitude Among the General Public in Saudi Arabia: A Cross-Sectional Study | Alshurtan, K. Ali Alshammari, F. Alshammari, A. B. Alreheili, S. H. Aljassar, S. Alessa, J. A. Al Yateem, H. A. Almutairi, M. Altamimi, A. F. Altisan, H. A. | Cureus | 2024 |
attitudes |
| The 4AT, a rapid delirium detection tool for use in hospice inpatient units: Findings from a validation study | Arnold, E. Finucane, A. M. Taylor, S. Spiller, J. A. O'Rourke, S. Spenceley, J. Carduff, E. Tieges, Z. MacLullich, A. M. | Palliat Med | 2024 |
Humans |
| The barriers to and facilitators of implementing early mobilisation for patients with delirium on intensive care units: A systematic review | Bennion, J. Manning, C. Mansell, S. K. Garrett, R. Martin, D. | J Intensive Care Soc | 2024 |
Early ambulation |
| Introducing a machine learning algorithm for delirium prediction-the Supporting SURgery with GEriatric Co-Management and AI project (SURGE-Ahead) | Benovic, S. Ajlani, A. H. Leinert, C. Fotteler, M. Wolf, D. Steger, F. Kestler, H. Dallmeier, D. Denkinger, M. Eschweiler, G. W. Thomas, C. Kocar, T. D. | Age Ageing | 2024 |
Humans |
| Effect of a fall within three months of admission on delirium in critically Ill elderly patients: a population-based cohort study | Bu, F. Cheng, H. T. Wang, Z. L. Hou, Y. S. Zhuang, Z. Li, C. Y. Wang, Y. Q. Zhang, Y. Lyu, J. Lyu, Q. Y. | Aging Clin Exp Res | 2024 |
Humans |
| Relationship between cortical brain atrophy, delirium, and long-term cognitive decline in older surgical patients | Cavallari, M. Touroutoglou, A. Katsumi, Y. Fong, T. G. Schmitt, E. Travison, T. G. Shafi, M. M. Libermann, T. A. Marcantonio, E. R. Alsop, D. C. Jones, R. N. Inouye, S. K. Dickerson, B. C. | Neurobiol Aging | 2024 |
Alzheimer’s disease |
| Dementia Development during Long-Term Follow-Up after Surgical Aortic Valve Replacement with a Biological Prosthesis in a Geriatric Population | Deblier, I. Dossche, K. Vanermen, A. Mistiaen, W. | J Cardiovasc Dev Dis | 2024 |
dementia |
| A Comparison of Efficacy between Low-dose Dexmedetomidine and Propofol for Prophylaxis of Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery: A Randomized Controlled Trial | Ekkapat, G. Kampitak, W. Theerasuwipakorn, N. Kittipongpattana, J. Engsusophon, P. Phannajit, J. Chokengarmwong, N. | Indian J Crit Care Med | 2024 |
Dexmedetomidine |
| Development and validation of a new drug-focused predictive risk score for postoperative delirium in orthopaedic and trauma surgery patients | Geßele, C. Saller, T. Smolka, V. Dimitriadis, K. Amann, U. Strobach, D. | BMC Geriatr | 2024 |
Humans |
| Preoperative cognitive performance and its association with postoperative complications in vascular surgery patients: A prospective study | Goodijk, D. Banning, L. B. D. Te Velde-Keyzer, C. A. van Munster, B. C. Bakker, S. J. L. van Leeuwen, B. L. Zeebregts, C. J. Pol, R. A. | Am J Surg | 2024 |
Cognition |
| Prognostic Nutritional Index and the Risk of Postoperative Complications After Spine Surgery: A Meta-Analysis | Guo, H. Yang, L. Liu, J. Yu, X. Chen, L. Huang, Y. | World Neurosurg | 2024 |
Humans |
| Risk stratification and predictive modeling of postoperative delirium in chronic subdural hematoma | Yang, X. Regmi, M. Wang, Y. Liu, W. Dai, Y. Liu, S. Lin, G. Yang, J. Ye, J. Yang, C. | Neurosurg Rev | 2024 |
Humans |
| Association between increased systemic immune-inflammation index and postoperative delirium in older intertrochanteric fracture patients | Yan, X. Huang, J. Chen, X. Lin, M. | J Orthop Surg Res | 2024 |
Humans |
| 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 |