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
- Exercise for acutely hospitalised older medical patients
- Authors
- Hartley, P. Keating, J. L. Jeffs, K. J. Raymond, M. J. Smith, T. O
- Year
- 2022
- Journal
- Cochrane Database Syst Rev
- Abstract
BACKGROUND: Approximately 30% of hospitalised older adults experience hospital-associated functional decline. Exercise interventions that promote in-hospital activity may prevent deconditioning and thereby maintain physical function during hospitalisation. This is an update of a Cochrane Review first published in 2007. OBJECTIVES: To evaluate the benefits and harms of exercise interventions for acutely hospitalised older medical inpatients on functional ability, quality of life (QoL), participant global assessment of success and adverse events compared to usual care or a sham-control intervention. SEARCH METHODS: We used standard, extensive Cochrane search methods. The latest search date was May 2021. SELECTION CRITERIA: We included randomised or quasi-randomised controlled trials evaluating an in-hospital exercise intervention in people aged 65 years or older admitted to hospital with a general medical condition. We excluded people admitted for elective reasons or surgery. DATA COLLECTION AND ANALYSIS: We used standard Cochrane methods. Our major outcomes were 1. independence with activities of daily living; 2. functional mobility; 3. new incidence of delirium during hospitalisation; 4. QoL; 5. number of falls during hospitalisation; 6. medical deterioration during hospitalisation and 7. participant global assessment of success. Our minor outcomes were 8. death during hospitalisation; 9. musculoskeletal injuries during hospitalisation; 10. hospital length of stay; 11. new institutionalisation at hospital discharge; 12. hospital readmission and 13. walking performance. We used GRADE to assess certainty of evidence for each major outcome. We categorised exercise interventions as: rehabilitation-related activities (interventions designed to increase physical activity or functional recovery, but did not follow a specified exercise protocol); structured exercise (interventions that included an exercise intervention protocol but did not include progressive resistance training); and progressive resistance exercise (interventions that included an element of progressive resistance training). MAIN RESULTS: We included 24 studies (nine rehabilitation-related activity interventions, six structured exercise interventions and nine progressive resistance exercise interventions) with 7511 participants. All studies compared exercise interventions to usual care; two studies, in addition to usual care, used sham interventions. Mean ages ranged from 73 to 88 years, and 58% of participants were women. Several studies were at high risk of bias. The most common domain assessed at high risk of bias was measurement of the outcome, and five studies (21%) were at high risk of bias arising from the randomisation process. Exercise may have no clinically important effect on independence in activities of daily living at discharge from hospital compared to controls (16 studies, 5174 participants; low-certainty evidence). Five studies used the Barthel Index (scale: 0 to 100, higher scores representing greater independence). Mean scores at discharge in the control groups ranged from 42 to 96 points, and independence in activities of daily living was 1.8 points better (0.43 worse to 4.12 better) with exercise compared to controls. The minimally clinical important difference (MCID) is estimated to be 11 points. We are uncertain regarding the effect of exercise on functional mobility at discharge from the hospital compared to controls (8 studies, 2369 participants; very low-certainty evidence). Three studies used the Short Physical Performance Battery (SPPB) (scale: 0 to 12, higher scores representing better function) to measure functional mobility. Mean scores at discharge in the control groups ranged from 3.7 to 4.9 points on the SPPB, and the estimated effect of the exercise interventions was 0.78 points better (0.02 worse to 1.57 better). A change of 1 point on the SPPB represents an MCID. We are uncertain regarding the effect of exercise on the incidence of delirium during hospitalisation compared to controls (7 trials, 2088 participants; very low-certainty evidence). The incidence of delirium during hospitalisation was 88/1091 (81 per 1000) in the control group compared with 70/997 (73 per 1000; range 47 to 114) in the exercise group (RR 0.90, 95% CI 0.58 to 1.41). Exercise interventions may result in a small clinically unimportant improvement in QoL at discharge from the hospital compared to controls (4 studies, 875 participants; low-certainty evidence). Mean QoL on the EuroQol 5 Dimensions (EQ-5D) visual analogue scale (VAS) (scale: 0 to 100, higher scores representing better QoL) ranged between 48.9 and 64.7 in the control group at discharge from the hospital, and QoL was 6.04 points better (0.9 better to 11.18 better) with exercise. A change of 10 points on the EQ-5D VAS represents an MCID. No studies measured participant global assessment of success. Exercise interventions did not affect the risk of falls during hospitalisation (moderate-certainty evidence). The incidence of falls was 31/899 (34 per 1000) in the control group compared with 31/888 (34 per 1000; range 20 to 57) in the exercise group (RR 0.99, 95% CI 0.59 to 1.65). We are uncertain regarding the effect of exercise on the incidence of medical deterioration during hospitalisation (very low-certainty evidence). The incidence of medical deterioration in the control group was 101/1417 (71 per 1000) compared with 96/1313 (73 per 1000; range 44 to 120) in the exercise group (RR 1.02, 95% CI 0.62 to 1.68). Subgroup analyses by different intervention categories and by the use of a sham intervention were not meaningfully different from the main analyses. AUTHORS’ CONCLUSIONS: Exercise may make little difference to independence in activities of daily living or QoL, but probably does not result in more falls in older medical inpatients. We are uncertain about the effect of exercise on functional mobility, incidence of delirium and medical deterioration. Certainty of evidence was limited by risk of bias and inconsistency. Future primary research on the effect of exercise on acute hospitalisation could focus on more consistent and uniform reporting of participant’s characteristics including their baseline level of functional ability, as well as exercise dose, intensity and adherence that may provide an insight into the reasons for the observed inconsistencies in findings.
- PMID
- Keywords
Aged
Aged, 80 and over
Female
Humans
Male
Activities of Daily Living
*Delirium/epidemiology
Exercise
*Quality of Life
- Page(s)
- Volume
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Delirium: Prevalence and outcome in the very old in 27 medical departments during a one-year prospective study | Marquetand, J. Bode, L. Fuchs, S. Ernst, J. von Känel, R. Boettger, S. | Palliat Support Care | 2022 |
Humans, Prospective Studies, Prevalence, *Delirium/diagnosis, Critical Care, Nursing Homes, Intensive Care Units, Risk Factors, Consultation, Death, Loss of independence, Psychiatric, Risk, Services |
| Pharmacological prevention of postoperative delirium in patients undergoing cardiac surgery: a bayesian network meta-analysis | Meco, M. Giustiniano, E. Cecconi, M. Albano, G. | J Anesth | 2023 |
Humans, *Emergence Delirium/prevention & control/complications, Network, Meta-Analysis, Bayes Theorem, *Delirium/etiology/prevention & control/epidemiology, *Cardiac Surgical Procedures/adverse effects, Postoperative Complications/epidemiology, Cardiac surgery, Pharmacological prevention, Postoperative delirium, Randomized controlled trials meta-analysis |
| Development and validation of a delirium risk prediction model using a modified version of the Delirium Elderly at Risk (mDEAR) screen in hospitalized patients aged 65 and older: A medical record review | Meehan, A. J. Gabra, J. N. Distelhorst, K. S. Whyde, C. Mangira, C. | Acta Psychiatr Scand | 2023 |
Delirium, Delirium risk prediction older adults, Nursing delirium admission screen, aged, screening |
| Evaluating the performance of machine learning methods for risk estimation of delirium in patients hospitalized from the emergency department | Mueller, B. Street, W. N. Carnahan, R. M. Lee, S. | Acta Psychiatr Scand | 2023 |
delirium, emergency department, risk estimation, health record review, machine learning |
| Relationship between angiotensin-converting enzyme inhibitors and angiotensin receptor blockers prescribing and delirium in the ICU-A secondary analysis | Mulkey, M. A. Khan, S. Perkins, A. Gao, S. Wang, S. Campbell, N. Khan, B. | J Am Geriatr Soc | 2023 |
ACE inhibitor, angiotensin receptor blocker, critical care, delirium, intensive care |
| Bispectral EEG (BSEEG) Algorithm Captures High Mortality Risk Among 1,077 Patients: Its Relationship to Delirium Motor Subtype | Nishizawa, Y. Yamanashi, T. Saito, T. Marra, P. Crutchley, K. J. Wahba, N. E. Malicoat, J. Shibata, K. Nishiguchi, T. Lee, S. Cho, H. R. Kanazawa, T. Shinozaki, G. | Am J Geriatra Psychiatry | 2023 |
Bseeg, Bispectral electroencephalogram, delirium, mortality, motor subtype |
| Computable Phenotypes to Characterize Changing Patient Brain Dysfunction in the Intensive Care Unit | Ren, Y. Loftus, T. J. Guan, Z. Uddin, R. Shickel, B. Maciel, C. B. Busl, K. Rashidi, P. Bihorac, A. Ozrazgat-Baslanti, T. | ArXiv | 2023 |
Acute brain dysfunction, delirium, Intensive Care Unit, automated computable phenotypes, algorithm |
| Association between obstructive sleep apnea and atrial fibrillation and delirium after cardiac surgery. Sub-analysis of DECADE trial | Rivas, E. Shehata, P. Bravo, M. Almonacid-Cardenas, F. Shah, K. Kopac, O. Ruetzler, K. Troianos, C. A. Turan, A. | J Clin Anesth | 2023 |
Atrial fibrillation, Cardiac surgery, Delirium, Obstructive sleep apnea, Intensive Care Unit |
| Spinal Dexamethasone Effect on Cognitive Disorders After Hip Surgery | Sakic, L. Tonkovicc, D. Hrgovic, Z. Klasan, A. | Med Arch | 2023 |
Humans, Aged, Levobupivacaine, Hydrocortisone, *Cognition Disorders, *Cognitive Dysfunction, Dexamethasone/therapeutic use, delirium, dexamethasone, proximal femoral fracture, spinal anesthesia |
| Effects of Melatonin Administration on Post-Stroke Delirium in Patients with Intracerebral Hemorrhage | Siokas, V. Roesch, S. Stefanou, M. I. Buesink, R. Wilke, V. Sartor-Pfeiffer, J. Adeyemi, K. Poli, S. Dardiotis, E. Ziemann, U. Feil, K. Mengel, A. | J Clin Med | 2023 |
intracerebral hemorrhage, melatonin, post-stroke delirium, prospective study, stroke unit |
| Clinical Risk Group as a predictor of mortality in delirious older adults in the emergency department | Soler-Sanchis, A. Martínez-Arnau, F. M. Sánchez-Frutos, J. Pérez-Ros, P. | Exp Gerontol | 2023 |
Male, Humans, Aged, Aged, 80 and over, Female, Prospective Studies, *Delirium/diagnosis/complications, Hospitalization, Risk Factors, Emergency Service, Hospital, Chronicity, Delirium, Emergency department, Survival |
| Plasma biomarkers and delirium in critically ill patients after cardiac surgery: A prospective observational cohort study | Su, L. J. Chen, M. J. Yang, R. Zou, H. Chen, T. T. Li, S. L. Guo, Y. Hu, R. F. | Heart Lung | 2023 |
Humans, Middle Aged, Prospective Studies, Tumor Necrosis Factor-alpha, Interleukin-6, *Delirium/diagnosis/etiology, Critical Illness, Biomarkers, Intensive Care Units, *Cardiac Surgical Procedures/adverse effects, Cardiac surgery, Delirium, Intensive care unit |
| Safety of baclofen versus tizanidine for older adults with musculoskeletal pain | Su Zhang, V. R. Niu, F. Lee, E. A. DiStasio, C. Broder, B. I. Steinberg, S. G. Hui, R. L. | J Am Geriatr Soc | 2023 |
baclofen, delirium, injury, safety, tizanidine |
| Delirium Risk Score in Elderly Patients with Cervical Spinal Cord Injury and/or Cervical Fracture | Tanner, M.Tamai, K. Terai, H. Nakamura, H. Yokogawa, N. Sasagawa, T. Nakashima, H. Segi, N. Ito, S. Funayama, T. Eto, F. Yamaji, A. Watanabe, K. Yamane, J. Takeda, K. Furuya, T. Yunde, A. Nakajima, H. Yamada, T. Hasegawa, T. Terashima, Y. Hirota, R. Suzuk | J Clin Med | 2023 |
cervical fracture, cervical spinal cord injury, delirium, elderly, prediction |
| Persistent delirium in older hospital patients: an updated systematic review and meta-analysis | Whitby, J. Nitchingham, A. Caplan, G. Davis, D. Tsui, A. | PLoS One | 2022 |
Humans, Aged, *Delirium/etiology, Inpatients, *Cognition Disorders/complications, *Cognitive Dysfunction/complications, Risk Factors, Geriatric Assessment |
| Delirium in older hospitalized patients-A prospective analysis of the detailed course of delirium in geriatric inpatients | Wilke, S. Steiger, E. Bärwolff, T. L. Kleine, J. F. Müller-Werdan, U. Rosada, A. | PLoS One | 2023 |
Humans, Aged, *Delirium/etiology, Inpatients, *Cognition Disorders/complications, *Cognitive Dysfunction/complications, Risk Factors, Geriatric Assessment |
| Anti-inflammatory medication use associated with reduced delirium risk and all-cause mortality: A retrospective cohort study | Yamanashi, T. Sullivan, E. J. Comp, K. R. Nishizawa, Y. Akers, C. C. Chang, G. Modukuri, M. Tran, T. Anderson, Z. E. M. Marra, P. S. Crutchley, K. J. Wahba, N. E. Iwata, M. Karam, M. D. Noiseux, N. O. Cho, H. R. Shinozaki, G. | J Psychosom Res | 2023 |
Anti-inflammatory medication, Delirium, Glucosamine, Mortality, NSAIDs |
| Application of a flexible visitation system in critically ill patients: A randomized clinical trial | Yang, H. Y. Feng, F. Yang, W. W. Chen, Y. | Sci Prog | 2023 |
Humans, Critical Illness/therapy, *Delirium, Intensive Care Units, Length of Stay, *Cross Infection, ChiCTR2200059093, Flexible visitation system, Trial registration: ChiCTR, delirium, high-quality care |
| Association between preoperative anxiety and postoperative delirium in older patients: a systematic review and meta-analysis | Yang, K. L. Detroyer, E. Van Grootven, B. Tuand, K. Zhao, D. N. Rex, S. Milisen, K. | BMC Geriatr | 2023 |
Humans, Aged, 80 and over, *Emergence Delirium, *Delirium/diagnosis/epidemiology/etiology, Prospective Studies, Anxiety/diagnosis, Postoperative, Complications/diagnosis/epidemiology/etiology, Risk Factors |
| Ramelteon for delirium prevention in hospitalized patients: An updated meta-analysis and trial sequential analysis of randomized controlled trials | Yu, C. L. Carvalho, A. F. Thompson, T. Tsai, T. C. Tseng, P. T. Tu, Y. K. Yang, S. N. Yang, F. C. Chang, C. H. Hsu, C. W. Hsu, T. W. Liang, C. S. | J Pineal Res | 2023 |
Humans, Middle Aged, *Delirium/prevention & control/drug therapy/epidemiology, *Melatonin/therapeutic use, Randomized Controlled Trials as Topic, Reproducibility of Results, delirium prevention, hospitalized patients, meta-analysis, ramelteon, trial sequential analysis |
| A large-scale causal analysis of gut microbiota and delirium: A Mendelian randomization study | Yu, H. Wan, X. Yang, M. Xie, J. Xu, K. Wang, J. Wang, G. Xu, P. | J Affect Disord | 2023 |
Humans, *Gastrointestinal Microbiome/genetics, Mendelian Randomization, Analysis, Causality, *Delirium/epidemiology/genetics, Genome-Wide Association Study, Causal correlation, Delirium, Gut microbiota, Large scale analysis, Mendelian randomization |
| Effectiveness of dexmedetomidine on postoperative cognitive dysfunction in elderly patients with fracture: A systematic review | Zeng, T., Lv, J., Cui, Y., Li, X., F. Zhang, Q. | Medicine (Baltimore) | 2023 |
Aged, Humans, Cognition, *Cognitive Dysfunction/etiology,, *Delirium/epidemiology/etiology, *Dexmedetomidine/adverse effects, *Postoperative Cognitive Complications, Postoperative, Complications/epidemiology, Randomized Controlled Trials as Topic |
| Pharmacologic Interventions to Prevent Delirium in Trauma Patients: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials | Zitikyte, G. Roy, D. C. Tran, A. Fernando, S. M. Rosenberg, E. Kanji, S. Engels, P. T. Wells, G. A. & Vaillancourt, C. | Crit Care Explor | 2023 |
critical care, delirium, dexmedetomidine, propofol, systematic review, trauma, interest |
| A novel predictive model for postoperative delirium using multiple geriatric screening factors | Yajima, S. Nakanishi, Y. Sugimoto, M. Kobayashi, S. Kudo, M. Yasujima, R. Hirose, K. Sekiya, K. Umino, Y. Okubo, N. Kataoka, M. Gotohda, N. Masuda, H. | J Surg Oncol | 2023 |
Mini-Cog |
| The Effect of Consultation-Liaison Psychiatry on Postoperative Delirium in Elderly Hip Fracture Patients in the General Hospital | Xie, Q. Liu, X. B. Jing, G. W. Jiang, X. Liu, H. Zhong, B. L. Li, Y. | Orthop Surg | 2023 |
Humans |
| Quantitative EEG signatures of delirium and coma in mechanically ventilated ICU patients | Williams Roberson, S. Azeez, N. A. Fulton, J. N. Zhang, K. C. Lee, A. X. T. Ye, F. Pandharipande, P. Brummel, N. E. Patel, M. B. Ely, E. W. | Clin Neurophysiol | 2023 |
Humans |
| Delirium in trauma ICUs: a review of incidence, risk factors, outcomes, and management | Williams, E. C. Estime, S. Kuza, C. M. | Curr Opin Anaesthesiol | 2023 | |
| Cerebrospinal fluid quinolinic acid is strongly associated with delirium and mortality in hip-fracture patients | Watne, L. O. Pollmann, C. T. Neerland, B. E. Quist-Paulsen, E. Halaas, N. B. Idland, A. V. Hassel, B. Henjum, K. Knapskog, A. B. Frihagen, F. Raeder, J. Godø, A. Ueland, P. M. McCann, A. Figved, W. Selbæk, G. Zetterberg, H. Fang, E. F. Myrstad, M. Giil, | J Clin Invest | 2023 |
Humans |
| Effect of perioperative benzodiazepine use on intraoperative awareness and postoperative delirium: a systematic review and meta-analysis of randomised controlled trials and observational studies | Wang, E. Belley-Côté, E. P. Young, J. He, H. Saud, H. D'Aragon, F. Um, K. Alhazzani, W. Piticaru, J. Hedden, M. Whitlock, R. Mazer, C. D. Kashani, H. H. Zhang, S. Y. Lucas, A. Timmerman, N. Nishi, C. Jain, D. Kugler, A. Beaver, C. Kloppenburg, S. Schulm | Br J Anaesth | 2023 |
benzodiazepines |
| Sustained adherence to a delirium guideline five years after implementation in an intensive care setting: A retrospective cohort study | van Bochove-Waardenburg, M. van der Jagt, M. de Man-van Ginkel, J. Ista, E. | Intensive Crit Care Nurs | 2023 |
Adherence |
| A survey of current practices in sedation, analgesia, withdrawal, and delirium management in paediatric cardiac ICUs | Valentine, K. Cisco, M. J. Lasa, J. J. Achuff, B. J. Kudchadkar, S. R. Staveski, S. L. | Cardiol Young | 2023 |
Delirium |
| Understanding the association between admission source and in-hospital delirium: A cross-sectional study | Thomas, M. K. Heincelman, M. E. Zhang, J. Marsden, J. Dulin, J. Robbins, P. Hunt, K. Mauldin, P. Moran, W. P. Kalivas, B. | J Investig Med | 2023 |
Adult |
| Sevoflurane dose and postoperative delirium: a prospective cohort analysis | Taylor, J. Payne, T. Casey, C. Kunkel, D. Parker, M. Rivera, C. Zetterberg, H. Blennow, K. Pearce, R. A. Lennertz, R. C. McCulloch, T. Gaskell, A. Sanders, R. D. | Br J Anaesth | 2023 |
Humans |
| Efficacy of transcranial direct current stimulation on postoperative delirium in elderly patients undergoing lower limb major arthroplasty: A randomized controlled trial | Tao, M. Zhang, S. Han, Y. Li, C. Wei, Q. Chen, D. Zhao, Q. Yang, J. Liu, R. Fang, J. Li, X. Zhang, H. Liu, H. Cao, J. L. | Brain Stimul | 2023 |
Lower limb major arthroplasty |
| Medical and economic burden of delirium on hospitalization outcomes of acute respiratory failure: A retrospective national cohort | Taha, A. Xu, H. Ahmed, R. Karim, A. Meunier, J. Paul, A. Jawad, A. Patel, M. L. | Medicine (Baltimore) | 2023 |
Humans |
| Poor prognostic impact of delirium: especially on mortality and institutionalisation | Tachibana, M. Inada, T. | Psychogeriatrics | 2023 |
Humans |
| Processed electroencephalography-guided general anaesthesia to reduce postoperative delirium: a systematic review and meta-analysis | Sumner, M. Deng, C. Evered, L. Frampton, C. Leslie, K. Short, T. Campbell, D. | Br J Anaesth | 2023 |
Humans |
| Expanding options to include language barriers for predicting postoperative delirium in geriatric patients | Streetman, D. Hagley, A. Shalom, M. Gendreau, J. L. | J Am Geriatr Soc | 2023 |
Humans |
| Comparison of logistic regression and machine learning methods for predicting postoperative delirium in elderly patients: A retrospective study | Song, Y. X. Yang, X. D. Luo, Y. G. Ouyang, C. L. Yu, Y. Ma, Y. L. Li, H. Lou, J. S. Liu, Y. H. Chen, Y. Q. Cao, J. B. Mi, W. D. | CNS Neurosci Ther | 2023 |
Humans |
| Effects of anti-ulcer drugs on delirium in trauma patients | Sogawa, R. Matsuoka, A. Murakawa-Hirachi, T. Kikkawa, N. Kamo, M. Tobita, S. Shinada, K. Mizoguchi, Y. Monji, A. Sakamoto, Y. Shimanoe, C. | Gen Hosp Psychiatry | 2023 |
Humans |
| Delirium superimposed on dementia in post-acute care: Nurse documentation of symptoms and interventions | Sillner, A. Y. Berish, D. Mailhot, T. Sweeder, L. Fick, D. M. Kolanowski, A. M. | Geriatr Nurs | 2023 |
Humans |
| Postoperative Delirium after Dexmedetomidine versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery with Spinal Anesthesia: A Randomized Controlled Trial | Shin, H. J. Woo Nam, S. Kim, H. Yim, S. Han, S. H. Hwang, J. W. Do, S. H. Na, H. S. | Anesthesiology | 2023 |
Humans |
| Preoperative characterization of baseline EEG recordings for risk stratification of post-anesthesia care unit delirium | Schüßler, J. Ostertag, J. Georgii, M. T. Fleischmann, A. Schneider, G. Pilge, S. Kreuzer, M. | J Clin Anesth | 2023 |
Anesthesia |
| Certified Nursing Assistants' Perspectives on Delirium Care | Sabbe, K. Aerts, N. van der Mast, R. Van Rompaey, B. | J Gerontol Nurs | 2023 |
Humans |
| Neurophysiologic predictors of individual risk for post-operative delirium after elective surgery | Ross, J. M. Santarnecchi, E. Lian, S. J. Fong, T. G. Touroutoglou, A. Cavallari, M. Travison, T. G. Marcantonio, E. R. Libermann, T. A. Schmitt, E. M. Inouye, S. K. Shafi, M. M. Pascual-Leone, A. | J Am Geriatr Soc | 2023 |
Humans |
| Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery (MINDDS): A single-centre, parallel-arm, randomised, placebo-controlled superiority trial | Qu, J. Z. Mueller, A. McKay, T. B. Westover, M. B. Shelton, K. T. Shaefi, S. D'Alessandro, D. A. Berra, L. Brown, E. N. Houle, T. T. Akeju, O. | EClinicalMedicine | 2023 |
Cardiac surgery |
| Effect of seasons on delirium in postoperative critically ill patients: a retrospective analysis | Qiu, Y. Rivas, E. Tanios, M. Sreedharan, R. Mao, G. Ince, I. Salih, A. Saab, R. Devarajan, J. Ruetzler, K. Turan, A. | Braz J Anesthesiol | 2023 |
Adult |
| Transcutaneous electrical acupoint stimulation combined with an integrated perioperative nursing program prevents subsyndromal delirium in older patients after joint replacement | Qian, J. He, M. Zhan, X. Ren, L. Sun, Q. | Geriatr Nurs | 2023 |
Humans |
| Web-Based Delirium Prevention Application for Long-Term Care Facilities | Park, M. Moon, K. J. | J Am Med Dir Assoc | 2023 |
Delirium |
| The effect of all-cause hospitalization on cognitive decline in older adults: a longitudinal study using databases of the National Health Insurance Service and the memory clinics of a self-run hospital | Park, D. Kim, H. S. Kim, J. H. | BMC Geriatr | 2023 |
Humans |
| Investigating nurses' knowledge and attitudes about delirium in older persons: a cross-sectional study | Papaioannou, M. Papastavrou, E. Kouta, C. Tsangari, H. Merkouris, A. | BMC Nurs | 2023 |
Acute confusion |
| Risk factors and consequences of post-esophagectomy delirium: a systematic review and meta-analysis | Papaconstantinou, D. Frountzas, M. Ruurda, J. P. Mantziari, S. Tsilimigras, D. I. Koliakos, N. Tsivgoulis, G. Schizas, D. | Dis Esophagus | 2023 |
anastomotic leakage |
| Natural Language Processing CAM Algorithm Improves Delirium Detection Compared With Conventional Methods | Pagali, S. R. Kumar, R. Fu, S. Sohn, S. Yousufuddin, M. | Am J Med Qual | 2023 |
Humans |
| Predisposing and Precipitating Factors Associated With Delirium: A Systematic Review | Ormseth, C. H. LaHue, S. C. Oldham, M. A. Josephson, S. A. Whitaker, E. Douglas, V. C. | JAMA Netw Open | 2023 |
Adult |
| Prevalence of pre-operative undiagnosed cognitive impairment and its association with handgrip strength, oral hygiene, and nutritional status in older elective surgical patients in Japan | Nakatani, S. Ida, M. Uyama, K. Kinugasa, Y. Kawaguchi, M. | J Anesth | 2023 |
Humans |
| Preoperative anxiety as an independent predictor of postoperative delirium in older patients undergoing elective surgery for lumbar disc herniation | Mou, Q. Gao, M. Liu, X. Wei, C. Lan, G. Zhao, X. Shan, Y. Wu, C. | Aging Clin Exp Res | 2023 |
Humans |
| Tracheostomy Is Associated With a Decrease in Delirium and Sedation for Intubated COVID-19 Patients | Morton, C. Pisani, M. Doyle, M. Puchalski, J | J Bronchology Interv Pulmonol | 2023 |
Humans |
| Characterising the prodromal phase in dementia with Lewy bodies | Mellergaard, C. Waldemar, G. Vogel, A. Frederiksen, K. S. | Parkinsonism Relat Disord | 2023 |
Humans |
| Mobilisation in the EveNing to TreAt deLirium (MENTAL): protocol for a mixed-methods feasibility randomised controlled trial | McWilliams, D. King, E. Nydahl, P. Darbyshire, J. L. Gallie, L. Barghouthy, D. Bassford, C. Gustafson, O. | BMJ Open | 2023 |
Humans |
| Could a Tailored Exercise Intervention for Hospitalised Older Adults Have a Role in the Resolution of Delirium? Secondary Analysis of a Randomised Clinical Trial | Martinez Velilla, N. Lozano-Vicario, L. Sáez de Asteasu, M. L. Zambom-Ferraresi, F. Galbete, A. Sanchez-Latorre, M. Izquierdo, M. | J Frailty Aging | 2023 |
Humans |
| Dexmedetomidine for the prevention of delirium in adults admitted to the intensive care unit or postoperative care unit: a systematic review of randomised clinical trials with meta-analysis and Trial Sequential Analysis | Maagaard, M. Barbateskovic, M. Andersen-Ranberg, N. C. Kronborg, J. R. Chen, Y. X. Xi, H. H. Perner, A. Wetterslev, J. | Acta Anaesthesiol Scand | 2023 |
Dexmedetomidine |
| High ASA Physical Status and Low Serum Uric Acid to Creatinine Ratio are Independent Risk Factors for Postoperative Delirium Among Older Adults Undergoing Urinary Calculi Surgery | Liu, J. Li, J. Gao, D. Wang, J. Liu, M. Yu, D. | Clin Interv Aging | 2023 |
Humans |
| Dexmedetomidine administration during brain tumour resection for prevention of postoperative delirium: a randomised trial | Li, S. Li, R. Li, M. Cui, Q. Zhang, X. Ma, T. Wang, D. Zeng, M. Li, H. Bao, Z. Peng, Y. Sessler, D. I. | Br J Anaesth | 2023 |
Humans |
| Effect of a repeated verbal reminder of orientation on emergence agitation after general anaesthesia for minimally invasive abdominal surgery: a randomised controlled trial | Lee, S. Sohn, J. Y. Hwang, I. E. Lee, H. J. Yoon, S. Bahk, J. H. Kim, B. R. | Br J Anaesth | 2023 |
delirium |
| A pilot study testing the iOS UB-CAM delirium app | Kuzmik, A. Hannan, J. Boltz, M. Shrestha, P. Husser, E. K. Fick, D. M. Marcantonio, E. R. | J Am Geriatr Soc | 2023 | |
| Use of a nursing-led geriatrics consult service to deliver age-friendly care | Kuntz, A. A. Stumm, E. K. Anderson, T. C. Ibarra, S. J. Markart, M. R. Haske-Palomino, M. | Geriatr Nurs | 2023 |
Acute care |
| Relationship between body mass index and risk of delirium in an intensive care unit | Ko, Y. Kim, H. E. Park, J. Y. Kim, J. J. Cho, J. Oh, J. | Arch Gerontol Geriatr | 2023 |
Body mass index |
| Occurrence of Postoperative Delirium and the Use of Different Assessment Tools | Kirfel, A. Jossen, D. Menzenbach, J. Mayr, A. Wittmann, M. | Geriatrics (Basel) | 2023 |
comparison of postoperative delirium assessments |
| Association of C-reactive protein to albumin ratio with postoperative delirium and mortality in elderly patients undergoing hip fracture surgery: A retrospective cohort study in a single large center | Kim, H. J. Lee, S. Kim, S. H. Lee, S. Sim, J. H. Ro, Y. J. | Exp Gerontol | 2023 |
Aged |
| Relationship Among Clinically Obtained Biomarkers of Inflammation, Hypercoagulability, and Macrophage Activation, and Delirium in Critically Ill Patients With COVID-19 | Khan, S. H. Perkins, A. J. Chi, R. Seyffert, S. Conrad, P. Lindroth, H. Wang, S. Mulkey, M. Gao, S. Khan, B. | Crit Care Explor | 2023 |
Covid-19 |
| Lower Preoperative Verbal Memory Performance Is Associated with Delirium after Coronary Artery Bypass Graft Surgery: A Prospective Cohort Study | Kaźmierski, J. Miler, P. Pawlak, A. Woźniak, J. Frankowska, E. Nowakowska, K. Kuchta, K. Pazdrak, M. Woźniak, K. Magierski, R. Krejca, M. Wilczyński, M. | Arch Clin Neuropsychol | 2023 |
Humans |
| Postoperative Delirium After Intracranial Surgery: A Retrospective Cohort Study | Kappen, P. R. Kappen, H. J. Dirven, C. M. F. Klimek, M. Jeekel, J. Andrinopoulou, E. R. Osse, R. J. Vincent, Ajpe | World Neurosurg | 2023 |
Health outcomes |
| Actigraphy-based sleep and activity measurements in intensive care unit patients randomized to ramelteon or placebo for delirium prevention | Jaiswal, S. J. Bagsic, S. R. S. Takata, E. Kamdar, B. B. Ancoli-Israel, S. Owens, R. L. | Sci Rep | 2023 |
Humans |
| Visualizing how to use antipsychotics for agitated delirium in the last days of life | Imai, K. Morita, T. Mori, M. Kikuchi, D. Yokomichi, N. Miwa, S. Okamoto, S. I. Yamauchi, T. Naito, A. S. D. Matsuda, Y. Maeda, I. Sugano, K. Inanga, M. Inoue, S. Satomi, E. | J Pain Symptom Manage | 2023 |
antipsychotics |
| Is postoperative delirium an independent risk factor for poorer quality of life with long-term cognitive and functional decline after cardiac surgery? | Hu, F. H. Chen, H. L. | J Clin Anesth | 2023 | |
| Diagnostic accuracy of the 4AT for delirium: A systematic review and meta-analysis | Hou, L. Zhang, Q. Cao, L. Chen, M. Wang, Q. Li, Y. Li, S. Ge, L. Yang, K. | Asian J Psychiatr | 2023 |
Humans |
| Several reasons why ketamine as a neuroplastic agent may have failed to prevent postoperative delirium: Implications for future protocols | Horacek, J. Janda, R. Görnerova, N. Jajcay, L. Andrashko, V. | Neurosci Lett | 2023 |
Anesthesia |
| Evaluation of Education and Patient Screening for Delirium Among Patients With Stroke: Knowledge, Confidence, and Patient Outcomes | Herrera, E. Rutherford, W. Plume, T. Fields, W. Mollon, D. | J Contin Educ Nurs | 2023 |
Humans |
| The kynurenine pathway implicated in patient delirium: possible indications for indoleamine 2,3 dioxygenase inhibitors | Heimberger, A. B. Lukas, R. V. | J Clin Invest | 2023 |
Humans |
| Family presence during critical illness may protect against delirium | Hart, J. L. | Evid Based Nurs | 2023 |
Critical Care Nursing |
| Risk factors for delirium in advanced cancer patients: A systematic review and meta-analysis | Guo, Y. Mu, Y. Wu, T. Xu, Q. Lin, X. | Eur J Oncol Nurs | 2023 |
Advanced cancer |
| Prevention of physical restraints in the acute care setting (PROTECT): study protocol for a cluster-randomised controlled pilot study | Gottschalk, S. Meyer, G. Haastert, B. Abraham, J. | BMJ Open | 2023 |
Humans |
| Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients: A Systematic Review and Meta-Analysis | Gong, S. Qian, D. Riazi, S. Chung, F. Englesakis, M. Li, Q. Huszti, E. Wong, J. | Anesth Analg | 2023 |
Humans |
| Phenobarbital to manage severe gamma-hydroxybutyrate withdrawal: A case series | Freeman, G. Siefried, K. J. Roberts, D. M. Rodgers, C. Nic Ionmhain, U. Ramanathan, J. Ezard, N. Brett, J. | Drug Alcohol Rev | 2023 |
Humans |
| The Modified and Extended Hospital Elder Life Program: A remote model of care to expand delirium prevention | Fong, T. G. Albaum, J. A. Anderson, M. L. Cohen, S. G. Johnson, S. Supiano, M. A. Vlisides, P. E. Wade, H. L. Weinberg, L. Wierman, H. R. Zachary, W. Inouye, S. K. | J Am Geriatr Soc | 2023 |
Covid-19 |
| Contribution of intraoperative electroencephalogram suppression to frailty-associated postoperative delirium: mediation analysis of a prospective surgical cohor | Fang, P. P. Shang, Z. X. Xu, J. Hu, J. Zhang, S. C. Fan, Y. G. Lu, Y. Liu, X. S. Maze, M. | Br J Anaesth | 2023 |
Humans |
| Nighttime dexmedetomidine for postoperative delirium prevention: a promising step forward | Devlin, J. W. Hughes, C. G. | EClinicalMedicine | 2023 |
CI, Confidence Intervals |
| Intraoperative infusion of dexmedetomidine for prevention of postoperative delirium in elderly patients undergoing craniotomy: a protocol of randomised clinical trial | Cui, Q. Ma, T. Liu, M. Shen, Z. Li, S. Zeng, M. Liu, X. Zhang, L. Peng, Y. | BMJ Open | 2023 |
Humans |
| Evaluating Implementation and Outcomes of a Person-Centered Care Model for People with Dementia in the Rehabilitation In-Patient Setting: Project Protocol | Chenoweth, L. Williams, A. McGuire, J. Reyes, P. Maiden, G. Brodaty, H. Liu, Z. Cook, J. McCade, D. Taylor-Rubin, C. Freeman, M. Burley, C. | J Alzheimers Dis | 2023 |
Delirium |
| Statin Use and Delirium Risk: An Updated Systematic Review and Meta-Analysis | Chang, Y. H. Wang, J. Y. Peng, T. R. Lian, J. H. Lee, M. C. Chen, H. M. | Am J Ther | 2023 | |
| Utility of head computed tomography for older adults with suspected delirium in the emergency department: A retrospective observational study | Butcher, J. D. Smith, M. C. Roberts, L. Ellis, B. | Acad Emerg Med | 2023 |
Humans |
| Hypomagnesemia and incident delirium in hospitalized older persons | Boccardi, V. Ercolani, S. Serra, R. Bubba, V. Piccolo, A. Scamosci, M. Villa, A. Ruggiero, C. Mecocci, P. | Aging Clin Exp Res | 2023 |
Delirium |
| Delirium secondary to anticholinergics | Bellizzi, A. Mercieca, E. Dimech, C. | BMJ Case Rep | 2023 |
Male |
| The Effectiveness of Dexmedetomidine as a Prophylactic Treatment for Emergence Delirium Among Combat Veterans With High Anxiety: A Randomized Placebo-Controlled Trial | Bartoszek, M. McGuire, J. M. Wilson, J. T. Sorensen, J. S. Vice, T. F. R. Hudson, A. J. | Mil Med | 2023 |
Humans |
| Implementing an intervention to enhance care delivery and consistency for people with hip fracture and cognitive impairment in acute hospital wards: a mixed methods process evaluation of a randomised controlled feasibility trial (PERFECTED) | Backhouse, T. Fox, C. Hammond, S. P. Poland, F. McDermott-Thompson, V. Penhale, B. Cross, J. L. | BMJ Open | 2023 |
Humans |
| Association of delirium with increased short-term mortality among older emergency department patients: A cohort study | Arneson, M. L. Oliveira, J. E. Silva L. Stanich, J. A. Jeffery, M. M. Lindroth, H. L. Ginsburg, A. D. Bower, S. M. Mullan, A. F. Bellolio, F. | Am J Emerg Med | 2023 |
Delirium |
| Catatonia and Delirium: Assessment of Comorbidity, Prevalence, and Therapeutic Response in Medically Ill Inpatients From a University Hospital | Appiani, F. J. Duarte, J. M. Sauré, M. Rodríguez Cairoli, F. Momeño, V. Yaryour, C. Sarotto, L. | J Clin Psychopharmacol | 2023 |
Humans |
| The Relationship between Delirium and Statin Use According to Disease Severity in Patients in the Intensive Care Unit | An, J. Y. Park, J. Y. Cho, J. Kim, H. E. Park, J. Oh, J. | Clin Psychopharmacol Neurosci | 2023 |
APACHE II score |
| Delirium and Healthcare Utilization in Patients Undergoing Hematopoietic Stem Cell Transplantation | Amonoo, H. L. Markovitz, N. H. Johnson, P. C. Kwok, A. Dale, C. Deary, E. C. Daskalakis, E. Choe, J. J. Yamin, N. Gothoskar, M. Cronin, K. G. Fernandez-Robles, C. Pirl, W. F. Chen, Y. B. Cutler, C. Lindvall, C. El-Jawahri, A. | Transplant Cell Ther | 2023 | |
| Comparison of Prognostic Accuracy of 3 Delirium Prediction Models | Amerongen, H. V. N. Stapel, S. Spijkstra, J. J. Ouweneel, D. Schenk, J. | Am J Crit Care | 2023 |
Adult |