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 |
---|---|---|---|---|
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 |
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 |