Monthly posts on new topics in delirium research edited by John Devlin, PharmD, BCCCP, MCCM, FCCP and Edward R. Marcantonio, MD, SM
NIDUS Blog
Clinical Outcomes Following Implementation of a Hospital-Wide, Multicomponent Delirium Care Pathway: A Before-After Quality Improvement Study
Sara LaHue, MD Assistant Professor of Clinical Neurology, University of California, San Francisco We cannot improve upon what we do not measure. While data suggests that more than 7 million adults in the United States develop delirium each year, this is likely an underestimate as delirium is poorly recognized without systematic screening.1 Delirium itself is […]
The Consequences of Unwarranted Pharmacologic Treatment of ICU Delirium
Christina Boncyk, MD, MPH Assistant Professor of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN The generally positive results of older controlled studies evaluating antipsychotics for intensive care unit (ICU) delirium treatment helped potentiate the routine use of these agents in critically ill adults despite the serious limitations of these studies.1-3 While more recent publications of […]
Using Limited Lead Rapid Response EEG to Detect Delirium: A Proof-of-Concept Study
Malissa Mulkey, PhD, APRN, CCNS, CCRN Post-Doctoral Research Fellow, Indiana University Medical Center, Indianapolis, IN Based on the Diagnostic and Statistical Manual for Mental Disorders-Version 5 (DSM-V) delirium is defined as encompassing a reduction in attention, impairment in both cognition and memory and awareness.1 Historically, due to the high prevalence in the intensive care setting, […]
Delirium Research Hub Spotlight – Esther Oh, MD, PhD
Every few months, the Delirium Research Hub selects an investigator and research study included in the Delirium Research Hub to feature as a Spotlight Investigator. This month, we are featuring Dr. Esther Oh. Her research focuses on the development of biomarkers for various stages of dementia, as markers of early detection and for markers of […]
Do more complex brain electrical signals protect against postoperative delirium?
Leah Acker, MD, PhD, Assistant Professor of Anesthesiology, Duke University Medical Center, Durham, NC Outside of the delirium field, less complex physiological output signals often are associated with increased risk of geriatric syndromes. For example, an increased risk of falls is associated with less complex musculoskeletal adjustment movements.1 Overall, less complex physiological signals are associated […]
Does Treating Incident ICU Delirium with Haloperidol Improve Outcomes?
Matthew S. Duprey, PharmD, PhD, BCCCP Investigator, Department of Health Services, Policy, and Practice, Brown University School of Public Health Practitioners familiar with delirium and its consequences have long sought a medication-based treatment to reduce its severity and duration in hospital and also improve post-hospitalization outcomes including long-term cognitive impairment. Despite three randomized controlled trials […]
Frailty, Postoperative Delirium and Cognitive Dysfunction: Where is the Association?
Contributed by Elizabeth Mahanna-Gabrielli, MD Department of Anesthesiology, Miller School of Medicine, University of Miami, Miami, Florida As a neuroanesthesiologist and intensivist, I’ve seen many frail patients come into the operating room and intensive care unit. During the early years of my career, frailty was informally defined as patient who was elderly, weak, and deconditioned; clinicians […]
Cognitive Prehabilitation to Prevent Postoperative Delirium
Contributed by Brian O’Gara MD MPH Department of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, MA Postoperative delirium occurs in 15-50% of older surgical patients, and increases the risk of postoperative complications, hospital mortality and long-term cognitive dysfunction.1 Hospital -based multicomponent interventions can prevent postoperative delirium, but these approaches are only 30-40% effective.2 Therefore, there is […]
Citing a published NIDUS blog post on your CV
When citing a NIDUS blog post on your CV, list it in a section entitled ‘Other Non-Peer Reviewed Scholarship’. For the actual citation, list your name, blog title, organization (NIDUS), and the link to Blog. At the end, add ‘invited blog’ in brackets. This is the format suggested on the Harvard Med School CV template.
Example:
Sam Jones, My Delirium Blog Post, NIDUS, www.deliriumnetwork/my-delirium-blog-post.org (invited blog)