Latest & greatest articles for delirium

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This page lists the very latest high quality evidence on delirium and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Top results for delirium

221. Evidence-based clinical update: general anesthesia and the risk of delirium and postoperative cognitive dysfunction

Evidence-based clinical update: general anesthesia and the risk of delirium and postoperative cognitive dysfunction Evidence-based clinical update: general anesthesia and the risk of delirium and postoperative cognitive dysfunction Evidence-based clinical update: general anesthesia and the risk of delirium and postoperative cognitive dysfunction Bryson G L, Wyand A CRD summary This review found no significant difference in the incidence of delirium or post-operative cognitive dysfunction (...) between patients receiving general anaesthesia and those receiving regional anaesthesia. Given the small size and poor quality of the included studies, the authors conclusions would appear valid. Authors' objectives To assess the risk of delirium and post-operative cognitive dysfunction (POCD) associated with general versus regional anaesthesia. Searching MEDLINE was searched from 1966 to June 2005; the search terms were reported. The reference lists of eligible studies were screened for additional

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2006 DARE.

222. Systematic review of antipsychotics for the treatment of hospital-associated delirium in medically or surgically ill patients

Systematic review of antipsychotics for the treatment of hospital-associated delirium in medically or surgically ill patients Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2006 DARE.

223. Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review

Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2005 DARE.

224. Caregiving strategies for older adults with delirium, dementia and depression.

Caregiving strategies for older adults with delirium, dementia and depression. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding

2004 Registered Nurses' Association of Ontario

225. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. (PubMed)

Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. In the intensive care unit (ICU), delirium is a common yet underdiagnosed form of organ dysfunction, and its contribution to patient outcomes is unclear.To determine if delirium is an independent predictor of clinical outcomes, including 6-month mortality and length of stay among ICU patients receiving mechanical ventilation.Prospective cohort study enrolling 275 consecutive mechanically (...) ventilated patients admitted to adult medical and coronary ICUs of a US university-based medical center between February 2000 and May 2001. Patients were followed up for development of delirium over 2158 ICU days using the Confusion Assessment Method for the ICU and the Richmond Agitation-Sedation Scale.Primary outcomes included 6-month mortality, overall hospital length of stay, and length of stay in the post-ICU period. Secondary outcomes were ventilator-free days and cognitive impairment at hospital

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2004 JAMA

226. Caregiving Strategies for Older Adults with Delirium, Dementia and Depression

Caregiving Strategies for Older Adults with Delirium, Dementia and Depression Caregiving Strategies for Older Adults with Delirium, Dementia and Depression Nursing Best Practice Guideline Shaping the future of Nursing June 2004Greetings from Doris Grinspun Executive Director Registered Nurses Association of Ontario It is with great excitement that the Registered Nurses Association of Ontario (RNAO) disseminates this nursing best practice guideline to you. Evidence-based practice supports (...) University, School of Nursing Sudbury, Ontario 2 Caregiving Strategies for Older Adults with Delirium, Dementia and DepressionCaregiving Strategies for Older Adults with Delirium, Dementia and Depression Project team: Tazim Virani, RN, MScN Project Director Josephine Santos, RN, MN Project Coordinator Heather McConnell, RN, BScN, MA(Ed) Project Manager Jane M. Schouten, RN, BScN, MBA Project Coordinator Stephanie Lappan-Gracon, RN, MN Project Coordinator – Best Practice Champions Network Carrie Scott

2004 Registered Nurses' Association of Ontario

227. Screening for delirium, dementia, and depression in older adults.

Screening for delirium, dementia, and depression in older adults. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National

2003 Registered Nurses' Association of Ontario

228. Screening for Delirium, Dementia and Depression in the Older Adult

Screening for Delirium, Dementia and Depression in the Older Adult Screening for Delirium, Dementia and Depression in Older Adults Nursing Best Practice Guideline Shaping the future of Nursing November 2003Greetings from Doris Grinspun Executive Director Registered Nurses Association of Ontario It is with great excitement that the Registered Nurses Association of Ontario (RNAO) disseminates this nursing best practice guideline to you. Evidence-based practice supports the excellence in service (...) that will address identified needs or gaps in services. Systematically develop a plan to implement the recommendations using associated tools and resources. RNAO is interested in hearing how you have implemented this guideline. Please contact us to share your story. Implementation resources will be made available through the RNAO website at www.rnao.org/bestpractices to assist individuals and organizations to implement best practice guidelines. 1 Nursing Best Practice Guideline2 Screening for Delirium

2003 Registered Nurses' Association of Ontario

229. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). (PubMed)

Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). Delirium is a common problem in the intensive care unit (ICU). Accurate diagnosis is limited by the difficulty of communicating with mechanically ventilated patients and by lack of a validated delirium instrument for use in the ICU.To validate a delirium assessment instrument that uses standardized nonverbal assessments for mechanically ventilated (...) patients and to determine the occurrence rate of delirium in such patients.Prospective cohort study testing the Confusion Assessment Method for ICU Patients (CAM-ICU) in the adult medical and coronary ICUs of a US university-based medical center.A total of 111 consecutive patients who were mechanically ventilated were enrolled from February 1, 2000, to July 15, 2000, of whom 96 (86.5%) were evaluable for the development of delirium and 15 (13.5%) were excluded because they remained comatose throughout

2001 JAMA

230. Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value

Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value Rizzo J A, Bogardus S T, Leo-Summers L, Williams C S, Acampora D, Inouye S K Record Status This is a critical abstract of an economic evaluation (...) that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study investigated the implementation of the Hospital Elder Life Program, a multicomponent targeted intervention (MTI) to prevent delirium in hospitalised older patients. The MTI was based on 6 risk factors for delirium: cognitive impairment, sleep

2001 NHS Economic Evaluation Database.

231. Multidisciplinary team interventions for delirium in patients with chronic cognitive impairment. (PubMed)

Multidisciplinary team interventions for delirium in patients with chronic cognitive impairment. Delirium is common in hospitalized elderly people. In the frail elderly, delirium may occur in 60% of those hospitalized. In the cognitively impaired, 45% have been shown to develop delirium and these patients have longer lengths of stay and a higher rate of complications which, amongst other things, together contribute to an increase in cost of care. The combination of being elderly and chronically (...) cognitively impaired leads to a high risk of delirium with the associated increased risk of prolonged hospital stay, complications, and poor outcomes. The management of delirium has commonly been multifaceted - the primary emphasis has always been on the diagnosis and therapy of the precipitating factors, but as this may not be immediately resolved, symptomatic and supportive care may become of major importance.The objective of this review is to assess the available evidence for the effectiveness, if any

2000 Cochrane

232. Delirium: effectiveness of systematic interventions

Delirium: effectiveness of systematic interventions Delirium: effectiveness of systematic interventions Delirium: effectiveness of systematic interventions Cole M G Authors' objectives To review evidence related to the effectiveness of systematic interventions in preventing or detecting and treating delirium in hospitalised patients. Searching MEDLINE was searched from January 1987 to December 1997 using the keywords 'prevention and control', 'drug therapy', 'rehabilitation' and 'therapy (...) '. In addition, the bibliographies of retrieved articles, relevant chapters in major texts, and review articles were also searched. Only articles published in English or French were included in the review. Study selection Study designs of evaluations included in the review Controlled trials (randomised and non-randomised) were eligible for inclusion. For detection and treatment studies, cohort studies using accepted criteria for delirium were also included. Specific interventions included in the review

1999 DARE.

233. Improving clinical and cost outcomes in delirium: use of practice guidelines and a delirium care team

Improving clinical and cost outcomes in delirium: use of practice guidelines and a delirium care team Improving clinical and cost outcomes in delirium: use of practice guidelines and a delirium care team Improving clinical and cost outcomes in delirium: use of practice guidelines and a delirium care team Webster J R, Chew R B, Mailliard L, Moran M B Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Use of clinical interventions based on clinical guidelines by a hospital-based physician/nurse delirium team in diagnosing and treating delirium. The clinical guidelines included tasks for medical doctors, nurses and discharge planner/social worker. According to the guideline, all staff were involved at admission

1999 NHS Economic Evaluation Database.

234. Delirium: prevention, treatment, and outcome studies

Delirium: prevention, treatment, and outcome studies Delirium: prevention, treatment, and outcome studies Delirium: prevention, treatment, and outcome studies Cole M G, Primeau F J, Elie L M Authors' objectives To contribute to a new conceptual understanding of delirium by reviewing evidence relating to its prevention, treatment, and outcome (aspects relating to prevention and treatment only will be reported in this abstract). Searching For prevention studies, MEDLINE (January 1966 - March 1998 (...) ) and CINAHL (January 1982 - March 1998) were searched using the keywords 'delirium or acute confusion or postoperative psychosis' and 'prevention or treatment or intervention'. Additionally, bibliographies of relevant articles were examined. Only papers published in English and French were sought. For treatment studies, MEDLINE (January 1987 - December 1997) was searched using the keyword 'delirium' (prevention and control, drug therapy, rehabilitation, therapy). In addition, bibliographies of relevant

1998 DARE.

235. Effectiveness of interventions to prevent delirium in hospitalized patients: a systematic review

Effectiveness of interventions to prevent delirium in hospitalized patients: a systematic review Effectiveness of interventions to prevent delirium in hospitalized patients: a systematic review Effectiveness of interventions to prevent delirium in hospitalized patients: a systematic review Cole M G, Primeau F, McCusker J Authors' objectives To determine the effectiveness of interventions to prevent delirium in hospitalised patients. Searching MEDLINE was searched from January 1966 to May 1995 (...) ; pre-operative psychiatric assessment plus post-operative psychotherapy; pre- and post-operative nursing assessments; pre- and post-operative clinical assessment. Participants included in the review Elderly orthopaedic and medical patients; middle-aged cardiac surgery patients. Outcomes assessed in the review Incidence of delirium at follow-up. This was assessed mainly in terms of the number of patients developing symptoms of delirium, though the actual symptoms assessed varied between studies. How

1996 DARE.