Latest & greatest articles for delirium

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Top results for delirium

101. Haloperidol for delirium? Moving on (PubMed)

Haloperidol for delirium? Moving on 28979549 2019 01 16 1751-1437 18 1 2017 Feb Journal of the Intensive Care Society J Intensive Care Soc Haloperidol for delirium? Moving on. 84 10.1177/1751143716670668 Page Valerie V Department of Anaesthesia, Watford General Hospital, Watford, UK. eng Journal Article 2017 02 01 England J Intensive Care Soc 101538668 1751-1437 2017 10 6 6 0 2017 10 6 6 0 2017 10 6 6 1 ppublish 28979549 10.1177/1751143716670668 10.1177_1751143716670668 PMC5606362 Lancet Respir

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2017 Journal of the Intensive Care Society

102. Quantitative study - other: DemDel, a nursing-led practice-based delirium intervention, improves certain outcomes for older cognitively impaired inpatients

Quantitative study - other: DemDel, a nursing-led practice-based delirium intervention, improves certain outcomes for older cognitively impaired inpatients DemDel, a nursing-led practice-based delirium intervention, improves certain outcomes for older cognitively impaired inpatients | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use (...) cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here DemDel, a nursing-led practice-based delirium intervention, improves certain outcomes for older cognitively

2017 Evidence-Based Nursing

103. Systematic review with meta-analysis: Earplugs could be an effective sleep hygiene strategy to reduce delirium in the ICU

Systematic review with meta-analysis: Earplugs could be an effective sleep hygiene strategy to reduce delirium in the ICU Earplugs could be an effective sleep hygiene strategy to reduce delirium in the ICU | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal (...) accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Earplugs could be an effective sleep hygiene strategy to reduce delirium in the ICU Article Text Nursing issues Systematic review with meta-analysis Earplugs could be an effective sleep

2017 Evidence-Based Nursing

106. Delirium

Delirium Delirium - NICE CKS Clinical Knowledge Summaries Share Delirium: Summary Delirium (sometimes called 'acute confusional state') is an acute, fluctuating syndrome of inattention, impaired level of consciousness, and disturbed cognition. Delirium can be classified into subtypes based on symptoms: Hyperactive delirium can present with inappropriate behaviour, hallucinations, or agitation. Hypoactive delirium can present with lethargy and reduced concentration and appetite. Mixed delirium (...) presents with signs and symptoms of both hyperactive and hypoactive subtypes. The prevalence of delirium in primary care is thought to be between 1–2%. Delirium typically occurs in people with a predisposing factor (such as advanced age or multiple co-morbidities) when new precipitating factors (such as some medications or infection) are added. A diagnosis of delirium can be made if criteria from an assessment tool such as the short Confusion Assessment Method (short-CAM) or the Diagnostic

2017 NICE Clinical Knowledge Summaries

107. Randomised controlled trial: Placebo might be superior to antipsychotics in management of delirium in the palliative care setting

Randomised controlled trial: Placebo might be superior to antipsychotics in management of delirium in the palliative care setting Placebo might be superior to antipsychotics in management of delirium in the palliative care setting | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Placebo might be superior to antipsychotics in management of delirium in the palliative care setting Article Text Therapeutics/Prevention Randomised controlled trial

2017 Evidence-Based Medicine (Requires free registration)

108. Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition

Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition | Registered Nurses' Association of Ontario l’Association des infirmières et infirmiers autorisés de l’Ontario Speaking out for nursing. Speaking out for health. » » Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition Type of Guideline: Clinical Status: Published Publish Date: 2016 (...) About this Guideline : This nursing Best Practice Guideline (BPG) is intended to replace the RNAO (2010) BPGs Screening for Delirium, Dementia and Depression in Older Adults and Caregiving Strategies for Older Adults with Delirium, Dementia and Depression. It is to be used by nurses and other members of the interprofessional health-care team to enhance the quality of their practice pertaining to delirium, dementia, and depression in older adults, ultimately optimizing clinical outcomes through

2017 Registered Nurses' Association of Ontario

109. Sleep Medications for the Treatment or Prevention of Delirium: Clinical Effectiveness and Guidelines

Sleep Medications for the Treatment or Prevention of Delirium: Clinical Effectiveness and Guidelines Sleep Medications for the Treatment or Prevention of Delirium: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Sleep Medications for the Treatment or Prevention of Delirium: Clinical Effectiveness and Guidelines Sleep Medications for the Treatment or Prevention of Delirium: Clinical Effectiveness and Guidelines Published on: December 9, 2016 Project Number: RB1046 (...) -000 Product Line: Research Type: Drug Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of sleep medications in older adults for the prevention and treatment of delirium? What are the evidence-based guidelines regarding the use of sleep medications in older adults for the prevention and treatment of delirium? Key Message One systematic review, three randomized controlled trials (RCTs), one non-randomized study, and one evidence-based guideline were

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

110. Effectiveness of preoperative intranasal dexmedetomidine compared with oral midazolam for the prevention of emergence delirium in pediatric patients undergoing general anesthesia: a systematic review protocol. (PubMed)

Effectiveness of preoperative intranasal dexmedetomidine compared with oral midazolam for the prevention of emergence delirium in pediatric patients undergoing general anesthesia: a systematic review protocol. This review aims to identify the effectiveness of preoperative intranasal dexmedetomidine compared with oral midazolam for the prevention of emergence delirium in pediatric patients undergoing general anesthesia.

2016 JBI database of systematic reviews and implementation reports

111. Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study (PubMed)

Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study screening all unscheduled older adults for delirium is recommended in national guidelines, but there is no consensus on how to perform initial assessment.to evaluate the test accuracy of five brief cognitive assessment tools for delirium diagnosis in routine clinical practice.a consecutive cohort of non-elective, elderly care (older than 65 years) hospital inpatients admitted to a geriatric (...) medical assessment unit of an urban teaching hospital. Reference assessments were clinical diagnosis of delirium performed by elderly care physicians. Routine screening tests were: Abbreviated Mental Test (AMT-10, AMT-4), 4 A's Test (4AT), brief Confusion Assessment Method (bCAM), months of the year backwards (MOTYB) and informant Single Question in Delirium (SQiD).we assessed 500 patients, mean age 83 years (range = 66-101). Clinical diagnoses were: 93 of 500 (18.6%) definite delirium, 104 of 500

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2016 EvidenceUpdates

112. The Impact of Interventions to Improve Sleep on Delirium in the ICU: A Systematic Review and Research Framework (PubMed)

The Impact of Interventions to Improve Sleep on Delirium in the ICU: A Systematic Review and Research Framework This study aimed to assess whether interventions targeted at improving sleep in the ICU were associated with reductions in ICU delirium. Secondary outcomes include duration of delirium and ICU length of stay.MEDLINE, CINAHL, Web of Science, Scopus, WorldCat, and International Pharmaceutical Abstracts were searched from inception to January 2016.Studies investigating any type of sleep (...) intervention (nonpharmacologic or pharmacologic) and assessing the impact on ICU delirium were included. Any type of study design was permitted so long as the delirium assessment was made at least daily with a validated delirium assessment tool.The following data were extracted: first author, year of publication, study design, ICU type, components of sleep intervention, use of sleep assessment tool, patient age, sex, severity of illness, sleep measures, delirium assessment tool, incidence of delirium

2016 EvidenceUpdates

113. Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial. (PubMed)

Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial. Delirium is a postoperative complication that occurs frequently in patients older than 65 years, and presages adverse outcomes. We investigated whether prophylactic low-dose dexmedetomidine, a highly selective α2 adrenoceptor agonist, could safely decrease the incidence of delirium in elderly patients after non-cardiac surgery.We did this randomised (...) normal saline). Participants, care providers, and investigators were all masked to group assignment. The primary endpoint was the incidence of delirium, assessed twice daily with the Confusion Assessment Method for intensive care units during the first 7 postoperative days. Analyses were done by intention-to-treat and safety populations. This study is registered with Chinese Clinical Trial Registry, www.chictr.org.cn, number ChiCTR-TRC-10000802.Between Aug 17, 2011, and Nov 20, 2013, of 2016 patients

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2016 Lancet

114. The Use of Restraints and Excited Delirium or Positional Asphyxia: A Review of the Safety and Guidelines

The Use of Restraints and Excited Delirium or Positional Asphyxia: A Review of the Safety and Guidelines The Use of Restraints and Excited Delirium or Positional Asphyxia: A Review of the Safety and Guidelines | CADTH.ca Find the information you need The Use of Restraints and Excited Delirium or Positional Asphyxia: A Review of the Safety and Guidelines The Use of Restraints and Excited Delirium or Positional Asphyxia: A Review of the Safety and Guidelines Published on: August 11, 2016 Project (...) Number: RC0801-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the safety of restraints or restraining methods for people in custody or in healthcare facilities? What are the evidence-based guidelines for the prevention or management of excited delirium? What are the evidence-based guidelines for the prevention or management of positional asphyxia? Key Message One low quality systematic review, one fair quality

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

115. Effect of Dexmedetomidine Added to Standard Care on Ventilator-Free Time in Patients With Agitated Delirium: A Randomized Clinical Trial

Effect of Dexmedetomidine Added to Standard Care on Ventilator-Free Time in Patients With Agitated Delirium: A Randomized Clinical Trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2016 PedsCCM Evidence-Based Journal Club

116. Derivation and Validation of a Severity Scoring Method for the 3-Minute Diagnostic Interview for Confusion Assessment Method--Defined Delirium (PubMed)

Derivation and Validation of a Severity Scoring Method for the 3-Minute Diagnostic Interview for Confusion Assessment Method--Defined Delirium To derive and validate a method for scoring delirium severity using a recently validated, brief, structured diagnostic interview for Confusion Assessment Method (CAM)-defined delirium (3D-CAM) and to demonstrate its agreement with the CAM Severity short form (CAM-S SF) as the reference standard.Derivation and validation analysis in a prospective cohort (...) delirium severity using the 3D-CAM (the 3D-CAM-S) has excellent agreement with the CAM-S SF. This new methodology enables clinicians and researchers using the 3D-CAM for surveillance to measure delirium severity and monitor its course simultaneously by tracking changes over time. The 3D-CAM-S expands the utility of the 3D-CAM as an important tool for delirium recognition and management.© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

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2016 EvidenceUpdates

117. Cognitive Reserve and Postoperative Delirium in Older Adults (PubMed)

Cognitive Reserve and Postoperative Delirium in Older Adults To examine the role of cognitive reserve in reducing delirium incidence and severity in older adults undergoing surgery.Prospective cohort study.Hospital.Older adults (mean age 71.2, 65% women) undergoing elective orthopedic surgery (N = 142).Incidence (Confusion Assessment Method) and severity (Memorial Delirium Assessment Scale) of postoperative delirium were the primary outcomes. Predictors included early- (literacy) and late-life (...) (cognitive activities) proxies for cognitive reserve.Forty-five participants (32%) developed delirium. Greater participation in cognitive activity was associated with lower incidence (odds ratio = 0.92 corresponding to increase of 1 activity per week, 95% confidence interval (CI) = 0.86-0.98, P = .006) and severity (B = -0.06, 95% CI = -0.11 to -0.01, P = .02) of delirium after adjustment for age, sex, medical illnesses, and baseline cognition. Greater literacy was not associated with lower delirium

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2016 EvidenceUpdates

118. Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture (PubMed)

Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture The Mini-Cog test is a validated and simple tool to screen for dementia. The purpose of this study was to investigate the relationship of cognitive impairment as measured by Mini-Cog testing as a predictor for in-hospital complications and mortality in geriatric patients with fracture.From 2011 to 2014, patients who were seventy years of age or older, had a fracture, and were (...) age, eighty-three years) attempted Mini-Cog testing. Of those, 513 were able to complete the test, demonstrating a 35.1% prevalence of cognitive impairment. The cohort's rate of in-hospital medical complications was 28.6%. Patients with an abnormal Mini-Cog test or those unable to complete the test had significantly higher odds of in-hospital complications (2.16 and 2.27, respectively) compared with patients with a normal Mini-Cog test (p < 0.001). Delirium was significantly increased in patients

2016 EvidenceUpdates

119. Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study (PubMed)

Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study although the importance of identifying hip fracture patients with high risk for delirium has been well established, considerable controversy exists over the choice of the screening tool. The most commonly used cognitive screeners take an excessive amount of time and include drawing tasks that can be troublesome for individuals with hip fracture who are invariably lying in bed.to evaluate (...) the properties of the 10-point Cognitive Screener (10-CS), a 2-min bedside tool, for predicting delirium in older adults with hip fracture.prospective cohort study.a tertiary referral hospital in São Paulo, Brazil.non-delirious older adults with hip fracture (n = 147).the 10-CS was administered as a baseline predictor. The test is composed of three-item temporal orientation (date, month, year), category fluency (animals in 1 min) and three-word recall. Incident delirium has been diagnosed according

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2016 EvidenceUpdates

120. Utility of the PRE-DELIRIC delirium prediction model in a Scottish ICU cohort (PubMed)

Utility of the PRE-DELIRIC delirium prediction model in a Scottish ICU cohort The PREdiction of DELIRium for Intensive Care (PRE-DELIRIC) model reliably predicts at 24 h the development of delirium during intensive care admission. However, the model does not take account of alcohol misuse, which has a high prevalence in Scottish intensive care patients. We used the PRE-DELIRIC model to calculate the risk of delirium for patients in our ICU from May to July 2013. These patients were screened (...) for delirium on each day of their ICU stay using the Confusion Assessment Method for ICU (CAM-ICU). Outcomes were ascertained from the national ICU database. In the 39 patients screened daily, the risk of delirium given by the PRE-DELIRIC model was positively associated with prevalence of delirium, length of ICU stay and mortality. The PRE-DELIRIC model can therefore be usefully applied to a Scottish cohort with a high prevalence of substance misuse, allowing preventive measures to be targeted.

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2016 Journal of the Intensive Care Society