Latest & greatest articles for delirium

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Top results for delirium

1. Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis Full Text available with Trip Pro

Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving situation. Get the latest public health information from CDC: Get the latest research information (...) there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation Crit Care Med Actions . 2021 Feb 1;49(2):335-346. doi: 10.1097/CCM.0000000000004773. Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis , , , , Affiliations Expand

2021 EvidenceUpdates

2. Association of Positive Delirium Screening with Incident Dementia in Skilled Nursing Facilities

Association of Positive Delirium Screening with Incident Dementia in Skilled Nursing Facilities Association of Positive Delirium Screening with Incident Dementia in Skilled Nursing Facilities - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving situation. Get the latest public health information (...) at most: Send even when there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation J Am Geriatr Soc Actions . 2020 Sep 23. doi: 10.1111/jgs.16830. Online ahead of print. Association of Positive Delirium Screening with Incident Dementia

2020 EvidenceUpdates

3. How can healthcare workers adapt non-pharmacological treatment – whilst maintaining safety – when treating people with COVID-19 and delirium?

How can healthcare workers adapt non-pharmacological treatment – whilst maintaining safety – when treating people with COVID-19 and delirium? How can healthcare workers adapt non-pharmacological treatment - whilst maintaining safety - when treating people with COVID-19 and delirium? - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website How can healthcare workers adapt non-pharmacological treatment – whilst (...) maintaining safety – when treating people with COVID-19 and delirium? May 6, 2020 Louise Jones, Bridget Candy, Nia Roberts, Tamara Ondrušková , Tamara Short, Elizabeth L Sampson On behalf of the Oxford COVID-19 Evidence Service Team Centre for Evidence-Based Medicine, Nuffield Department of Primary Care Health Sciences University of Oxford Marie Curie Palliative Care Research Department, Division of Psychiatry, UCL Correspondence to VERDICT Delirium may be part of the spectrum of COVID-19 symptoms

2020 Oxford COVID-19 Evidence Service

4. Non-Pharmacologic Multicomponent Interventions Preventing Delirium in Hospitalized People Full Text available with Trip Pro

Non-Pharmacologic Multicomponent Interventions Preventing Delirium in Hospitalized People Non-Pharmacologic Multicomponent Interventions Preventing Delirium in Hospitalized People - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National Center for Biotechnology Information (...) Cite Share Permalink Copy Page navigation Review J Am Geriatr Soc Actions . 2020 Jun 12. doi: 10.1111/jgs.16565. Online ahead of print. Non-Pharmacologic Multicomponent Interventions Preventing Delirium in Hospitalized People , , , , , , Affiliations Expand Affiliations 1 Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany. 2 Leibniz Institute for Resilience Research (LIR), Mainz, Germany. 3 Department of Cardiothoracic and Vascular Surgery, University

2020 EvidenceUpdates

5. End of Life Care in Frailty: Delirium

End of Life Care in Frailty: Delirium End of Life Care in Frailty: Delirium | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) Date Published: 12 May 2020 Last updated: 12 February 2020 The aim of this guidance series is to support clinicians and others to consider the needs of frail older people as they move towards the end of their lives and help them to provide high quality care. This chapter examines the identification and management (...) of delirium in older people at the end of life. Please to view the other chapters in this series. Delirium – ‘acute confusion’ - is important to consider at the end of life. It may be almost universal in non-sudden death, especially in those with . Delirium has a poor prognosis, regardless of how well it is identified, investigated and treated, especially the hypoactive (drowsy) form. Half of those with delirium on general and geriatric medical wards will die within six months. It is important to be aware

2020 British Geriatrics Society

6. Partnering With Family Members to Detect Delirium in Critically Ill Patients Full Text available with Trip Pro

Partnering With Family Members to Detect Delirium in Critically Ill Patients Partnering With Family Members to Detect Delirium in Critically Ill Patients - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National Center for Biotechnology Information Show account info Close (...) Page navigation Crit Care Med Actions . 2020 Jul;48(7):954-961. doi: 10.1097/CCM.0000000000004367. Partnering With Family Members to Detect Delirium in Critically Ill Patients , , , , , , Affiliations Expand Affiliations 1 Department of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada. 2 Tennessee Valley Veteran's Affairs Geriatric Research Education Clinical Center (VA GRECC), Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center

2020 EvidenceUpdates

7. Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the Family Confusion Assessment Method (FAM-CAM)

Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the Family Confusion Assessment Method (FAM-CAM) Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the Family Confusion Assessment Method (FAM-CAM) - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation J Am Geriatr Soc Actions . 2020 Apr 10. doi: 10.1111/jgs.16438. Online ahead of print. Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the Family Confusion Assessment Method (FAM-CAM) , , , , , Affiliations Expand Affiliations 1 Department of Pharmacy and Health System Sciences, Northeastern University, Boston, Massachusetts, USA. 2

2020 EvidenceUpdates

8. Delirium detection instruments

Delirium detection instruments Delirium detection instruments We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Delirium detection instruments Share: Reading time approx. 10 minutes Delirium is a neuropsychiatric condition characterized by altered consciousness and attention with cognitive, emotional and behavioural symptoms. The condition is common (...) in inpatient care, especially in elderly and frail patients. The term delirium is often used synonymously with confusion, acute confusion, or temporary confusion. There are several assessment tools that can be used for the identification or screening of delirium. Question What systematic reviews are there on the diagnostic accuracy of delirium detection tools? Identified literature Table 1 Systematic reviews with low/medium risk of bias. AMT-4 = Abbreviated Mental Test 4; CAM = Confusion Assessment Method

2020 Swedish Council on Technology Assessement

9. Benzodiazepines for treatment of patients with delirium excluding those who are cared for in an intensive care unit. (Abstract)

Benzodiazepines for treatment of patients with delirium excluding those who are cared for in an intensive care unit. Delirium is a very common condition associated with significant morbidity, mortality, and costs. Current critical care guidelines recommend first and foremost the use of nonpharmacological strategies in both the prevention and treatment of delirium. Pharmacological interventions may augment these approaches and they are currently used widely in clinical practice to manage (...) the symptoms of delirium. Benzodiazepines are currently used in clinical practice to treat behavioural disturbances associated with delirium but current guidelines do not recommend their use for this indication. The use of these medicines is controversial because there is uncertainty about whether they are effective for patients or have the potential to harm them.To assess the effectiveness and safety of benzodiazepines in the treatment of delirium (excluding delirium related to withdrawal from alcohol

2020 Cochrane

10. Randomized clinical trial of intraoperative dexmedetomidine to prevent delirium in the elderly undergoing major non-cardiac surgery Full Text available with Trip Pro

Randomized clinical trial of intraoperative dexmedetomidine to prevent delirium in the elderly undergoing major non-cardiac surgery Randomized Clinical Trial of Intraoperative Dexmedetomidine to Prevent Delirium in the Elderly Undergoing Major Non-Cardiac Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced (...) characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Br J Surg Actions , 107 (2), e123-e132 Jan 2020 Randomized Clinical Trial of Intraoperative Dexmedetomidine to Prevent Delirium in the Elderly Undergoing Major Non-Cardiac Surgery , , , , , , , Affiliations Expand Affiliations 1 Department of Anaesthesiology and Critical

2020 EvidenceUpdates

11. Drug therapy for delirium in terminally ill adults. (Abstract)

Drug therapy for delirium in terminally ill adults. Delirium is a syndrome characterised by an acute disturbance of attention and awareness which develops over a short time period and fluctuates in severity over the course of the day. It is commonly experienced during inpatient admission in the terminal phase of illness. It can cause symptoms such as agitation and hallucinations and is distressing for terminally ill people, their families and staff. Delirium may arise from any number of causes (...) and treatment should aim to address these causes. When this is not possible, or treatment is unsuccessful, drug therapy to manage the symptoms may become necessary. This is the second update of the review first published in 2004.To evaluate the effectiveness and safety of drug therapies to manage delirium symptoms in terminally ill adults.We searched CENTRAL, MEDLINE, Embase, CINAHL and PsycINFO from inception to July 2019, reference lists of retrieved papers, and online trial registries.We included

2020 Cochrane

12. COVID-19: Managing delirium in confirmed and suspected cases

COVID-19: Managing delirium in confirmed and suspected cases Coronavirus: Managing delirium in confirmed and suspected cases | British Geriatrics Society Toggle main menu visibility Search Search Search Coronavirus: Managing delirium in confirmed and suspected cases Topics: , Date Published: 19 March 2020 Last updated: 25 March 2020 Some of our members have been alerted to some difficulty in managing patients with delirium testing positive with COVID-19. This consensus advice has been drawn up (...) by experts from the organisations listed above. It should be used in conjunction with local policy and governance practice employed within your own organisation. Delirium, the clinical expression of encephalopathy, is important in the context of COVID-19, because (a) delirium may be a symptom at presentation and/or during management, and (b) the behavioural changes commonly seen in delirium, particularly agitation, may make management including delivery of care and reducing the risk of cross-infection

2020 British Geriatrics Society

13. Serial Ottawa 3DY assessments to detect delirium in older emergency department community dwellers Full Text available with Trip Pro

Serial Ottawa 3DY assessments to detect delirium in older emergency department community dwellers delirium is associated with increased morbidity and mortality among older emergency department (ED) patients. When using physician gestalt, delirium is missed in the majority of patients. The Ottawa 3DY (O3DY) has been validated to detect cognitive dysfunction among older ED patients.to determine the sensitivity and specificity of serial O3DY assessments to detect delirium in older ED patients.a (...) prospective observational multicenter cohort study.four Quebec EDs.independent or semi-independent older patients (age ≥ 65 years) with an ED stay of at least 8 hours that required hospitalisation.eligible patients were evaluated using serial O3DY assessments at least 6 hours apart. The primary outcome was delirium after at least 8 hours in the ED. The reference standard for delirium assessment was the confusion assessment method (CAM). The sensitivity and specificity of the serial O3DY to detect delirium

2019 EvidenceUpdates

14. The Healthy Heart-Mind Trial: Randomized Controlled Trial of Melatonin for Prevention of Delirium Full Text available with Trip Pro

The Healthy Heart-Mind Trial: Randomized Controlled Trial of Melatonin for Prevention of Delirium Delirium is a serious medical condition with increased incidence in at-risk surgical populations. We sought to determine if melatonin use reduces the incidence of delirium in individuals undergoing major cardiac surgery.Randomized double-blind placebo-controlled clinical trial (two arms, 1:1 allocation, parallel design).The trial took place in two metropolitan hospitals (public tertiary and private (...) ) in Perth, Western Australia.We recruited 210 adults aged 50 years or older who were due to undergo coronary artery bypass grafting or valve replacement surgery.Participants were randomly assigned (1:1) to 7 days of treatment with melatonin 3 mg at night or matching placebo, starting 2 days before the surgery.The primary outcome of interest was incident delirium within 7 days of surgery as assessed via daily clinical assessment that included the Confusion Assessment Method. Secondary outcomes

2019 EvidenceUpdates

15. Effect of the Tailored, Family-Involved Hospital Elder Life Program on Postoperative Delirium and Function in Older Adults: A Randomized Clinical Trial Full Text available with Trip Pro

Effect of the Tailored, Family-Involved Hospital Elder Life Program on Postoperative Delirium and Function in Older Adults: A Randomized Clinical Trial Postoperative delirium (POD) is a common condition for older adults, contributing to their functional decline.To investigate the effectiveness of the Tailored, Family-Involved Hospital Elder Life Program (t-HELP) for preventing POD and functional decline in older patients after a noncardiac surgical procedure.A 2-arm, parallel-group, single (...) . Secondary outcomes included the pattern of functional and cognitive changes (activities of daily living [ADLs], instrumental activities of daily living [IADLs], Short Portable Mental Status Questionnaire [SPMSQ]) from hospital admission to 30 days after discharge, and the length of hospital stay (LOS).Of the 475 patients screened for eligibility, 281 (171 [60.9%] male, mean [SD] age 74.7 [5.2] years) were enrolled and randomized to receive t-HELP (n = 152) or usual care (n = 129). Postoperative delirium

2019 EvidenceUpdates

16. Fall Prevention Guidelines for Patients in Wheelchairs or Patients with Delirium: A Review of Evidence-Based Guidelines

Fall Prevention Guidelines for Patients in Wheelchairs or Patients with Delirium: A Review of Evidence-Based Guidelines Fall Prevention Guidelines for Patients in Wheelchairs or Patients with Delirium: A Review of Evidence-Based Guidelines | CADTH.ca Find the information you need Fall Prevention Guidelines for Patients in Wheelchairs or Patients with Delirium: A Review of Evidence-Based Guidelines Fall Prevention Guidelines for Patients in Wheelchairs or Patients with Delirium: A Review (...) of Evidence-Based Guidelines Last updated: July 19, 2019 Project Number: RC1159-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What are the evidence based guidelines to prevent falls for older adults requiring wheelchairs in institutionalized care? What are the evidence based guidelines to prevent falls for adult patients with delirium in institutionalized care? Key Message One evidence-based guideline was included

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

17. Pharmacological interventions for the treatment of delirium in critically ill adults. Full Text available with Trip Pro

Pharmacological interventions for the treatment of delirium in critically ill adults. Although delirium is typically an acute reversible cognitive impairment, its presence is associated with devastating impact on both short-term and long-term outcomes for critically ill patients. Advances in our understanding of the negative impact of delirium on patient outcomes have prompted trials evaluating multiple pharmacological interventions. However, considerable uncertainty surrounds the relative (...) benefits and safety of available pharmacological interventions for this population.Primary objective1. To assess the effects of pharmacological interventions for treatment of delirium on duration of delirium in critically ill adults with confirmed or documented high risk of deliriumSecondary objectivesTo assess the following:1. effects of pharmacological interventions on delirium-free and coma-free days; days with coma; delirium relapse; duration of mechanical ventilation; intensive care unit (ICU

2019 Cochrane

18. Antipsychotics for the Prevention and Treatment of Delirium

Antipsychotics for the Prevention and Treatment of Delirium Antipsychotics for the Prevention and Treatment of Delirium Comparative Effectiveness Review Number 219 RComparative Effectiveness Review Number 219 Antipsychotics for the Prevention and Treatment of Delirium Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00006-I, 290-32008-T Prepared by: Johns Hopkins (...) of delirium among adult patients. Key Messages • Haloperidol or second-generation antipsychotics used to prevent or treat delirium did not decrease length of stay in hospital. • There was little or no evidence to determine the effect of antipsychotics on cognitive function, delirium severity, or caregiver burden, or for sedation when used for prevention. • Second-generation antipsychotics may lower the occurrence of delirium in postoperative patients. • Haloperidol or second-generation antipsychotics used

2019 Effective Health Care Program (AHRQ)

19. External Validation of Two Models to Predict Delirium in Critically Ill Adults Using Either the Confusion Assessment Method-ICU or the Intensive Care Delirium Screening Checklist for Delirium Assessment Full Text available with Trip Pro

External Validation of Two Models to Predict Delirium in Critically Ill Adults Using Either the Confusion Assessment Method-ICU or the Intensive Care Delirium Screening Checklist for Delirium Assessment To externally validate two delirium prediction models (early prediction model for ICU delirium and recalibrated prediction model for ICU delirium) using either the Confusion Assessment Method-ICU or the Intensive Care Delirium Screening Checklist for delirium assessment.Prospective (...) , multinational cohort study.Eleven ICUs from seven countries in three continents.Consecutive, delirium-free adults admitted to the ICU for greater than or equal to 6 hours in whom delirium could be reliably assessed.None.The predictors included in each model were collected at the time of ICU admission (early prediction model for ICU delirium) or within 24 hours of ICU admission (recalibrated prediction model for ICU delirium). Delirium was assessed using the Confusion Assessment Method-ICU or the Intensive

2019 EvidenceUpdates

20. Effect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit: The ICU Visits Randomized Clinical Trial. Full Text available with Trip Pro

Effect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit: The ICU Visits Randomized Clinical Trial. The effects of intensive care unit (ICU) visiting hours remain uncertain.To determine whether a flexible family visitation policy in the ICU reduces the incidence of delirium.Cluster-crossover randomized clinical trial involving patients, family members, and clinicians from 36 adult ICUs with restricted visiting hours (<4.5 hours per day) in Brazil. Participants (...) were recruited from April 2017 to June 2018, with follow-up until July 2018.Flexible visitation (up to 12 hours per day) supported by family education (n = 837 patients, 652 family members, and 435 clinicians) or usual restricted visitation (median, 1.5 hours per day; n = 848 patients, 643 family members, and 391 clinicians). Nineteen ICUs started with flexible visitation, and 17 started with restricted visitation.Primary outcome was incidence of delirium during ICU stay, assessed using the CAM-ICU

2019 JAMA Controlled trial quality: predicted high