Latest & greatest articles for delirium

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Top results for delirium

41. Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit

Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2017

42. Haloperidol for delirium? Moving on

Haloperidol for delirium? Moving on 28979549 2018 11 13 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

Journal of the Intensive Care Society2017 Full Text: Link to full Text with Trip Pro

43. 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

NICE Clinical Knowledge Summaries2017

44. 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

Evidence-Based Medicine (Requires free registration)2017

45. 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

Registered Nurses' Association of Ontario2017

46. 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 This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. 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 impaired inpatients Article Text Care of the older person Quantitative study - other DemDel, a nursing-led practice

Evidence-Based Nursing (Requires free registration)2017

47. 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 This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. 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 hygiene strategy to reduce delirium in the ICU Laura Hill Statistics from Altmetric.com Commentary on : Litton E

Evidence-Based Nursing (Requires free registration)2017

50. 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

Canadian Agency for Drugs and Technologies in Health - Rapid Review2016

51. Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study

Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study 27503794 2016 08 09 2016 11 12 1468-2834 45 6 2016 Nov Age and ageing Age Ageing Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study. 832-837 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

EvidenceUpdates2016

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

Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial. BACKGROUND: 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 α 2 adrenoceptor agonist, could safely decrease the incidence of delirium in elderly patients after non-cardiac surgery. METHODS: We (...) ), or placebo (intravenous 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. FINDINGS: Between Aug 17, 2011

Lancet2016

53. 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

Canadian Agency for Drugs and Technologies in Health - Rapid Review2016

54. 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?

PedsCCM Evidence-Based Journal Club2016

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

Derivation and Validation of a Severity Scoring Method for the 3-Minute Diagnostic Interview for Confusion Assessment Method--Defined Delirium 27374833 2016 08 17 2017 02 20 1532-5415 64 8 2016 Aug Journal of the American Geriatrics Society J Am Geriatr Soc Derivation and Validation of a Severity Scoring Method for the 3-Minute Diagnostic Interview for Confusion Assessment Method--Defined Delirium. 1684-9 10.1111/jgs.14234 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 study. Two academic medical centers. Individuals aged 70 and older enrolled in the Successful Aging after Elective Surgery Study undergoing major elective noncardiac surgery (N = 566). The sample was randomly divided

EvidenceUpdates2016

56. Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture

Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture 27147687 2016 05 05 2017 04 06 2017 04 06 1535-1386 98 9 2016 May 04 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture. 742-50 10.2106/JBJS.15.00859 The Mini-Cog test is a validated and simple tool to screen for dementia. The purpose (...) 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 with an abnormal Mini-Cog test (odds ratio, 3.22; p = 0.001). The all-cause, one-year mortality rate after fracture in our population was 18.1%. Adjusted for age, sex, comorbidity, and fracture type, only the patients

EvidenceUpdates2016

57. Cognitive Reserve and Postoperative Delirium in Older Adults

Cognitive Reserve and Postoperative Delirium in Older Adults 27321616 2016 06 20 2017 02 20 1532-5415 64 6 2016 Jun Journal of the American Geriatrics Society J Am Geriatr Soc Cognitive Reserve and Postoperative Delirium in Older Adults. 1341-6 10.1111/jgs.14130 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

EvidenceUpdates2016

58. Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study

Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study 27189725 2016 09 20 2016 09 20 1468-2834 45 5 2016 Sep Age and ageing Age Ageing Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study. 713-7 10.1093/ageing/afw084 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

EvidenceUpdates2016

59. Utility of the PRE-DELIRIC delirium prediction model in a Scottish ICU cohort

Utility of the PRE-DELIRIC delirium prediction model in a Scottish ICU cohort 28979492 2018 11 13 1751-1437 17 3 2016 Aug Journal of the Intensive Care Society J Intensive Care Soc Utility of the PRE-DELIRIC delirium prediction model in a Scottish ICU cohort. 202-206 10.1177/1751143716638373 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

Journal of the Intensive Care Society2016 Full Text: Link to full Text with Trip Pro

60. 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. 26975647 2016 04 26 2016 05 09 2016 10 17 1538-3598 315 14 2016 Apr 12 JAMA JAMA Effect of Dexmedetomidine Added to Standard Care on Ventilator-Free Time in Patients With Agitated Delirium: A Randomized Clinical Trial. 1460-8 10.1001/jama.2016.2707 Effective therapy has not been established for patients with agitated delirium receiving mechanical (...) ventilation. To determine the effectiveness of dexmedetomidine when added to standard care in patients with agitated delirium receiving mechanical ventilation. The Dexmedetomidine to Lessen ICU Agitation (DahLIA) study was a double-blind, placebo-controlled, parallel-group randomized clinical trial involving 74 adult patients in whom extubation was considered inappropriate because of the severity of agitation and delirium. The study was conducted at 15 intensive care units in Australia and New Zealand from

JAMA2016