Latest & greatest articles for delirium

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Top results for delirium

101. Preventing delirium in an acute hospital using a non-pharmacological intervention

Preventing delirium in an acute hospital using a non-pharmacological intervention 22589080 2012 08 22 2013 04 04 2012 08 22 1468-2834 41 5 2012 Sep Age and ageing Age Ageing Preventing delirium in an acute hospital using a non-pharmacological intervention. 629-34 10.1093/ageing/afs060 delirium is a clinical syndrome associated with multiple short and long-term complications and therefore prevention is an essential part of its management. This study was designed to assess the efficacy (...) of multicomponent intervention in delirium prevention. a total of 287 hospitalised patients at intermediate or high risk of developing delirium were randomised to receive a non-pharmacological intervention delivered by family members (144 patients) or standard management (143 patients). The primary efficacy outcome was the occurrence of delirium at any time during the course of hospitalisation. Three validated observers performed the event adjudication by using the confusion assessment method screening

EvidenceUpdates2012

102. Tools to detect delirium superimposed on dementia: a systematic review

Tools to detect delirium superimposed on dementia: a systematic review Tools to detect delirium superimposed on dementia: a systematic review Tools to detect delirium superimposed on dementia: a systematic review Morandi A, McCurley J, Vasilevskis EE, Fick DM, Bellelli G, Lee P, Jackson JC, Shenkin SD, Trabucchi M, Schnelle J, Inouye SK, Ely EW, MacLullich A CRD summary This review concluded that the evidence on tools for detection of delirium superimposed on dementia was limited (...) , but it supported the Confusion Assessment Method, its adaptation for the intensive care unit, and electroencephalography. Given the paucity of the evidence, the authors' conclusions and recommendations for further research seem reasonable. Authors' objectives To assess validated tools to diagnose delirium superimposed on dementia. Searching PubMed, EMBASE, and Web of Science were searched for studies published in English, between 1960 and January 2012; search terms were reported. Reference lists were scanned

DARE.2012

103. Cross-sectional study: Delirium superimposed on dementia is pervasive and associated with restraint use among older adults residing in long-term care

Cross-sectional study: Delirium superimposed on dementia is pervasive and associated with restraint use among older adults residing in long-term care Delirium superimposed on dementia is pervasive and associated with restraint use among older adults residing in long-term care | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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 Delirium superimposed on dementia is pervasive and associated with restraint use among older adults residing in long-term care Article Text Care of the older person Cross-sectional study

Evidence-Based Nursing (Requires free registration)2012

104. Subsyndromal delirium in older long-term care residents: incidence, risk factors, and outcomes

Subsyndromal delirium in older long-term care residents: incidence, risk factors, and outcomes 22091496 2011 11 18 2012 01 05 2011 11 18 1532-5415 59 10 2011 Oct Journal of the American Geriatrics Society J Am Geriatr Soc Subsyndromal delirium in older long-term care residents: incidence, risk factors, and outcomes. 1829-36 10.1111/j.1532-5415.2011.03595.x To determine the incidence of, risk factors for, and outcomes of subsyndromal delirium (SSD) in older long-term care (LTC) residents (...) and, secondarily, to explore the use of a more-restrictive definition of SSD. Cohort study with repeated weekly assessments for up to 6 months. Seven LTC facilities in Montreal and Quebec City, Canada. One hundred four LTC residents aged 65 and older and free of delirium core symptoms at baseline. The Mini-Mental State Examination (MMSE), Confusion Assessment Method (CAM), Delirium Index (DI), Hierarchic Dementia Scale (HDS), and Barthel Index (BI) were completed at baseline. The MMSE, CAM, and DI were

EvidenceUpdates2011

105. Review: Insufficient evidence exists about which drugs are associated with delirium; benzodiazepines may increase risk

Review: Insufficient evidence exists about which drugs are associated with delirium; benzodiazepines may increase risk 21690588 2011 06 21 2011 08 19 2017 02 20 1539-3704 154 12 2011 Jun 21 Annals of internal medicine Ann. Intern. Med. ACP Journal Club. Review: Insufficient evidence exists about which drugs are associated with delirium; benzodiazepines may increase risk. JC6-10 10.7326/0003-4819-154-12-201106210-02010 Carpenter Christopher R CR Washington University, St. Louis, MO, USA. eng KM1

Annals of Internal Medicine2011 Full Text: Link to full Text with Trip Pro

106. Delirium.

Delirium. This issue provides a clinical overview of delirium focusing on prevention, diagnosis, treatment, practice improvement, and patient information. Readers can complete the accompanying CME quiz for 1.5 credits. Only ACP members and individual subscribers can access the electronic features of In the Clinic. Non-subscribers who wish to access this issue of In the Clinic can elect "Pay for View." Subscribers can receive 1.5 category 1 CME credits by completing the CME quiz that accompanies

Annals of Internal Medicine2011

107. Synopsis of the National Institute for Health and Clinical Excellence Guideline for Prevention of Delirium.

Synopsis of the National Institute for Health and Clinical Excellence Guideline for Prevention of Delirium. DESCRIPTION: Delirium is common, is often underrecognized, and is associated with poor outcomes and high costs. In July 2010, the National Institute for Health and Clinical Excellence released a guideline that addressed diagnosis, prevention, and management of delirium. This synopsis focuses on the main recommendations about prevention of delirium. METHODS: The National Clinical Guideline (...) economic modeling. Stakeholder and public comment informed guideline development and modifications. RECOMMENDATIONS: Considering prevention a feasible and cost-effective health strategy, the guideline development group made 13 specific recommendations that addressed the stability of the care environment (both the care team and location) and the provision of a multicomponent intervention package tailored for persons at risk for delirium. The multicomponent intervention package included assessment

Annals of Internal Medicine2011

108. Diagnosing delirium in critically ill children: Validity and reliability of the Pediatric Confusion Assessment Method for the Intensive Care Unit

Diagnosing delirium in critically ill children: Validity and reliability of the Pediatric Confusion Assessment Method for the Intensive Care Unit 20959783 2010 12 23 2011 02 07 2016 10 19 1530-0293 39 1 2011 Jan Critical care medicine Crit. Care Med. Diagnosing delirium in critically ill children: Validity and reliability of the Pediatric Confusion Assessment Method for the Intensive Care Unit. 150-7 10.1097/CCM.0b013e3181feb489 To validate a diagnostic instrument for pediatric delirium (...) . Criterion validity including sensitivity and specificity and interrater reliability were determined using daily delirium assessments with the pCAM-ICU by two critical care clinicians compared with delirium diagnosis by pediatric psychiatrists using Diagnostic and Statistical Manual, 4th Edition, Text Revision criteria. A total of 146 paired assessments were completed among 68 enrolled patients with a mean age of 12.2 yrs. Compared with the reference standard for diagnosing delirium, the pCAM-ICU

EvidenceUpdates2011 Full Text: Link to full Text with Trip Pro

109. Confusion Assessment Method is the most appropriate tool to quickly detect delirium in hospitalised patients at the bedside

Confusion Assessment Method is the most appropriate tool to quickly detect delirium in hospitalised patients at the bedside Confusion Assessment Method is the most appropriate tool to quickly detect delirium in hospitalised patients at the bedside | Evidence-Based Mental Health 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 Confusion Assessment Method is the most appropriate tool to quickly detect delirium in hospitalised patients at the bedside Article Text This article has a correction. Please see: Diagnosis Confusion Assessment Method is the most appropriate tool

Evidence-Based Mental Health2011

111. Systematic review: Avoid benzodiazepines and opioids in people at risk of delirium

Systematic review: Avoid benzodiazepines and opioids in people at risk of delirium Avoid benzodiazepines and opioids in people at risk of delirium | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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 Avoid benzodiazepines and opioids in people at risk of delirium Article Text Care of older person Systematic review Avoid benzodiazepines and opioids in people at risk of delirium David Phillip Alldred Statistics from Altmetric.com No Altmetric data available for this article. Commentary on: Clegg A , Young JB

Evidence-Based Nursing (Requires free registration)2011

112. Structured analyses of interventions to prevent delirium

Structured analyses of interventions to prevent delirium Structured analyses of interventions to prevent delirium Structured analyses of interventions to prevent delirium Hempenius L, van Leeuwen BL, van Asselt DZ, Hoekstra HJ, Wiggers T, Slaets JP, de Bock GH CRD summary This review concluded that interventions to prevent delirium were effective and that their efficacy was greater when the population incidence of delirium was above 30%. The authors' conclusions may be reliable (...) , but the variable quality and widely differing interventions of the included studies should be borne in mind. Authors' objectives To assess the effectiveness of interventions to prevent delirium and to explore the factors which increase the effectiveness of these interventions. Searching PubMed, the Cochrane Central Register of Controlled trials (CENTRAL) and CINAHL were searched from 1979 to July 2009. References of relevant articles were checked. Only studies published in English were eligible for inclusion

DARE.2011

113. Delirium: Screening, Prevention and Diagnosis

Delirium: Screening, Prevention and Diagnosis Management Briefs Search the HSR&D website Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs Health Services Research & Development Management Briefs Management Briefs: Provide VA senior managers with results from VA Health Services Research in a concise and timely manner. , February 2017, Issue 122 , February 2017, Issue 122 , December 2016, Issue 121

Veterans Affairs - R&D2011

114. Which Medications are Associated With Incident Delirium?

Which Medications are Associated With Incident Delirium? DEFINE_ME_WA This site requires Cookies to be enabled to function. Please ensure Cookies are turned on and then re-visit the desired page.

Annals of Emergency Medicine Systematic Review Snapshots2011

115. Does this patient have delirium?: value of bedside instruments.

Does this patient have delirium?: value of bedside instruments. CONTEXT: Delirium occurs in many hospitalized older patients and has serious consequences including increased risk for death and admission to long-term care. Despite its importance, health care clinicians often fail to recognize delirium. Simple bedside instruments may lead to improved identification. OBJECTIVE: To systematically review the evidence on the accuracy of bedside instruments in diagnosing the presence of delirium (...) in adults. DATA SOURCES: Search of MEDLINE (from 1950 to May 2010), EMBASE (from 1980 to May 2010), and references of retrieved articles to identify studies of delirium among inpatients. STUDY SELECTION: Prospective studies of diagnostic accuracy that compared at least 1 delirium bedside instrument to the Diagnostic and Statistical Manual of Mental Disorders-based diagnosis made by a geriatrician, psychiatrist, or neurologist. DATA SYNTHESIS: There were 6570 unique citations identified with 25

JAMA2010

117. A clinical prediction rule based on preoperative factors predicted the development of delirium after cardiac surgery

A clinical prediction rule based on preoperative factors predicted the development of delirium after cardiac surgery A clinical prediction rule based on preoperative factors predicted the development of delirium after cardiac surgery | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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 A clinical prediction rule based on preoperative factors predicted the development of delirium after cardiac surgery Article Text Clinical prediction guide A clinical prediction rule based on preoperative factors predicted

Evidence-Based Nursing (Requires free registration)2010

118. How can delirium best be prevented and managed in older patients in hospital?

How can delirium best be prevented and managed in older patients in hospital? 19687107 2010 03 23 2010 04 15 2016 10 19 1488-2329 182 5 2010 Mar 23 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ How can delirium best be prevented and managed in older patients in hospital? 465-70 10.1503/cmaj.080519 Holroyd-Leduc Jayna M JM Division of Geriatrics and General Internal Medicine, University of Calgary, Calgary, Alta. Khandwala Farah F Sink Kaycee M (...) 2240918 J Geriatr Psychiatry Neurol. 1992 Jan-Mar;5(1):14-21 1571069 J Am Geriatr Soc. 1992 Jun;40(6):601-6 1587979 J Am Geriatr Soc. 1992 Aug;40(8):759-67 1634718 CMAJ. 1994 Oct 1;151(7):965-70 7922932 Aged Antipsychotic Agents therapeutic use Cholinesterase Inhibitors therapeutic use Delirium diagnosis etiology prevention & control Hospitalization Humans Hypnotics and Sedatives therapeutic use Patient Care Team Practice Guidelines as Topic Psychiatric Status Rating Scales Risk Factors 31 PMC2842841

EvidenceUpdates2010 Full Text: Link to full Text with Trip Pro

119. Efficacy and safety of quetiapine in critically ill patients with delirium: a prospective, multicenter, randomized, double-blind, placebo-controlled pilot study

Efficacy and safety of quetiapine in critically ill patients with delirium: a prospective, multicenter, randomized, double-blind, placebo-controlled pilot study 19915454 2010 01 20 2010 02 22 2015 11 19 1530-0293 38 2 2010 Feb Critical care medicine Crit. Care Med. Efficacy and safety of quetiapine in critically ill patients with delirium: a prospective, multicenter, randomized, double-blind, placebo-controlled pilot study. 419-27 10.1097/CCM.0b013e3181b9e302 To compare the efficacy and safety (...) of scheduled quetiapine to placebo for the treatment of delirium in critically ill patients requiring as-needed haloperidol. Prospective, randomized, double-blind, placebo-controlled study. Three academic medical centers. Thirty-six adult intensive care unit patients with delirium (Intensive Care Delirium Screening Checklist score > or = 4), tolerating enteral nutrition, and without a complicating neurologic condition. Patients were randomized to receive quetiapine 50 mg every 12 hrs or placebo. Quetiapine

EvidenceUpdates2010

120. Different assessment tools for intensive care unit delirium: which score to use?

Different assessment tools for intensive care unit delirium: which score to use? 20029345 2010 01 19 2010 02 22 2010 06 22 1530-0293 38 2 2010 Feb Critical care medicine Crit. Care Med. Different assessment tools for intensive care unit delirium: which score to use? 409-18 10.1097/CCM.0b013e3181cabb42 To compare validity and reliability of three instruments for detection and assessment of delirium in intensive care unit (ICU) patients. Delirium in critically ill patients is associated (...) with higher mortality, prolonged duration of ICU stay, and greater healthcare costs. Currently, there are several assessment tools available for detection of delirium, but only a few of these assessment systems are developed specifically to screen for delirium in ICU patients. Prospective cohort study. ICU at a university hospital. A total of 156 surgical patients aged > or = 60 yrs consecutively admitted to the ICU, with a length of stay of at least 24 hrs. This study was approved by the institutional

EvidenceUpdates2010