Tag: delirium
Delirium a Dreaded Scourge Underdiagnosed in Hospitals
Pain medications, infections, medical illnesses, ventilators, dehydration or withdrawing from alcohol can be risk factors for delirium. Hospitals are one of the biggest culprits. They're noisy, busy and not conducive to getting... read more
The Effects of a Delirium Notification Program on the Clinical Outcomes of the ICU
Increasing the physician's awareness of the patient's mental state by using a notification program could reduce the anxiety of ICU patients even though it may not reduce delirium. The results suggested that the method of... read more
Subsyndromal Delirium and Institutionalization Among Patients With Critical Illness
Subsyndromal delirium occurred in most critically ill patients, and its duration was an independent predictor of institutionalization. Routine monitoring of all delirium symptoms may enable detection of full and subsyndromal... read more
Updated Version of the Confusion Assessment Method for the ICU
The 2014 updated version of the CAM-ICU is valid according to DSM-5 criteria and reliable regarding inter-observer agreement in a research setting. Delirium remains under-recognized by bedside clinicians. Delirium was diagnosed... read more
Haloperidol Prophylaxis in Critically Ill Patients with a High Risk for Delirium
The use of the delirium prevention protocol seems to result in improvement of several delirium outcome measures. Prophylactic treatment with low dose haloperidol in critically ill patients with a high risk of delirium likely... read more
Comparison of Self-Reported and Behavioral Pain Assessment Tools in Critically Ill Patients
Self-reported and behavioral pain assessment scales are often used interchangeably in critically ill patients due to fluctuations in mental status. The correlation between scales is not well elucidated. The purpose of this... read more
Clinicians’ Perceptions of Rationales for Rehabilitative Exercise in a Critical Care Setting
Rehabilitative exercise for critically ill patients may have many benefits; however, it is unknown what intensive care unit (ICU) clinicians perceive to be important rationale for the implementation of rehabilitative exercise... read more
Diagnostic Accuracy of Delirium Assessment Methods in Critical Care Patients
Delirium is a disorder of decreased ability to focus, sustain or shift attention, change in cognition and or perception. The main objective was to evaluate the diagnostic accuracy of Confusion Assessment Method for the ICU... read more
Animal-assisted Intervention in the ICU: A Tool for Humanization
The combination of an aging population and advances in critical care medicine is resulting in a growing number of survivors of critical illness. Survivors' descriptions of their stay in an intensive care unit (ICU) are frequently... read more
Persistence of Delirium after Cessation of Sedatives and Analgesics and Impact on Clinical Outcomes in Critically Ill Patients
As delirium is a common manifestation in critically ill patients and is associated with worse clinical outcomes, we sought to characterize the reversibility of delirium after discontinuation of sedation and to determine whether... read more
Recovery After Critical Illness: Putting the Puzzle Together
In this review, we seek to highlight how critical illness and critical care affect longer-term outcomes, to underline the contribution of ICU delirium to cognitive dysfunction several months after ICU discharge, to give new... read more
The Effect of a Quality Improvement Intervention on Perceived Sleep Quality and Cognition in the ICU
An ICU-wide quality improvement intervention to improve sleep and delirium is feasible and associated with significant improvements in perceived nighttime noise, incidence of delirium/coma, and daily delirium/coma-free status.... read more
Prognostic Effects of Delirium Motor Subtypes in Hospitalized Older Adults
One in three acutely ill hospitalized older adults who suffered hypo-active or mixed delirium died in the hospital. Clinicians should be aware that hypo-active symptoms of delirium, whether shown exclusively or in alternation... read more
Effect of Nocturnal Sound Reduction on the Incidence of Delirium in ICU Patients
The incidence of delirium in ICU patients was significantly reduced after implementation of a nocturnal sound-reduction protocol. However, reported sleep quality did not improve. A significant difference in slope in the percentage... read more
Antipsychotics for Prevention and Treatment of Delirium
Delirium is a common, complex and costly condition in older adults. Every year, over 7 million hospitalized Americans suffer from delirium. A recent systematic review found that 31% of critical care patients have delirium,... read more
The Overlooked Danger of Delirium in Hospitals
The condition, once known as "ICU psychosis," disproportionately affects seniors and those who have been heavily sedated—and the delusions can last long after they're discharged. Patients treated in intensive-care units... read more
What have been the major recent advances in delirium research and care?
Editor-In-Chief-Elect Giuseppe Citerio discusses the recent article focused on the intensive care delirium research agenda in Intensive Care Medicine (ICM). For this evidence-based paper, a multinational and inter-professional... read more
