Search results for "Delirium"
Delirium in the hospital may have a dose-response association with dementia
Hospitalized patients with delirium had three times the risk for incident dementia over 5.25 years of follow-up versus those without, and each additional delirium episode was associated with a 20% increase in dementia risk, an Australian study found.
https://acphospitalist.acponline.org/archives/2024/04/03/delirium-in-the-hospital-may-have-a-dose-response-association-with-dementia.htm
3 Apr 2024
Melatonin does not improve delirium in older inpatients
No significant differences in Memorial Delirium Assessment Scale scores were seen between patients randomized to 5 mg of melatonin nightly or placebo, a small trial found.
https://acphospitalist.acponline.org/archives/2024/03/13/melatonin-does-not-improve-delirium-in-older-inpatients.htm
13 Mar 2024
Using an app to direct inpatient delirium identification was both feasible and accurate
A two-step, app-directed protocol for clinicians to identify delirium had high overall accuracy, with certified nursing assistants and nurses performing as well as hospitalists in a prospective cohort study at two hospitals.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/2.htm
10 Nov 2021
Care pathway with nurse screening for delirium may have reduced length of stay, 30-day readmissions
An academic tertiary care hospital in Northern California found that adjusted mean hospital length of stay decreased by 2% and the adjusted odds of 30-day readmission decreased by 14% after implementation of a delirium screening and care pathway for inpatients ages 50 years and older.
https://acphospitalist.acponline.org/weekly/archives/2021/06/16/3.htm
16 Jun 2021
Antipsychotics not effective for prevention, treatment of inpatient delirium
Two reviews analyzed dozens of studies on the use of haloperidol, second-generation antipsychotics, or placebo to treat or prevent delirium in hospitalized patients and found little to no evidence of benefit.
https://acphospitalist.acponline.org/weekly/archives/2019/09/11/1.htm
11 Sep 2019
ICU clinician education increased guideline compliance, decreased ICU brain dysfunction
A trial in the Netherlands required ICU nurses and physicians to complete two e-learning programs, one focused on delirium screening and the other focused on recommendations from the American College of Critical Care Medicine's 2013 guidelines on pain, agitation, and delirium.
https://acphospitalist.acponline.org/weekly/archives/2019/01/16/3.htm
16 Jan 2019
Prophylactic haloperidol not supported for reducing mortality in critically ill adults
The randomized trial compared thrice-daily prophylactic IV treatment of 1 mg haloperidol, 2 mg haloperidol, or placebo in patients staying in the ICU for at least a day.
https://acphospitalist.acponline.org/weekly/archives/2018/02/28/2.htm
28 Feb 2018
Statins associated with reduced risk of delirium in ICU study
The retrospective study found that the delirium rate in patients on statins, including atorvastatin, pravastatin, and simvastatin, was about half (or even less) than that of patients not on statins.
https://acphospitalist.acponline.org/weekly/archives/2017/06/28/2.htm
28 Jun 2017
Two questions most effective for initial delirium screening
Asking patients to recite the months of the year backwards was the most effective single-question screen for delirium in older medical inpatients, and pairing that question with “What is the day of the week?” resulted in the best 2-item test, a recent study found.
https://acphospitalist.acponline.org/weekly/archives/2015/09/23/1.htm
23 Sep 2015
Nonpharmacological, multicomponent interventions reduced delirium, prevented falls
Nonpharmacological, multicomponent interventions appeared to be effective at reducing delirium and preventing falls in hospitalized older patients, a study found.
https://acphospitalist.acponline.org/weekly/archives/2015/02/11/3.htm
11 Feb 2015
3-minute assessment for CAM-defined delirium may improve diagnosis
A 3-minute assessment for delirium as defined by the Confusion Assessment Method (CAM) may help improve recognition of the disorder, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2014/10/22/4.htm
22 Oct 2014
New scoring system helps quantify delirium severity in older patients
A new delirium assessment measure based on the Confusion Assessment Method (CAM) appears to help accurately quantify delirium in older patients, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2014/04/23/3.htm
23 Apr 2014
Statins may help delirium in critically ill patients, study finds
Statin treatment may be associated with lower delirium risk in critically ill patients, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2014/01/29/3.htm
29 Jan 2014
Haloperidol doesn't decrease delirium duration in critically ill
Though it's safe and can help with acute agitation, haloperidol doesn't reduce the overall duration of delirium in critically ill patients, a new study found.
https://acphospitalist.acponline.org/weekly/archives/2013/08/28/4.htm
28 Aug 2013
Quetiapine seems safe, effective for treating delirium
The second-generation antipsychotic quetiapine appears to be as safe and effective as other antipsychotics in treating delirium, according to a new review.
https://acphospitalist.acponline.org/weekly/archives/2013/03/13/4.htm
13 Mar 2013
Two common arousal/sedation tools are interchangeable for CAM-ICU eligibility
Two commonly used arousal/sedation tools perform similarly in assessing ICU patients' eligibility for delirium screening, a study found.
https://acphospitalist.acponline.org/weekly/archives/2012/05/09/3.htm
9 May 2012
Prophylactic haloperidol lowers incidence of postop delirium for some patients
Prophylactic haloperidol reduced the incidence of postoperative delirium in elderly patients admitted to the intensive care unit after noncardiac surgery, a study found.
https://acphospitalist.acponline.org/weekly/archives/2012/02/29/4.htm
29 Feb 2012
Commonly used delirium assessment tool may lack sensitivity in daily practice
The Confusion Assessment Method for the ICU (CAM-ICU), a commonly used tool to assess delirium, may lack sensitivity in daily practice as compared to clinical trials, a new study suggests.
https://acphospitalist.acponline.org/weekly/archives/2011/08/10/4.htm
10 Aug 2011
Guidelines for preventing delirium offered by U.K. experts
Guidelines for preventing delirium in inpatients have been developed by the British National Clinical Guideline Centre, and a synopsis of them was published in the June 7 Annals of Internal Medicine.
https://acphospitalist.acponline.org/weekly/archives/2011/06/08/4.htm
8 Jun 2011
Delirium associated with higher risk of mortality, dementia in elderly
And the winner is…
https://acphospitalist.acponline.org/weekly/archives/2010/08/04/4.htm
4 Aug 2010