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Letteratura scientifica selezionata sul tema "Delirium"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 30 luglio 2024

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Articoli di riviste sul tema "Delirium"

Kawaura, Takayuki, e Yasuyuki Sugatani. "Clinical Nurses’ Awareness Structure of Delirium – An Analysis of Spontaneous Utterances in a Group Interview by DEMATEL Method –". Journal of Advanced Computational Intelligence and Intelligent Informatics 18, n. 6 (20 novembre 2014): 1013–19. http://dx.doi.org/10.20965/jaciii.2014.p1013.

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In the 1990s, the Japanese population aged 65 and over increased to more than 14%, and Japan became an “aging society.” Now, one in five people are 65 or over (23.4%, and one in ten people are 75 or over (1.6%, meaning that Japanese society is aging substantially. The serious problems that acute hospitals now face involve complications of diseases that are typified by deliriu, and their prevention. Patients with delirium have a higher risk of falling and dying, and delirium has a negative influence on treatment and nursing as well as on a patient’s vital prognosis. However, delirium is a mental state that is often overlooked. Thus, it is very important to develop the observation skills of staff and establish a nursing care system that does not overlook delirium. In this study, we conducted group interviews involving the clinical nurses who care for patients with delirium on a routine basis at Kansai Medical University Takii Hospital, Japan. Their spontaneous utterances about delirium were analyzed using the DEMATEL method, and these utterances were divided into two groups: “causes of delirium” and “delirious patients’ behavior.” From each group, keywords and phrases were chosen and analyzed. Consequently, this study will demonstrate how these clinical nurses feel about delirium and delirious patients.

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Emond, M., A. Nadeau, V. Boucher, P. Voyer, M. Pelletier, E. Gouin, R. Daoust et al. "MP11: Underreport of incident delirium in elderly patients treated in the emergency department". CJEM 20, S1 (maggio 2018): S44. http://dx.doi.org/10.1017/cem.2018.165.

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Introduction: It is documented that physicians and nurses fail to detect delirium in more than half of cases from various clinical settings, which could have serious consequences for seniors and for our health care system. The present study aimed to describe the rate of documented incident delirium in 5 Canadian Emergency departments (ED) by health professionals (HP). Methods: This study is part of the multicenter prospective cohort INDEED study. Patients aged 65 years old, initially free of delirium with an ED stay 8hours were followed up to 24h after ward admission. Delirium status was assessed twice daily using the Confusion Assessment Method (CAM) by trained research assistants (RA). HP reviewed patient charts to assess detection of delirium. HP had no specific routine detection of delirious ED patients. Inter-observer agreement was realized among RA. Comparison of detection between RA and HP was realized with univariate analyses. Results: Among the 652 included patients, 66 developed a delirium as evaluated with the CAM by the RA. Among those 66 patients, only 10 deliriums (15.2%) were documented in the patients medical file by the HP. 54 (81.8%) patients with a CAM positive for delirium by the RA were not recorded by the HP, 2 had incomplete charts. The delirium index was significantly higher in the HP reported group compared to the HP not reported, respectively 7.1 and 4.5 (p<0.05). Other predictive delirium variables, such as cognitive status, functional status, comorbidities, physiological status, and ED and hospital length of stay were similar between groups. Conclusion: It seems that health professionals missed 81.8% of the potential delirious ED patients in comparison to routine structured screening of delirium. HP could identify patients with a greater severity of symptoms. Our study points out the need to better identify elders at risk to develop delirium and the need for fast and reliable tools to improve the screening of this disorder.

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Falsini, Giovanni, Simone Grotti, Italo Porto, Giulio Toccafondi, Aureliano Fraticelli, Paolo Angioli, Kenneth Ducci et al. "Long-term prognostic value of delirium in elderly patients with acute cardiac diseases admitted to two cardiac intensive care units: a prospective study (DELIRIUM CORDIS)". European Heart Journal: Acute Cardiovascular Care 7, n. 7 (16 marzo 2017): 661–70. http://dx.doi.org/10.1177/2048872617695235.

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Background: Delirium is a frequent in-hospital complication in elderly patients, and is associated with poor clinical outcome. Its clinical impact, however, has not yet been fully addressed in the setting of the cardiac intensive care unit (CICU). The present study is a prospective, two-centre registry aimed at assessing the incidence, prevalence and significance of delirium in elderly patients with acute cardiac diseases. Methods: Between January 2014 and March 2015, all consecutive patients aged 65 years or older admitted to the CICU of our institutions were enrolled and followed for 6 months. Delirium was defined according to the confusion assessment method. Results: During the study period, 726 patients were screened for delirium. The mean age was 79.1±7.8 years. A total of 111 individuals (15.3%) were diagnosed with delirium; of them, 46 (41.4%) showed prevalent delirium (PD), while 65 (58.6%) developed incident delirium (ID). Patients 85 years or older showed a delirium rate of 52.3%. Hospital stay was longer in delirious versus non-delirious patients. Patients with delirium showed higher in-hospital, 30-day and 6-month mortality compared to non-delirious patients, irrespective of the onset time (overall, ID or PD). Six-month re-hospitalisation was significantly higher in overall delirium and the PD group, as compared to non-delirious patients. Kaplan–Meier analysis showed a significant reduction of 6-month survival in patients with delirium compared to those without, irrespective of delirium onset time (i.e. ID or PD). A positive confusion assessment method was an independent predictor of short and long-term mortality. Conclusions: Delirium is a common complication in elderly CICU patients, and is associated with a longer and more complicated hospital stay and increased short and long-term mortality. Our findings suggest the usefulness of a protocol for the early identification of delirium in the CICU. Clinicaltrials.gov: NCT02004665

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Rood, Paul J. T., Dharmanand Ramnarain, Annemarie W. Oldenbeuving, Brenda L. den Oudsten, Sjaak Pouwels, Lex M. van Loon, Steven Teerenstra, Peter Pickkers, Jolanda de Vries e Mark van den Boogaard. "The Impact of Non-Pharmacological Interventions on Delirium in Neurological Intensive Care Unit Patients: A Single-Center Interrupted Time Series Trial". Journal of Clinical Medicine 12, n. 18 (7 settembre 2023): 5820. http://dx.doi.org/10.3390/jcm12185820.

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Background: Delirium is a pathobiological brain process that is frequently observed in Intensive Care Unit (ICU) patients, and is associated with longer hospitalization as well as long-term cognitive impairment. In neurological ICU patients, delirium may be more treatment-resistant due to the initial brain injury. This study examined the effects of a multicomponent non-pharmacological nursing intervention program on delirium in neurological ICU patients. Methods: A single-center interrupted time series trial was conducted in adult neurological ICU patients at high risk for developing delirium who were non-delirious at admission. A multicomponent nursing intervention program focusing on modifiable risk factors for delirium, including the optimalization of vision, hearing, orientation and cognition, sleep and mobilization, was implemented as the standard of care, and its effects were studied. The primary outcome was the number of delirium-free and coma-free days alive at 28 days after ICU admission. The secondary outcomes included delirium incidence and duration, ICU and hospital length-of-stay and duration of mechanical ventilation. Results: Of 289 eligible patients admitted to the ICU, 130 patients were included, with a mean age of 68 ± 11 years, a mean APACHE-IV score of 79 ± 25 and a median predicted delirium risk (E-PRE-DELIRIC) score of 42 [IQR 38–50]). Of these, 73 were included in the intervention period and 57 in the control period. The median delirium- and coma-free days alive were 15 days [IQR 0–26] in the intervention group and 10 days [IQR 0–24] in the control group (level change −0.48 days, 95% confidence interval (95%CI) −7 to 6 days, p = 0.87; slope change −0.95 days, 95%CI −2.41 to 0.52 days, p = 0.18). Conclusions: In neurological ICU patients, our multicomponent non-pharmacological nursing intervention program did not change the number of delirium-free and coma-free days alive after 28 days.

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Heymann, A., M. Sander, D. Krahne, M. Deja, S. Weber-Carstens, M. MacGuill, M. Kastrup, KD Wernecke, I. Nachtigall e CD Spies. "Hyperactive Delirium and Blood Glucose Control in Critically Ill Patients". Journal of International Medical Research 35, n. 5 (settembre 2007): 666–77. http://dx.doi.org/10.1177/147323000703500511.

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Delirium is a common complication of critically ill patients and is often associated with metabolic disorders. One of the most frequent metabolic disorders in intensive care unit (ICU) patients is hyperglycaemia. The aim of this retrospective study of 196 adult ICU patients was to determine if there is an association between hyperactive delirium and blood glucose levels in ICU patients. Hyperactive delirium was diagnosed using the delirium detection score. Blood glucose levels were monitored by blood gas analysis every 4 h. Hyperactive delirium was detected in 55 (28%) patients. Delirious patients showed significantly higher blood glucose levels than non-delirious patients Higher overall complication rates, length of ventilation, ICU stay and mortality rates were seen in the delirium group. In a multivariate analysis, glucose level, alcohol abuse, APACHE II score, complication by hospital-acquired pneumonia and a diagnosis of polytrauma on-admission all significantly influenced the appearance of delirium.

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Ren, Quan, Ya-zhou Wen, Jin Wang, Jing Yuan, Xu-hui Chen, Yubaraj Thapa, Meng-shuang Qiang e Fei Xu. "Elevated Level of Serum C-reactive Protein Predicts Postoperative Delirium among Patients Receiving Cervical or Lumbar Surgery". BioMed Research International 2020 (10 agosto 2020): 1–8. http://dx.doi.org/10.1155/2020/5480148.

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Objective. To explore the relationship between elevated serum C-reactive protein (CRP) level and postoperative delirium (POD). Methods. 206 patients scheduled to receive cervical or lumbar vertebra surgery under general anesthesia for more than 2 hours in a single medical center were observed and analyzed. Patients’ serum CRP, delirious status (using the confusion assessment method (CAM)), and delirious score (using the memorial delirium assessment scale (MDAS)) were examined before surgery and 1-2 days after surgery. The association of a serum CRP elevation value from before to after surgery (D-CRP) with delirium occurrence within 2 days after surgery was assessed with a binary logistic regression model, while the association of D-CRP with the postoperative delirious score was assessed with a linear regression model. The effect of D-CRP on predicting delirium occurrence was evaluated with the area under the receiver operating characteristic (ROC) curve (AUC). Results. D-CRP was significantly positively associated with postoperative delirium occurrence (OR=1.047, 95%CI=1.013, 1.082), and D-CRP was also significantly linearly associated with the postoperative delirious score (β=0.014, 95%CI=0.006, 0.023). AUC of ROC was 0.711 (P=0.014), suggesting that D-CRP had moderate efficacy on predicting postoperative delirium occurrence (P<0.05). Conclusions. Elevated serum CRP after surgery may be a risk factor for and a predictor of postoperative delirium.

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Adamis, D., J. Williams, K. Finn, V. Melvin, D. Meagher e G. McCarthy. "Brain-derived Neurotrophic Factor (BDNF) Levels and Delirium". European Psychiatry 41, S1 (aprile 2017): s237. http://dx.doi.org/10.1016/j.eurpsy.2017.01.2263.

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IntroductionStudies of the association between blood BDNF levels and delirium are very few and have yielded mixed results.ObjectivesTo investigate the blood BDNF levels in the occurrence and recovery of delirium.MethodsProspective, longitudinal study. Participants were assessed twice weekly with MoCA, DRS-R98, APACHE-II. BDNF levels of the same were estimated with ELISA method. Delirium has been define as per DRS-98R (cut-off > 16) and recovery of delirium as at least two consequently assessments without delirium prior to discharge.ResultsNo differences in the levels of BDNF between those with delirium and those who never developed it. Excluding those who never developed delirium (n = 140), we analysed the effects of BDNF and the other variables on delirium resolution and recovery. Of the 58 remained with delirium in the subsequently observations (max = 8) some of them continue to be delirious until discharge or death (n = 39) while others recovered (n = 19). BDNF levels and MoCA scores were significantly associated with both delirium cases who became non-delirious (resolution) during the assessments and with overall recovery. BDNF (Wald χ2 = 11.652, df: 1 P = .001), for resolution. For recovery Wald χ2 = 7.155; df: 1, P = .007. No significant association was found for the other variables (APACHE-II, history of dementia, age or gender)ConclusionsBDNF do not have a direct effect in the occurrence of delirium but for those delirious of whom the levels are increased during the hospitalisation they are more likely to recover from delirium.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Sullinger, Danine, Alexander Gilmer, Lesly Jurado, Lisa Hall Zimmerman, Joshua Steelman, Ann Gallagher, Tiffany Dupre e Elizabeth Acquista. "Development, Implementation, and Outcomes of a Delirium Protocol in the Surgical Trauma Intensive Care Unit". Annals of Pharmacotherapy 51, n. 1 (1 ottobre 2016): 5–12. http://dx.doi.org/10.1177/1060028016668627.

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Background: Delirium in the critically ill is associated with increased mortality, length of stay (LOS), and prolonged cognitive dysfunction. Existing guidelines provide no recommendation for use of combination nonpharmacological and pharmacological prevention protocols or use of antipsychotic medications for the prevention or treatment of delirium. Objective: This study evaluated the impact of implementing a delirium treatment protocol on the number of delirium-free days experienced by acutely delirious patients in the surgical trauma intensive care unit (STICU). Methods: This retrospective, institutional review board–approved, pre-implementation (PRE) versus post-implementation (POST) cohort evaluated delirious patients admitted to the STICU. Patients were evaluated based on the duration of delirium. Secondary end points included ICU LOS, amount of atypical and typical antipsychotic medication used, amount of analgesia and sedation used, and adverse drug events associated with antipsychotics. Results: Of the 593 evaluated, 89 patients were included (38 PRE vs 51 POST). Implementation of a delirium protocol reduced the number of delirious days, 8.2 ± 5.7 days PRE versus 4.5 ± 4.4 days POST; P = 0.001. ICU LOS in surviving patients and use of concomitant medications, intravenous morphine equivalents, and propofol were significantly reduced in the POST group. Conclusion: The implementation of a delirium protocol with nonpharmacological and pharmacological interventions had an impact on STICU patients experiencing acute delirium by significantly increasing delirium-free days and reducing the ICU LOS, in addition to decreased administration of concomitant medications.

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Kok Kendirlioglu, Burcu, Esma Corekli Kaymakci, Suat Kucukgoncu, Bugra Cetin e Hidayet Ece Arat Celik Ece Arat Celik. "DELIRIOUS MANIA OR HYPERACTIVE DELIRIUM? A CASE REPORT". PSYCHIATRIA DANUBINA 35, n. 3 (23 ottobre 2023): 433–35. http://dx.doi.org/10.24869/psyd.2023.433.

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Suleman, A., J. Krakovsky e P. Joo. "LO15: Treatment of asymptomatic bacteriuria in elderly patients with delirium: a systematic review". CJEM 20, S1 (maggio 2018): S11—S12. http://dx.doi.org/10.1017/cem.2018.77.

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Introduction: It is typical to look for UTI in delirious elderly patients, despite a high prevalence of asymptomatic bacteriuria (ASB) in this population. A common presentation of infection is delirium, which often has a non-specific and multifactorial etiology. Therefore, when bacteriuria is present with delirium in the absence of urinary symptoms, physicians prescribe antibiotics for the suspected UTI-induced delirium. We set to determine whether antibiotic treatment in the elderly presenting with delirium in the presence of ASB resulted in resolution of delirium. Methods: Literature searches were performed in MEDLINE, EMBASE, CINAHL and Cochrane Library. Abstracts were independently reviewed by two authors for decision to include for full-text review. Inclusion criteria included female gender, >65 years of age, presenting in an acute care setting with delirium and ASB. The primary outcome was resolution of delirium. The secondary outcomes were mortality, frequency of side effects from antibiotics, length of hospital stay and readmission for delirium. Results: 930 abstracts published from 1946-2017 were screened, and 42 were included for full text review. No studies were eligible for inclusion in the systematic review, as none addressed the primary outcome. One study addressed the outcomes of poor functional recovery after delirium and the rate of improvement of delirium symptoms after presentation of delirium with ASB. Conclusion: Even though current guidelines recommend against treatment of ASB, no guideline states whether ASB should be treated in elderly patients with delirium. Little evidence exists to elucidate whether treating delirious patients with ASB results in improvement in outcomes. Future studies should focus on demonstrating the relationship between resolution of delirium with antibiotic treatment. This will clarify whether delirium is a true symptom of ASB and whether treatment results in faster resolution of delirium.

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Più fonti

Tesi sul tema "Delirium"

Segrest, Charles Austin. "Delirium Tremens". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/english_theses/57.

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These poems tell lyrical stories primarily about violence, language, loss and love. Often with an edge of nightmare, they capture the voices of fringe characters in a variety of settings and circumstances. The poems also deal with books, history, family, ritual/myth and the natural world.

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Siddiqi, Najma. "A complex intervention for delirium, preventing delirium in care homes". Thesis, University of Leeds, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.511151.

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Machado, Sara Alexandra Fernandes. "Delirium do idoso". Master's thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/53774.

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Machado, Sara Alexandra Fernandes. "Delirium do idoso". Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/53774.

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Bäcke, My, e Ida Lindström. "Delirium - En litteraturstudie om äldre patienters upplevelser i samband med delirium". Thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100801.

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Bastos, Alessandra Soler. "Sedação, gravidade, mortalidade, delirium subsindromático e delirium em pacientes de terapia intensinva". Faculdade de Medicina de São José do Rio Preto, 2017. http://hdl.handle.net/tede/383.

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Introduction: The use of sedation in critically ill patients is necessary because it provides anxiolysis, aminosia, and comfort when mechanically ventilated. However, it may be a risk factor for the development of delirium in these patients, increasing length of hospital stay and mortality. Objective: To identify delirium and subsyndromal delirium in critically ill patients and to associate it with age, length of hospital stay, mortality, sedation administered, medical specialty of hospitalization and predictive scale of mortality Sepse Related Organ Failure Assessment. Methods: A cross-sectional study was conducted in a teaching hospital with 157 patients using the Richmond Agitation-Sedation Scale for sedation evaluation and Intensive Care Deli¬rium Screening Checklist for delirium evaluation. Results: Most patients presented subsyndromal delirium. The relationship between delirium and the subindromous with the time of intensive care hospitalization was statistically significant for both, while age was significant only in subsyndromatics. The most commonly used sedatives were fentanyl, midazolan, propofol and clonidine. There were significant differences between delirium and clonidine use, and subsindromatic delirium with fentanyl and midazolan. Most were discharged from the intensive care unit and the main medical specialty was neurosurgery. There were no significant differences between mortality, occurrence of discharge and death and medical specialty. Conclusion: The daily evaluation by nurses for identification and monitoring of subsyndromal delirium in intensive care patients assists in the adoption of measures that minimize the stressors that trigger delirium. The evaluation of the use of sedation by the nurse is necessary since the patients who used some sedative presented more delirium than those who did not use.
Introducción: El uso de sedación en pacientes críticos es necesario pues proporciona ansiólisis, amnesia, y confort cuando son ventilados mecánicamente. Pero puede ser un factor de riesgo para el desarrollo de delirium en ellos, aumentando el tiempo de internación hospitalaria y mortalidad. Objetivo: Identificar delirium y delirium subsindromático en pacientes críticos y asociar a la edad, tiempo de internación, mortalidad, sedación administrada, especialidad médica de la internación y escala predictora de mortalidad Sepse Related Organ Failure Assessment. Métodos: Estudio transversal, realizado en un hospital de enseñanza, con 157 pacientes, utilizando las escalas Richmond Agitation-Sedation Scale para la evaluación de la sedación e Intensive Care Delihrio Screening Checklist para la evaluación del delirium. Resultados: La mayoría de los pacientes presentó delirium subsindromático. La relación entre el delirium y el subsindromático con el tiempo de internación en terapia intensiva fue estadísticamente significante para ambos, mientras que la edad fue significativa sólo en el subsindromático. Los sedantes más utilizados fueron fentanil, midazolan, propofol y clonidina. Hubo diferencias significativas entre delirium y uso de clonidina, y delirium subsindromático con fentanil y midazolan. La mayoría recibió alta de la unidad de terapia intensiva y la principal especialidad médica fue neurocirugía. No hubo diferencias significativas entre mortalidad, ocurrencia de alta y muerte y especialidad médica. Conclusión: La evaluación diaria hecha por enfermeros para identificación y monitoreo del delirium subsindromático en pacientes de terapia intensiva auxilia en la adopción de medidas que minimicen los factores estresantes desencadenantes del delirium. La evaluación del uso de sedación por el enfermero se hace necesaria ya que los pacientes que hicieron uso de algún sedante presentaron más delirium que aquellos que no hicieron uso.
Introdução: O uso de sedação em pacientes críticos é necessário pois proporciona ansiólise, aminésia, e conforto quando ventilados mecanicamente. Porém pode ser um fator de risco para desenvolvimento de delirium nesses, aumentando tempo de internação hospitalar e mortalidade. Objetivo: Identificar delirium e delirium subsindromático em pacientes críticos e associar à idade, tempo de internação, mortalidade, sedação administrada, especialidade médica da internação e escala preditora de mortalidade Sepse Related Organ Failure Assessment. Métodos: Estudo transversal, realizado em hospital de ensino, com 157 pacientes, utilizando as escalas, Richmond Agitation-Sedation Scale para avaliação da sedação e Intensive Care Delirium Screening Checklist para avaliação do delirium. Resultados: A maioria dos pacientes apresentou delirium subsindromático. A relação entre o delirium e o subsindromático com o tempo de internação em terapia intensiva foi estatisticamente significante para ambos, enquanto a idade foi significativa apenas no subsindromático. Os sedativos mais utilizados foram fentanil, midazolan, propofol e clonidina. Houve diferenças significativas entre delirium e uso de clonidina, e delirium subsindromático com fentanil e midazolan. A maioria recebeu alta da unidade de terapia intensiva e a principal especialidade médica foi neurocirurgia. Não houve diferenças significativas entre mortalidade, ocorrência de alta e óbito e especialidade médica. Conclusão: A avaliação diária feita por enfermeiros para identificação e monitoração do delirium subsindromático em pacientes de terapia intensiva auxilia na adoção de medidas que minimizem os fatores estressores desencadeantes do delirium. A avaliação do uso de sedação pelo enfermeiro se faz necessária visto que o os pacientes que fizeram uso de algum sedativo apresentaram mais delirium do que aqueles que não fizeram uso.

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Germain, Marcel. "La réversibilité du delirium". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0019/MQ61758.pdf.

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Germain, Marcel. "La réversibilité du delirium". 2Sherbrooke : Université de Sherbrooke, 2000.

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Kilsand, Kristina. "Svårigheter att upptäcka delirium hos intensivvårdspatienten och konsekvenser av ett oupptäckt delirium : en litteraturöversikt". Thesis, Sophiahemmet Högskola, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2966.

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Åtskilliga studier har visat att delirium inom intensivvård är vanligt förekommande. Så många som 80 procent av alla vuxna patienter som behandlas med respirator på en intensivvårdsavdelning drabbas av någon form. Risken att en intensivvårdspatient utvecklar ett delirium kan minskas genom att sjuksköterskan har i åtanke och försöker hantera och behandla de riskfaktorer patienten har men för att upptäcka och behandla ett delirium måste patienten screenas regelbundet. Det finns validerade instrument och behandling som gör det möjligt att såväl förebygga som upptäcka och behandla ett delirium. Trots det är det inte ovanligt att ett delirium passerar oupptäckt på IVA. Syftet med studien var att belysa varför patienter med ett delirium inte identifieras av intensivvårdssjuksköterskan och vilka konsekvenser ett oupptäckt delirium kan medföra för patienten. Metoden som användes var en allmän litteraturöversikts. Resultatet visade att delirium är vanligt förekommande och kan innebära stora konsekvenser för de patienter som drabbas av ett delirium. Det finns en kunskapslucka hos intensivvårdssjuksköterskan om delirium och dess konsekvenser. Många sjuksköterskor efterfrågar utbildning om delirium då flera beskriver att de aldrig fått någon undervisning i ämnet. Det saknas även kunskap hos intensivvårdssjuksköterskan om vilka konsekvenser ett delirium kan innebära för patienterna i såväl det akuta skedet som efter IVA. Studien pekar även på att det finns en bristande tilltro och kunskap om screeninginstrument. Det behövs mer utbildning och riktlinjer om hur de olika screeninginstrumenten ska användas och då inte enbart vid implementeringen. Slutsats: Det finns en kunskapslucka hos intensivvårdssjuksköterskan beträffande delirium och dess konsekvenser men även en bristande tilltro till de screeninginstrument som finns. Studien visade att ett delirium kan innebära risker för patienten med komplikationer såväl under som efter intensivvårdsbehovet men även en ökad dödlighet men genom att arbeta evidensbaserat kan vi minska ett onödigt lidande hos intensivvårdspatienten.

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Sörensen, Duppils Gill. "Delirium during Hospitalisation : Incidence, Risk Factors, Early Signs and Patients' Experiences of Being Delirious". Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3814.

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Delirium is common among old patients admitted to hospital, but is often a neglected problem in patient care. The principal aim of this thesis was to evaluate aspects of delirium in relation to incidence, risk factors, behavioural changes, cognitive function and health-related quality of life (HRQOL). A further aim was to describe patients’ experiences of being delirious. The study was prospective, descriptive and comparative, with repeated measures (six-month follow up). The sample consisted of 225 consecutive patients, aged 65 years or older, who were to be operated on due to hip fracture or hip replacement. Exclusion criteria were serious cognitive disorder or delirium on admission. Data were collected via frequent daily observations, cognitive functioning tests (MMSE), HRQOL questionnaires (SF-36) and interviews. Delirium was assessed according to the DSM-IV criteria. A total of 45/225 became delirious, with an incidence of 24.3% among patients undergoing hip fracture surgery and 11.7% among those with hip replacement surgery. A predictive model for delirium included four factors: impaired hearing, passivity, low cognitive functioning, and waiting more than 18h for hip fracture surgery. Disorientation and urgent calls for attention were the most frequent behavioural changes in the prodromal phase prior to delirium. Delirium in connection with hip fracture revealed deteriorated HRQOL and cognitive functioning when measured at a six-month follow-up. The experience of being delirious was described by the patients as a sudden change of reality. Such an experience gave rise to strong emotional feelings, as did recovery from delirium. Nurses’ observations of behavioural changes in old patients with impaired cognitive function may be the first step in managing and reducing delirium. The predictive model of delirium ought to be tested further before use in clinical practice.

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Libri sul tema "Delirium"

Restrepo, Laura. Delirium. New York: Knopf Doubleday Publishing Group, 2007.

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Hughes, Christopher G., Pratik P. Pandharipande e E. Wesley Ely, a cura di. Delirium. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4.

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Lauren, Oliver, a cura di. Delirium. [London]: Hodder & Stoughton, 2011.

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1821-1881, Dostoyevsky Fyodor, a cura di. Delirium. London]: Bloomsbury, 2015.

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Skidan, Aleksandr. Delirium. Sankt-Peterburg: Mitin zhurnal Severo-Zapad, 1993.

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Hamby, Barbara. Delirium. Denton, TX: University of North Texas Press, 1995.

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Restrepo, Laura. Delirium. New York, NY: Nan A. Talese/Doubleday, 2007.

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Alice, Delarbre, a cura di. Delirium. Paris: Librairie Générale, 2013.

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M, Hunt W., a cura di. Delirium. New York, N.Y: Aperture Foundation, Inc., 1997.

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England), Theatre O. (London, a cura di. Delirium. London: Nick Hern Books, 2008.

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Capitoli di libri sul tema "Delirium"

Hayhurst, Christina J., Bret D. Alvis e Timothy D. Girard. "Delirium Definitions and Subtypes". In Delirium, 1–12. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_1.

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Maldonado, José R. "Inflammatory Biomarkers and Neurotransmitter Perturbations in Delirium". In Delirium, 135–67. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_10.

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Hut, Suzanne C. A., Frans S. Leijten e Arjen J. C. Slooter. "The Electroencephalogram and Delirium". In Delirium, 169–80. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_11.

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Lopez, Marcos G., e Christopher G. Hughes. "Endothelial Health and Delirium". In Delirium, 181–90. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_12.

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Kalvas, Laura Beth, Mary Ann Barnes-Daly, E. Wesley Ely e Michele C. Balas. "Preventive Strategies to Reduce Intensive Care Unit Delirium". In Delirium, 191–208. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_13.

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Campbell, Noll L., e Babar A. Khan. "Treatment Strategies for Delirium". In Delirium, 209–21. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_14.

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Rudolph, James L., Elizabeth Archambault, Marianne Shaughnessy, Malaz Boustani e Karin J. Neufeld. "Building a Delirium Network". In Delirium, 223–29. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_15.

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Marra, Annachiara, Leanne M. Boehm, Katarzyna Kotfis e Brenda T. Pun. "Monitoring for Delirium in Critically Ill Adults". In Delirium, 13–25. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_2.

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Kehler, Dustin Scott, Rohan M. Sanjanwala e Rakesh C. Arora. "Epidemiology of Delirium in Critically Ill Adults: Prevalence, Risk Factors, and Outcomes". In Delirium, 27–43. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_3.

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Stepanovic, Kristina, Caroline L. Greene, James C. Jackson e Jo Ellen Wilson. "The Relationship Between Delirium and Mental Health Outcomes: Current Insights and Future Directions". In Delirium, 45–55. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25751-4_4.

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Atti di convegni sul tema "Delirium"

Guedes, Alan Lira, IGOR BELTRÃO LEITE, ALFREDO LAMENHA LINS BAIA NETO e JOSINALDO PEREIRA LEITE JUNIOR. "DELIRIUM". In I Congresso Brasileiro de Medicina e Inovação em Saúde. Revista Multidisciplinar em Saúde, 2024. http://dx.doi.org/10.51161/medcon/2024/35608.

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Marcolino, Jorge Rubens De Sá, Maria Natividade De Sá Antunes, Juliana Sá Marcolino, Bruno Rodrigo De Sá Marcolino e Guilherme José Spindola Cordeiro. "DELIRIUM PEDIÁTRICO". In III CONGRESSO NACIONAL DE RESIDÊNCIAS EM SAÚDE (ON-LINE). Editora Omnis Scientia, 2023. http://dx.doi.org/10.47094/iiiconres.2023/rs.2.

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Weinel, Jonathan, Stuart Cunningham, Nathan Roberts, Darryl Griffiths e Shaun Roberts. "Quake Delirium EEG". In 2015 Internet Technologies and Applications (ITA). IEEE, 2015. http://dx.doi.org/10.1109/itecha.2015.7317420.

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Carneiro, Lays Oliveira, Ivã Taiuan Fialho Silva, Tayla Samanta Silva dos Santos e Pedro Antonio Pereira de Jesus. "Predictors of delirium in poststroke patients". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.699.

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Introduction: Delirium is a common disorder in patients after stroke. We designed a study to evaluate the incidence of delirium and risk factors for its occurrence after stroke. Design and setting: Prospective cohort study at Hospital Geral Roberto Santos. Methods: Patients were admitted within 72h of ictus. Delirium was assessed using the Confusion Assessment Method in an Intensive Care Unit scale. Results: 279 patients were enrolled, with a mean age of 61.08 (± 13.05) years, 54.0% of whom were men. The incidence of delirium was 28% (n = 78). Delirium patients were older (68.9 ± 12.6 vs 58.8 ± 12.5; p <0.001) and had a higher NIHSS on admission [11 (7-15) vs 8 (5-12); p <0.001]. The occurrence of delirium was associated with a previous diagnosis of hypertension [RR = 2.62 (1.13-6.09)], hemorrhagic stroke [RR 1.94 (1.13-2.86)], cardioembolic etiology [RR 2.21 (1.22-3.97)] and infection during hospitalization [RR 5.27 (3.54-7.84)]. Independent predictors of delirium: age ≥ 65 years [OR 1.06 (1.02 -1.10)], epileptic seizures in ictus [OR 6.28 (1.65 - 23.91)], infection [OR 14.17 (6.39 - 31.43)] and hemorrhagic stroke [OR 4.04 (1.51-10.78)]. Conclusion: Delirium is a common complication after acute stroke, affecting 28% of patients. In view of the importance of identifying risk factors in the acute setting of stroke, further studies are needed to elucidate the association of the findings with the occurrence of delirium.

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Potter, K., J. N. Kennedy, C. A. Onyemekwu, N. Prendergast, P. Pandharipande, E. W. Ely, C. W. Seymour e T. D. Girard. "Distribution of Data-Driven Delirium Subtypes Within Prior Knowledge-based Delirium Phenotypes". In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a2493.

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Cenci, Giulia, Daniel Lima Varela, Fábio Pacheco Martins e Caroline Calice da Silva. "CLINICAL CHARACTERIZATION OF PATIENTS WITH DELIRIUM". In XIII Meeting of Researchers on Alzheimer's Disease and Related Disorders. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1980-5764.rpda081.

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Background: Considering that Delirium is a very common neuropsychiatric disorder, it is very important that the characteristics and clinical evolution of patients who develop the condition are thoroughly known. Objective: Describe the clinical profile of patients with Delirium in order to help in the discernment of the most prevalent risk factors and the characteristics of involvement of Delirium. Methods: Descriptive, quantitative and prospective study, which analyzed epidemiological and medical history data, collected through interviews and data from medical records in a tertiary hospital, from March to June 2021. Results: The sample consisted of 5 individuals, with a mean age of 74.2 years, with a predominance of males. All of them had previous comorbidities and forty percent had previous dementia. Among the interviewees, only one presented the development of the Delirium condition as a reason for admission, the majority (80%) was hospitalized for other clinical conditions and developed Delirium only after admission. It was observed that a large part of the sample (60%) was in polypharmacy, and the only individuals with Delirium under 60 years old used 5 or more medications and had HIV infection. Conclusion: The most effective way to reduce the incidence rates of Delirium, improve the prognosis and assist in early diagnosis is through the recognition of associated factors and the characteristics of the most affected population, in order to identify individuals at risk and be able to promote more targeted prevention strategies.

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Darie, Cristina, Diana Bulgaru Iliescu, Sorin Ungurianu e Anamaria Ciubara. "THE ONSET OF DEMENTIA THROUGH THE COTARD SYNDROME - THE DELIRIUM OF NEGATION". In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.21.

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ICD-10 (The ICD-10 Classification of Mental and Behavioral Disorders. Clinical description and diagnostic guidelines) Introduction. Cotard syndrome is a neuropsychiatric pathology that is uncommon in medical practice but has a significant impact on public awareness of the importance of mental health. This mental disorder is also known as negation delirium, living dead syndrome, nihilistic delirium, or walking corpse syndrome. Objectives. A clinical case of a patient diagnosed with dementia due to late-onset Alzheimer's disease is presented; dementia also includes symptoms of Cotard's syndrome. Over time, the transmission of knowledge and data about Cotard Syndrome, despite its very low frequency, has become a pathology that intrigues and inspires curiosity among individuals. Consciousness of the existence of this delirious illness and the accurate definition of the symptoms of a dual diagnosis are required in a number of psychiatric pathologies. Method. This document was created using the "Elisabeta Doamna" psychiatry hospital Database from Galati, Romania, where patient data was acquired and admitted to the Psychiatry Clinic Section II. In addition, a variety of bibliographical references and diagnostic criteria were utilized, including the ICD-10 (the Classification of Mental and Behavioral Disorders, Clinical Description, and Diagnostic Guidelines), the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders), and the psychometric tests: the MMSE (the Mini Mental Status Test) and the GAFS (the Global Functioning Assessment Scale). Results and Conclusions Despite having no psychiatric history, the patient arrived at the psychiatric hospital after experiencing psychiatric symptoms caused by both Alzheimer's disease and Cotard's syndrome, symptoms that were ignored and gradually deteriorated, resulting in full-blown delirium, rapid dementia degradation, and a not-very-favorable outlook.

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"DELIRIUM POR ABSTINENCIA A GHB". In PATOLOGIA_DUAL_2023. SEPD, 2023. http://dx.doi.org/10.17579/libro_comunicacionessepd2023.p-054.

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Becker, Kendra, Charles Poon, Michelle R. Zeidler e Tisha Wang. "An Unusual Cause Of Delirium". In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a6534.

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Raiol, Enzo Matheus Mathias Pereira, e Andrew Samuel Helal Santos. "DELIRIUM EM PACIENTES ADULTOS CRÍTICOS". In Anais do II Congresso Nacional de Trauma e Medicina de Emergência. Recife, Brasil: Even3, 2023. http://dx.doi.org/10.29327/1191727.2-33.

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Rapporti di organizzazioni sul tema "Delirium"

Jauny, Ray, e John Parsons. Delirium Assessment and Management: A qualitative study on aged-care nurses’ experiences. Unitec ePress, novembre 2017. http://dx.doi.org/10.34074/ocds.72017.

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Aged residential care (ARC) residents with morbid health conditions frequently experience delirium. This condition is associated with diminished quality of life, preventable morbidity and untimely death. It is challenging and costly to manage delirium because of the complex interplay of physical and psychiatric symptoms associated with this condition in both primary and secondary services. With awareness of risk factors and knowledge about delirium, ARC nurses can play a vital role in early identification, assessment and treatment, but most importantly in preventing delirium in aged-care residents as well as improving health outcomes. Focus groups were carried out with ARC nurses to ascertain their opinions on how they assess and manage delirium in ARC facilities in South Auckland, New Zealand. Findings identified that there were strengths and weaknesses, as well as gaps in assessment and management of delirium. Nurses would benefit from delirium education, appropriate tools and adequate resources to help them manage delirium. Issues with diagnosing delirium, anxiety about challenging behaviours, family dynamics, lack of training and absence of IV treatment were noticeable features in this study.

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Sharp, Oliver. Pythia: A Parallel Compiler for Delirium. Fort Belvoir, VA: Defense Technical Information Center, maggio 1990. http://dx.doi.org/10.21236/ada632217.

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Geng, Jun, Yaowen Zhang, Junjia Zhu, Hui Chen, Zhehua Huang, JIanqing Chen e Fuoquan Luo. Are Alzheimer Disease Biomarkers Associated With Postoperative Delirium or Postoperative Cognitive Change: a Meta-analysis with Trial Sequential Analysis of Prospective Observational Clinical Trial. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maggio 2023. http://dx.doi.org/10.37766/inplasy2023.5.0001.

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Review question / Objective: We aimed to figure out whether perioperative Alzheimer disease biomarkers are associated with postoperative delirium or postoperative cognitive change. Condition being studied: Delirium is an acute change in mental status, characterized by fluctuations in the level of consciousness and lack of concentration. Postoperative deliriumPOD is a specific subset of delirium that is not related to emergence from anesthesia. postoperative cognitive change is a decline in cognitive function, especially in memory and executive functions, that may last from 1-12 months after surgery or longer.

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Brewer, Allison, Amy Carver, Allison Nance, Mallori Rodrigue e Olivia Smith. Reducing Delirium in Patients with COVID-19. University of Tennessee Health Science Center, maggio 2021. http://dx.doi.org/10.21007/chp.mot2.2021.0008.

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Burnett, Jaclyn, Montana Betts, Christhian de Ochoa, Maciej Chec e Dwayne Accardo. Dexmedetomidine vs. Propofol in Postoperative Delirium Prevention. University of Tennessee Health Science Center, maggio 2022. http://dx.doi.org/10.21007/con.dnp.2022.0038.

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Bannister, Isabel, Abigail Banko, Reid Blaylock, Abigail Kurtz, Tracy McClinton e Caitlin Bradford. Decreasing Postop Delirium with Dexmedetomidine vs Propofol. University of Tennessee Health Science Center, aprile 2023. http://dx.doi.org/10.21007/con.dnp.2023.0066.

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Cechinel, Clovis, e Joao Alberto Martins Rodrigues. ASSOCIATION OF DELIRIUM AND FRAGILITY IN HOSPITALIZED ELDERLY: SYSTEMATIC REVIEW. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, settembre 2021. http://dx.doi.org/10.37766/inplasy2021.9.0022.

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Review question / Objective: What is the relationship between delirium and frailty in hospitalized elderly people? The objective of this research is to analyze the association between frailty and delirium in hospitalized elderly people, through a systematic literature review. Condition being studied: Frailty and delirium in hospitalized aged. Information sources: A specific search strategy for the language of each database was developed using, initially, the Medical Subject Headings (MEsH) descriptor and later translated to specific descriptors (Descriptors in Health Sciences (DeCS) and Embase Subject Headings (Emtree)). The search strategy will be applied by the researchers in the MEDLINE databases through the Pubmed Portal; Scielo; VHL; EMBASE, CINAHL, Scopus and Web of Science through the CAPES Journal Portal; CENTRAL via Cochrane.

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Neufeld, Karin J., Dale M. Needham, Esther S. Oh, Lisa M. Wilson, Roozbeh Nikooie, Allen Zhang, Mounica Koneru et al. Antipsychotics for the Prevention and Treatment of Delirium. Agency for Healthcare Research and Quality (AHRQ), settembre 2019. http://dx.doi.org/10.23970/ahrqepccer219.

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Howell, Cynthia, Stacy Murillo, Amy Wilson e Tracy McClinton. Sleep Deprivation and Delirium Development in the ICU. University of Tennessee Health Science Center, aprile 2022. http://dx.doi.org/10.21007/con.dnp.2022.0019.

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He, Miao, Zhaoqiong Zhu, Min Jiang, Xingxing Liu, Rui Wu e Junjie Zhou. Risk factors for postanesthetic emergence delirium in adults: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, gennaio 2022. http://dx.doi.org/10.37766/inplasy2022.1.0021.

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Review question / Objective: Patientor population: patients with emergence delirium; Exposure: anaesthesia and surgery; Control: patients with no emergence delirium; Outcome: risk factors; Study design: meta-analysis. Eligibility criteria: To ensure the quality of this meta-analysis, inclusion criteria was decided before we carried out the search. These criteria were: (a) Original researches that carried out in observational studies. (b)Adult patients who were extubated and recovered at PACU, operation room, or intensive care unit (ICU) after surgeries and anesthesia (including general and neuraxial anesthesia, peripheral nerve blocks and sedation). (c) Risk factors for delirium must be assessed with odds ratio (OR) with 95% confidence interval (CI). Researches must present the results of multivariate regression to be considered eligible for inclusion, since multivariate analysis results shall be used to identify variables eligible for meta-analysis. (d) Full-text available literatures.

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