Article
Anesthesiology
Mitsunori Nakano, Yohei Nomura, Glenn Whitman, Marc Sussman, Stefano Schena, Ahmet Kilic, Chun W. Choi, Kei Akiyoshi, Karin J. Neufeld, Jennifer Lawton, Elizabeth Colantuoni, Atsushi Yamaguchi, Matthew Wen, Peter Smielewski, Ken Brady, Brian Bush, Charles W. Hogue, Charles H. Brown
Summary: This study characterized cerebral autoregulation during cardiac surgery and early ICU care, finding altered autoregulation metrics in the ICU that may be clinically relevant to delirium. Further investigation is needed to determine the potential benefits of autoregulation-based MAP targeting in the ICU.
BRITISH JOURNAL OF ANAESTHESIA
(2021)
Article
Clinical Neurology
Sophia Wang, Anthony J. Perkins, Rosalyn Chi, Brandon A. Yates, Sikandar H. Khan, Sujuan Gao, Malaz Boustani, Babar A. Khan
Summary: A secondary data analysis of ICU patients revealed that stroke and depression were identified as risk factors for post-ICU dementia, highlighting the need for interventions targeting these factors to reduce dementia incidence.
ALZHEIMERS & DEMENTIA
(2023)
Article
Nursing
Mu-Hsing Ho, Hui-Chen (Rita) Chang, Megan F. Liu, Kee-Hsin Chen, Shu-Tai Shen Hsiao, Victoria Traynor
Summary: This study investigated the level of knowledge about delirium care among critical care nurses in Taiwan. The results showed that critical care nurses had relatively high levels of knowledge in areas such as symptoms, high-risk groups, and predisposing factors, but there were significant gaps in their knowledge regarding the assessment and detection of delirium.
JOURNAL OF NURSING RESEARCH
(2022)
Article
Surgery
Timothy R. Holden, Bradley S. Kushner, Julia L. Hamilton, Britta Han, Sara E. Holden
Summary: This study found that polypharmacy is common in older adults undergoing TAR and is associated with in-hospital complications, postoperative delirium, cardiac events, ICU stay, length of stay, and discharge to a skilled nursing facility.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Infectious Diseases
Rafael Dias, Joao Paulo Caldas, Andre Silva-Pinto, Andreia Costa, Antonio Sarmento, Lurdes Santos
Summary: This study found that there is no association between COVID-19 and a higher prevalence or duration of delirium compared to patients without COVID-19. However, COVID-19 is associated with more severe forms of delirium.
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
(2022)
Article
Nursing
Hongtao Cheng, Xiaxuan Huang, Shiqi Yuan, Simeng Song, Yonglan Tang, Yitong Ling, Shanyuan Tan, Zichen Wang, Fuling Zhou, Jun Lyu
Summary: This study found a significant negative relationship between the admission BSS and the prevalence of delirium in older ICU patients. The BSS can be used as a simple tool to assess the risk of delirium in older ICU patients.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Nursing
Yasuyo Yoshino, Takeshi Unoki, Hideaki Sakuramoto, Akira Ouchi, Haruhiko Hoshino, Yujiro Matsuishi, Taro Mizutani
Summary: The study aimed to investigate the relationship between delirium during ICU stay and delusional memories after ICU discharge. Results showed that delirium during ICU stay was significantly associated with experiencing delusional memories post-discharge. Preventing delirium during ICU stay could potentially reduce the occurrence of delusional memories.
Review
Critical Care Medicine
Kirstine N. la Cour, Nina C. Andersen-Ranberg, Sarah Weihe, Lone M. Poulsen, Camilla B. Mortensen, Cilia K. W. Kjer, Marie O. Collet, Stine Estrup, Ole Mathiesen
Summary: Hypoactive delirium is the most common motor subtype in critically ill patients. Mixed delirium has the worst outcomes and receives more pharmacological interventions compared to other subtypes. Standardization in delirium research is needed.
Article
Anesthesiology
Elzbieta Dulko, Michal Jedrusiak, Hari P. Osuru, Navya Atluri, Meghana Illendula, Eric M. Davis, Mark P. Beenhakker, Nadia Lunardi
Summary: In this study, an animal model was used to investigate the effects of Anesthesia, Surgery, and simulated ICU conditions (ASI) on sleep fragmentation, EEG slowing, and circadian disarray in aged mice. The results showed that ASI mice experienced frequent arousals, EEG slowing, and disrupted circadian gene expression, similar to delirious ICU patients. These findings suggest that the mouse model can be used to study the neurobiology of delirium.
ANESTHESIA AND ANALGESIA
(2023)
Article
Anesthesiology
Nayan Tiwary, Miriam M. Treggiari, N. David Yanez, Jeffrey R. Kirsch, Praveen Tekkali, Cornelia C. Taylor, Katie J. Schenning
Summary: A prospective cohort study of older surgical patients found that the Mini-Cog cognitive screening tool administered on the day of surgery effectively predicted postoperative delirium in the postanesthesia care unit (PACU). Patients with Mini-Cog scores compatible with cognitive impairment on surgery-day had significantly higher odds of PACU delirium.
ANESTHESIA AND ANALGESIA
(2021)
Article
Geriatrics & Gerontology
Bomi Kim, Jaehwa Cho, Jin Young Park, Hesun Erin Kim, Jooyoung Oh
Summary: The study evaluated the effect of intensive care unit (ICU) visits on the occurrence of delirium, delirium subtypes, and anxiety levels in ICU patients. The results showed that while visitation bans did not affect the incidence of delirium, they did change the delirium subtype and increase anxiety levels. Therefore, ICU visits are important in managing delirium subtypes and anxiety in ICU patients.
FRONTIERS IN AGING NEUROSCIENCE
(2022)
Article
Emergency Medicine
Josh D. Butcher, Mckinley C. Smith, Lauren Roberts, Brittany Ellis
Summary: Delirium in older people is associated with significant morbidity and mortality, making prompt recognition essential. However, this study found that over half of older patients presenting to the emergency department with symptoms of delirium were ordered a CT-head scan, despite infrequent acute findings. Therefore, physicians should be more selective when ordering CT-heads in patients with symptoms of delirium.
ACADEMIC EMERGENCY MEDICINE
(2022)
Editorial Material
Geriatrics & Gerontology
Dan Bailey, Toni Calasanti, Andrew Crowe, Claudio di Lorito, Patrick Hogan, Brian de Vries
Summary: International human rights movements have increased visibility and equality for LGBT+ communities. However, the health outcomes for LGBT+ people are still worse than their non-LGBT+ counterparts. This article focuses on the impact of societal structure and health and social care on the lives of older LGBT+ individuals, highlighting areas such as physical and mental health, end of life care, dementia, housing and care settings, and experiences of transgender individuals. The article discusses existing improvements made by LGBT+ communities and proposes a person-centered care approach to improve inclusivity. It also provides a framework for addressing service challenges and making health and social care services more prepared to meet the needs of older LGBT+ people.
Article
Medicine, General & Internal
Yuhe Ke, Sophia Chew, Edwin Seet, Wan Yi Wong, Vera Lim, Nelson Chua, Jinbin Zhang, Beatrice Lim, Vanessa Chua, Ne Hooi Will Loh, Lian Kah Ti
Summary: Post-anaesthesia care unit (PACU) delirium is common in elderly patients undergoing major surgery, with risk factors such as age, ASA grade, renal function, blood glucose levels, and depression. Elevated random blood glucose is independently associated with an increased incidence of PACU delirium.
ANNALS ACADEMY OF MEDICINE SINGAPORE
(2022)
Article
Public, Environmental & Occupational Health
Sandra Lange, Wioletta Medrzycka-Dabrowska, Lucyna Tomaszek, Magdalena Wujtewicz, Sabina Krupa
Summary: This study assessed the knowledge and clinical practices of ICU nurses in Poland regarding delirium. It found that nurses' knowledge was associated with factors such as education level, gender, and working environment. Nurses had a deficit in knowledge of delirium and faced barriers in effectively controlling delirium.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Geriatrics & Gerontology
Sandra F. Simmons, John F. Schnelle, Nila A. Sathe, Jason M. Slagle, David G. Stevenson, Maria E. Carlo, Melissa L. McPheeters
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2016)
Article
Critical Care Medicine
Maria C. Duggan, Li Wang, Jo Ellen Wilson, Robert S. Dittus, E. Wesley Ely, James C. Jackson
JOURNAL OF CRITICAL CARE
(2017)
Article
Pediatrics
Waldemar A. Carlo, Linda L. Wright, Elwyn Chomba, Elizabeth M. McClure, Maria E. Carlo, Carla M. Bann, Monica Collins, Hillary Harris
JOURNAL OF PEDIATRICS
(2009)
Article
Psychiatry
Jo Ellen Wilson, Maria C. Duggan, Rameela Chandrasekhar, Nathan E. Brummel, Robert S. Dittus, Eugene Wesley Ely, Mayur B. Patel, James C. Jackson
Article
Medicine, Research & Experimental
Myrick C. Shinall, Aimee Hoskins, Alexander T. Hawkins, Christina Bailey, Alaina Brown, Rajiv Agarwal, Maria C. Duggan, Laura M. Beskow, Vyjeyanthi S. Periyakoil, David F. Penson, Ryan T. Jarrett, Rameela Chandrasekhar, E. Wesley Ely
Article
Geriatrics & Gerontology
Maria C. Duggan, Anna Goroncy, Colleen Christmas, Ryan Chippendale
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2020)
Article
Geriatrics & Gerontology
Chandler D. Montgomery, Daniel E. Pereira, Jeremy B. Hatcher, Darlene Kilbury, Stephanie Ballance, Tamala Bradham, Maria C. Duggan, Sarah A. Welch
Summary: Implementation of a quality improvement framework in a geriatric unit resulted in improved assessment and documentation of patient mobility, without increasing patient fall rates or perceived nursing burden.
Article
Geriatrics & Gerontology
Maria C. Duggan, Travis W. Crook, Lauren M. Hartman, Mario Davidson, Kristina M. Niehoff, Charlene M. Dewey
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Geriatrics & Gerontology
Mariya A. Kovaleva, Ruth Kleinpell, Mary S. Dietrich, Abigail C. Jones, Jeffrey T. Boon, Maria C. Duggan, Bradley M. Dennis, Jana Lauderdale, Cathy A. Maxwell
Summary: No tele-health transitional care interventions specifically target unpaid caregivers of persons living with dementia (PLWD) despite their frequent hospitalizations and readmissions. This study evaluates the acceptability and experience of caregivers participating in Tele-Savvy, an evidence-based online psychoeducational intervention for PLWDs' caregivers, after their PLWDs' hospital discharge. The findings provide valuable insights for the development of a new transitional care intervention that meets caregivers' needs and schedule post-discharge.
Article
Geriatrics & Gerontology
Kimberly J. Beiting, Ryan Z. Chippendale, Anna Goroncy, Maria C. Duggan
Summary: This paper presents the expansion and evaluation of the Geri-a-FLOAT program, a virtual curriculum designed to convene geriatrics fellows for learning and peer support. Evaluation results showed high levels of participant satisfaction and sustained impact one year after the curriculum. This program may serve as a model to standardize education and foster collaboration and peer support in the field.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Emergency Medicine
James O. Jordano, Eduard E. Vasilevskis, Maria C. Duggan, Sarah A. Welch, John F. Schnelle, Sandra F. Simmons, E. Wesley Ely, Jin H. Han
Summary: Delirium in older emergency department adults is associated with poorer long-term physical function and cognition. The intensity of physical and/or occupational therapy is associated with shorter delirium duration, while the time to the first therapy session is not correlated with delirium duration.
JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OPEN
(2023)
Article
Critical Care Medicine
Jo E. Wilson, Richard Carlson, Maria C. Duggan, Pratik Pandharipande, Timothy D. Girard, Li Wang, Jennifer L. Thompson, Rameela Chandrasekhar, Andrew Francis, Stephen E. Nicolson, Robert S. Dittus, Stephan Heckers, E. Wesley Ely
CRITICAL CARE MEDICINE
(2017)
Article
Geriatrics & Gerontology
Jin H. Han, Nathan E. Brummel, Rameela Chandrasekhar, Jo Ellen Wilson, Xulei Liu, Eduard E. Vasilevskis, Timothy D. Girard, Maria E. Carlo, Robert S. Dittus, John F. Schnelle, E. Wesley Ely
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2017)
Article
Critical Care Medicine
Dhruv Sarma, Jacob C. Jentzer
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Gurleen Kaur, David D. Berg
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Leon Zhou, Brandon M. Wiley
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Emily K. Zern, Rachel C. Frank, Evin Yucel
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Damien Smith, Benjamin B. Kenigsberg
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Gozde Demiralp, Robert T. Arrigo, Christopher Cassara, Maryl R. Johnson
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Katie P. Truong, James N. Kirkpatrick
Summary: The increasing use of MCS in advanced heart failure patients has led to a greater need for end-of-life management, including MCS device withdrawal and advance care planning. Preparedness planning and palliative care services are important in ensuring a smooth transition to the end of life. Ethical dilemmas can complicate end-of-life care, and withdrawal/deactivation should follow a set protocol that addresses psychosocial/spiritual needs and patient comfort.
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Brent Klinkhammer, Taya V. Glotzer
CRITICAL CARE CLINICS
(2024)
Article
Critical Care Medicine
Jacob B. Pierce, Willard N. Applefeld, Balimkiz Senman, Daniel B. Loriaux, Patrick R. Lawler, Jason N. Katz
Summary: Due to the increasing medical complexity of patients, heterogeneity of treatment effects in broad clinical syndromes, and significant competing risks for morbidity and mortality, future clinical trials in the CICU are likely to benefit from innovative approaches to trial design, analysis, and execution, such as incorporating novel trial endpoints, Bayesian analysis strategies, trial networks and clinical registries, adaptive platform trials, and comprehensive research programs. It will be crucial for the authors as a field to articulate priorities for future research and embrace these novel techniques that will ultimately help take better care of patients in the contemporary CICU.
CRITICAL CARE CLINICS
(2024)
