Article
Multidisciplinary Sciences
Kenzo Ishii, Kosuke Kuroda, Chika Tokura, Masaaki Michida, Kentaro Sugimoto, Tetsufumi Sato, Tomoki Ishikawa, Shingo Hagioka, Nobuki Manabe, Toshiaki Kurasako, Takashi Goto, Masakazu Kimura, Kazuharu Sunami, Kazuyoshi Inoue, Takashi Tsukiji, Takeshi Yasukawa, Satoshi Nogami, Mitsunori Tsukioki, Daisuke Okabe, Masaaki Tanino, Hiroshi Morimatsu
Summary: This study investigated the status of delirium assessment tools for patients in the ICU/HCU. Results showed that almost all institutions used delirium assessment tools in the ICU/HCU and most patients received delirium assessment. The prevalence of delirium was 17.9%, with two-thirds of patients having recovered at discharge.
SCIENTIFIC REPORTS
(2022)
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
Bram Tilburgs, Paul J. T. Rood, Marieke Zegers, Mark Van den Boogaard
Summary: Factors that hindered or facilitated the application of the UNDERPIN-ICU delirium program in daily practice were explored through focus group interviews. Hindering factors included doubts about usefulness and feasibility, extensive number of program components, while facilitating factors included standardized interventions and structured implementation.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2023)
Article
Critical Care Medicine
Hsiu-Ching Li, Cheryl Chia-Hui Chen, Tony Yu-Chang Yeh, Shih-Cheng Liao, Adrian-Shengchun Hsu, Yu-Chung Wei, Shiow-Ching Shun, Shih-Chi Ku, Sharon K. Inouye
Summary: This study aimed to compare the predictive validity of two tools, the Intensive Care Delirium Screening Checklist (ICDSC) and Confusion Assessment Method for the intensive care unit (ICU) (CAM-ICU), for outcomes related to delirium, hospital mortality, and length of stay (LOS). The ICDSC identified more delirium cases and had higher predictive validity for mortality and LOS than the CAM-ICU.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Critical Care Medicine
Bjoern Weiss, Nicolas Paul, Claudia D. Spies, Dennis Ullrich, Ingrid Ansorge, Farid Salih, Stefan Wolf, Alawi Luetz
Summary: The study investigated the impact of patient-specific covariates on the validity of Delirium Screening Instruments (DSIs) in neurocritical illness patients. The results showed that the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC) perform well in these patients, regardless of acute stroke, TIA, or neurosurgical interventions. However, even mild or moderate sedation can significantly impair DSI performance.
NEUROCRITICAL CARE
(2022)
Article
Geriatrics & Gerontology
Karla D. Krewulak, Carmen Hiploylee, E. W. Ely, Henry T. Stelfox, Sharon K. Inouye, Kirsten M. Fiest
Summary: This study validated a chart-based delirium detection tool (CHART-DEL-ICU) for use in critically ill adults, showing excellent interrater reliability and improved diagnostic accuracy when combined with routine delirium screening tools (CAM-ICU and ICDSC).
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
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)
Review
Nursing
Yue Zhang, Dongmei Diao, Hao Zhang, Yongli Gao
Summary: The objective of this study was to assess the validity and predictability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) for delirium in critically ill patients in the ICU. The results showed that CAM-ICU is a valid and reliable tool for delirium prediction among ICU patients. However, when introducing CAM-ICU to assess delirium, it is necessary to localize its language and content to improve its predictive efficacy in different countries and ethnic groups.
NURSING IN CRITICAL CARE
(2023)
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
Ting-Jhen Chen, Yi-Wei Chung, Hui-Chen (Rita) Chang, Pin-Yuan Chen, Chia-Rung Wu, Shu-Hua Hsieh, Hsiao-Yean Chiu
Summary: Both CAM-ICU and ICDSC are accurate tools for detecting delirium in ICU patients, but CAM-ICU is superior in ruling out patients without ICU delirium and detecting delirium in patients in the medical ICU and those receiving mechanical ventilation. Further investigations are needed to validate these findings.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2021)
Article
Medicine, General & Internal
Juul Aben, Sjaak Pouwels, Annemarie Oldenbeuving
Summary: This study aimed to assess the feasibility of using single-channel electroencephalography (EEG) measurement for detecting delirium in intubated ICU patients and to evaluate the agreement between EEG measurements, the CAM-ICU score, and the clinical diagnosis of delirium. The results showed no statistical agreement between CAM-ICU and Delta scan measurements, but there was a higher agreement, although not statistically significant, between the clinical diagnosis of delirium and Delta scan measurements. Larger studies are needed to confirm these findings.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
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
Geriatrics & Gerontology
Antara Banerji, Jamie W. Sleigh, Logan J. Voss, Paul S. Garcia, Amy L. Gaskell
Summary: The course of neuro-cognitive recovery following anaesthesia and surgery is distinct and not well understood. This study aimed to identify patterns of recovery in the post anesthesia care unit (PACU) and compare them to other studies, as well as determine the best test for delirium diagnosis in PACU. The findings showed that attention deficits were common in PACU, and the 3D CAM test was effective in detecting delirium cases.
FRONTIERS IN AGING NEUROSCIENCE
(2022)
Article
Pediatrics
Edwar Pinzon-Casas, Maira Soto-Trujillo, Laura Camargo-Agon, Angela Henao-Castano, Nathalie Gualdron, Carolina Bonilla-Gonzalez
Summary: The present study successfully adapted and clinically validated the psCAM-ICU-S for diagnosing delirium in critically ill pediatric patients in Colombia. The tool demonstrated high sensitivity and specificity, providing a reliable method for delirium diagnosis among this population.
FRONTIERS IN PEDIATRICS
(2021)