Routine delirium monitoring is independently associated with a reduction of hospital mortality in critically ill surgical patients: A prospective, observational cohort study

Luetz, Alawi; Weiß, Björn; Böettcher, Sebastian; Burmeister, Johann; Wernecke, Klaus‐Dieter; Spies, Claudia

doi:10.1016/j.jcrc.2016.05.028

Cited by 49 publications

(31 citation statements)

References 31 publications

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“…Some studies (18,310) suggest that the ability of assessment tools to improve patient outcomes may be associated with the intensity of the training strategy used and the quality improvement initiatives deployed. A recent observational study (311) found an association between high delirium monitoring adherence (i.e., assessments on ≥ 50% of the ICU days) and improved patient outcomes (i.e., lower in-hospital mortality, shorter ICU LOS, and shorter time on mechanical ventilation). Future studies should include various critical care populations such as patients with primary neurologic diagnoses.…”

Section: Assessmentmentioning

confidence: 99%

Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

Devlin

Skrobik

Gélinas

et al. 2018

Critical Care Medicine

2,584

2,938

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We found substantial agreement among a large, interdisciplinary cohort of international experts regarding evidence supporting recommendations, and the remaining literature gaps in the assessment, prevention, and treatment of Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) in critically ill adults. Highlighting this evidence and the research needs will improve Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) management and provide the foundation for improved outcomes and science in this vulnerable population.

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Section: Assessmentmentioning

confidence: 99%

Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

Devlin

Skrobik

Gélinas

et al. 2018

Critical Care Medicine

2,584

2,938

View full text Add to dashboard Cite

show abstract

“…Evidence of this susceptibility is provided by previous neurophysiological studies demonstrating major differences in the EEG of patients with PD following cardiothoracic surgery (van der Kooi et al, 2015). Importantly, the contribution of CA has considerable potential to improve existing models for the prediction of PD that have not included cerebral hemodynamic parameters (Rudolph et al, 2009;Luetz et al, 2016;Mailhot et al, 2016) and therefore warrants further investigation.…”

Section: Post-surgical Deliriummentioning

confidence: 98%

Dynamic cerebral autoregulation: A marker of post-operative delirium?

Caldas

Panerai

Bor‐Seng‐Shu

et al. 2019

Clinical Neurophysiology

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“… 8 18 Recognition can thus assist to shorten delirium duration and improve mortality and other outcomes. 19 Delirium has been shown to be under-recognised in 30%–75% of patients, 6 10–13 and is also under-reported in the National Health Service. 20 Previous research has shown that delirium recognition can be improved through educational interventions.…”

Section: Introductionmentioning

confidence: 99%

Can delirium research activity impact on routine delirium recognition? A prospective cohort study

Welch

Jackson

2018

BMJ Open

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ObjectiveTo assess if ongoing delirium research activity within an acute admissions unit impacts on prevalent delirium recognition.DesignProspective cohort study.SettingSingle-site tertiary university teaching hospital.Participants125 patients with delirium, as diagnosed by an expert using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition reference criteria, were recruited to a prospective cohort study investigating use of informant tools to detect unrecognised dementia. This study evaluated recognition of delirium and documentation of delirium by medical staff.InterventionsThe main study followed an observational design; the intervention discussed was the implementation of this study itself.Primary and secondary outcome measuresThe primary outcome was recognition of delirium by the admitting medical team prior to study diagnosis. Secondary outcomes included recording of or description of delirium in discharge summaries, and factors which may be associated with unrecognised delirium.ResultsDelirium recognition improved between the first half (48%) and second half (71%) of recruitment (p=0.01). There was no difference in recording of delirium or description of delirium in the text of discharge summaries.ConclusionDelirium research activity can improve recognition of delirium. This has the potential to improve patient outcomes.

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Routine delirium monitoring is independently associated with a reduction of hospital mortality in critically ill surgical patients: A prospective, observational cohort study

Cited by 49 publications

References 31 publications

Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

Dynamic cerebral autoregulation: A marker of post-operative delirium?

Can delirium research activity impact on routine delirium recognition? A prospective cohort study

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