Alzheimer s & Dementia,
Journal Year:
2023,
Volume and Issue:
20(1), P. 183 - 194
Published: July 31, 2023
Delirium,
a
common
syndrome
with
heterogeneous
etiologies
and
clinical
presentations,
is
associated
poor
long-term
outcomes.
Recording
analyzing
all
delirium
equally
could
be
hindering
the
field's
understanding
of
pathophysiology
identification
targeted
treatments.
Current
subtyping
methods
reflect
clinically
evident
features
but
likely
do
not
account
for
underlying
biology.
Journal of Geriatric Emergency Medicine,
Journal Year:
2023,
Volume and Issue:
4(1)
Published: Feb. 17, 2023
Background:
Older
adults
constitute
a
large
and
growing
proportion
of
the
population
have
unique
care
needs
in
emergency
department
(ED)
setting.
The
geriatric
ED
accreditation
program
aims
to
improve
provided
older
by
standardizing
across
accredited
EDs
(GED)
through
implementation
geriatric-specific
processes.
Head & Face Medicine,
Journal Year:
2024,
Volume and Issue:
20(1)
Published: July 23, 2024
Postoperative
delirium
(POD)
in
the
oral
and
maxillofacial
settings
has
gained
more
attention
recent
decades.
Due
to
advances
medical
technology,
treatment
possibilities
have
expanded
for
elderly
frail
patients.
This
scoping
review
explores
correlation
between
POD
surgery,
summarizing
screening
management
protocols
identifying
risk
factors
this
surgical
field.
Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 2, 2025
Abstract
Background:
Delirium
is
common
in
older
adult
population
hospitals.
It
increases
morbidity,
mortality
and
health
care
cost.
Worldwide
studies
showed
that
early
recognition
proper
management
deficient
because
of
knowledge
lack
among
physicians.
Objective:
In
Egypt,
there
a
assessing
delirium
attitudes
We
aim
to
assess
awareness
physicians
pre-registration
house
officers
Egypt.
Methods:
conducted
an
online
survey
evaluating
knowledge,
diagnostic
criteria
attitudes.
Participants
included
at
various
career
stages
from
some
university
Ministry
Health
hospitals
across
Results:
From
1,000
surveys
distributed,
we
obtained
649
responses.
Approximately
three-quarters
the
participants
underestimated
prevalence
(77.6%).
Few
knew
outcomes.
Knowledge
was
better.
Substantial
percentage
use
assessment
tools
as
confusion
method
(CAM).
Only
about
third
had
confidence
diagnosis
(32.2%)
or
(19.4%)
minority
(22.1%)
performed
serial
cognitive
patients
risk
delirium.
23.7%
reported
adequate
training.
Likely
oriented
specialties
geriatrics
together
with
Ain
Shams
University
more
significant
Conclusion:
highlighted
gaps
practice
variety
This
underlined
need
for
enhanced
education
Journal of the American Geriatrics Society,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 24, 2025
ABSTRACT
Background
Managing
undifferentiated,
severe
agitation
in
older
adults
may
require
antipsychotic
or
sedative
medications
to
prevent
harm
self
others.
Unfortunately,
these
are
associated
with
serious
adverse
events
adults,
and
little
is
known
about
their
comparative
safety.
Methods
We
conducted
a
systematic
review
identify
effectiveness
studies
on
the
safety
of
used
treatment
among
prehospital
emergency
department
(ED)
setting.
searched
eight
databases
including
PubMed,
EMBASE,
SCOPUS,
Cochrane
library,
CINAHL,
Proquest
Central,
Ageline,
PsycInfo
published
before
February
2024.
Studies
were
included
if
they
examined
1st
generation
antipsychotics,
2nd
benzodiazepines,
ketamine.
Data
extracted
respiratory
(apnea,
hypoxemia,
intubation)
other
(arrhythmia,
hypotension,
worsening
delirium,
cardiac
arrest,
mortality).
report
aggregate
occurrence
any
pooled
by
drug
odds
ratios
(ORs)
using
haloperidol
as
reference
group.
Results
Among
8600
identified,
observational
one
randomized
clinical
trial
met
eligibility
for
further
qualitative
quantitative
analysis.
The
838
receiving
(
n
=
117),
droperidol
129),
lorazepam
350),
midazolam
68),
olanzapine
101),
quetiapine
56),
ziprasidone
17).
Any
observed
16.8%
patients
(141/838).
Adverse
most
common
(53%;
36/68).
Relative
haloperidol,
significantly
increased
risk
(OR
5.25
[95%
CI:
2.64–10.45]).
Quetiapine
was
only
have
lower
frequency
0.27
0.08,
0.97]).
Conclusions
anxiolytic
agitation.
Benzodiazepines,
particularly
midazolam,
pose
an
excessive
requiring
pharmacologic
BMC Emergency Medicine,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Feb. 15, 2024
Abstract
Background
Older
adults
are
at
high
risk
of
developing
delirium
in
the
emergency
department
(ED);
however,
it
is
under-recognized
routine
clinical
care.
Lack
detection
and
treatment
associated
with
poor
outcomes,
such
as
mortality.
Performance
measures
(PMs)
needed
to
identify
variations
quality
care
help
guide
improvement
strategies.
The
purpose
this
study
gain
consensus
on
a
set
statements
PMs
that
can
be
used
evaluate
for
older
ED
patients.
Methods
A
3-round
modified
e-Delphi
was
conducted
experts.
In
each
round,
participants
rated
according
concepts
importance
actionability,
then
their
concept
necessity
(1–9
Likert
scales),
ability
comment
each.
Consensus
stability
were
evaluated
using
priori
criteria
descriptive
statistics.
Qualitative
data
examined
themes
within
across
PMs,
which
went
through
participant
validation
exercise
final
round.
Results
Twenty-two
experts
participated,
95.5%
from
west
or
central
Canada.
From
10
24
achieved
six
22
PMs.
supported
justification
including
three
one
PM
slightly
below
criteria.
Three
overarching
emerged
qualitative
related
statement
actionability.
Nine
statements,
nine
structure
14
process
included
set,
addressing
four
areas
care:
screening,
diagnosis,
reduction
management.
Conclusion
provide
important,
actionable,
necessary
diverse
group
To
our
knowledge,
first
known
develop
de
novo
guideline-based
receive
setting.
Academic Emergency Medicine,
Journal Year:
2024,
Volume and Issue:
31(10), P. 1014 - 1036
Published: May 16, 2024
Abstract
Introduction
Geriatric
emergency
department
(ED)
guidelines
emphasize
timely
identification
of
delirium.
This
article
updates
previous
diagnostic
accuracy
systematic
reviews
history,
physical
examination,
laboratory
testing,
and
ED
screening
instruments
for
the
diagnosis
delirium
as
well
test–treatment
thresholds
screening.
Methods
We
conducted
a
review
to
quantify
approaches
identify
Studies
were
included
if
they
described
adults
aged
60
or
older
evaluated
in
setting
with
an
index
test
compared
acceptable
criterion
standard
Data
extracted
studies
reviewed
risk
bias.
When
appropriate,
we
meta‐analysis
estimated
thresholds.
Results
Full‐text
was
performed
on
55
27
current
analysis.
No
identified
exploring
findings
history
While
two
reported
clinicians
accurately
rule
delirium,
clinician
gestalt
is
inadequate
out
report
three
that
quantified
4
A's
Test
(4AT)
(pooled
positive
likelihood
ratio
[LR+]
7.5,
95%
confidence
interval
[CI]
2.7–20.7)
negative
[LR−]
0.18,
CI
0.09–0.34)
also
Abbreviated
Mental
Test‐4
(AMT‐4)
found
pooled
LR+
(4.3,
2.4–7.8)
lower
than
observed
4AT,
but
LR−
(0.22,
0.05–1)
similar.
Based
one
study
Confusion
Assessment
Method
Intensive
Care
Unit
(CAM‐ICU)
superior
instrument
The
calculated
threshold
2%
treatment
11%.
Conclusions
quantitative
examination
virtually
unexplored.
4AT
has
largest
quantity
ED‐based
research.
Other
may
more
If
goal
then
CAM‐ICU
brief
CAM
modified
are
instruments,
although
these
tools
based
single‐center
studies.
To
Delirium
Triage
Screen
study.
