Search results for "Delirium"
Delirium in the hospital may have a dose-response association with dementia
Hospitalized patients with delirium had three times the risk for incident dementia over 5.25 years of follow-up versus those without, and each additional delirium episode was associated with a 20% increase in dementia risk, an Australian study found.
https://acphospitalist.acponline.org/archives/2024/04/03/delirium-in-the-hospital-may-have-a-dose-response-association-with-dementia.htm
3 Apr 2024
Antipsychotic medications not effective in ICU patients with delirium
A systematic review and meta-analysis found no improvements in delirium- or coma-free days, mortality, duration of mechanical ventilation, or ICU or hospital length of stay in critically ill patients with delirium who received antipsychotics versus those who did not.
https://acphospitalist.acponline.org/archives/2024/03/27/antipsychotic-medications-not-effective-in-icu-patients-with-delirium.htm
27 Mar 2024
Melatonin does not improve delirium in older inpatients
No significant differences in Memorial Delirium Assessment Scale scores were seen between patients randomized to 5 mg of melatonin nightly or placebo, a small trial found.
https://acphospitalist.acponline.org/archives/2024/03/13/melatonin-does-not-improve-delirium-in-older-inpatients.htm
13 Mar 2024
American Heart Association issues scientific statement on cardiogenic shock in older adults
The statement provides suggestions for clinical practice, highlighting the crucial role of individualized risk assessment, an interdisciplinary approach, and patient-centered decision making in the management of cardiogenic shock among older adults.
https://acphospitalist.acponline.org/archives/2024/03/06/american-heart-association-issues-scientific-statement-on-cardiogenic-shock-in-older-adults.htm
6 Mar 2024
Lots to learn about long-term care
A new curriculum helped hospitalists moving into postacute care fill gaps in their knowledge base.
https://acphospitalist.acponline.org/archives/2024/02/28/lots-to-learn-about-long-term-care.htm
28 Feb 2024
Tackling ED boarding
Hospitalists can take ownership to reduce risks for patients, especially elderly ones.
https://acphospitalist.acponline.org/archives/2024/02/21/tackling-ed-boarding.htm
21 Feb 2024
The many faces of hospital medicine
International hospitalists share their common and unique experiences and challenges.
https://acphospitalist.acponline.org/archives/2023/11/29/free/the-many-faces-of-hospital-medicine.htm
29 Nov 2023
Two common assessment methods highlight link between frailty and postoperative delirium
An analysis of elective surgery patients ages 70 years or older found that those assessed as frail by the frailty index or frailty phenotype had double the risk of postoperative delirium versus those who weren't frail.
https://acphospitalist.acponline.org/archives/2023/11/22/two-common-assessment-methods-highlight-link-between-frailty-and-postoperative-delirium.htm
22 Nov 2023
Buprenorphine, cannabis, and other periop challenges
Perioperative medication management is particularly tricky when it comes to patients who are already taking drugs for chronic pain.
https://acphospitalist.acponline.org/archives/2023/11/22/buprenorphine-cannabis-and-other-periop-challenges.htm
22 Nov 2023
Alcohol use disorders
There are 11 different clinical criteria for alcohol use disorder and three classifications of severity under the DSM-5.
https://acphospitalist.acponline.org/archives/2023/11/08/alcohol-use-disorders.htm
8 Nov 2023