Search results for "Delirium"
Is your patient depressed or just demoralized?
Demoralization is common among inpatients and can be treated with relatively simple interventions, according to a psychiatrist.
https://acphospitalist.acponline.org/archives/2024/05/08/is-your-patient-depressed-or-just-demoralized.htm
8 May 2024
Using an app to direct inpatient delirium identification was both feasible and accurate
A two-step, app-directed protocol for clinicians to identify delirium had high overall accuracy, with certified nursing assistants and nurses performing as well as hospitalists in a prospective cohort study at two hospitals.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/2.htm
10 Nov 2021
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
Opioid exposure linked to increased risk of delirium in critically ill adults
A Dutch study found that opioid use in the ICU increased the daily risk of delirium by 45% in a dose-dependent manner and that this increased risk was independent of the degree of pain present.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/5.htm
21 Apr 2021
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
Care pathway with nurse screening for delirium may have reduced length of stay, 30-day readmissions
An academic tertiary care hospital in Northern California found that adjusted mean hospital length of stay decreased by 2% and the adjusted odds of 30-day readmission decreased by 14% after implementation of a delirium screening and care pathway for inpatients ages 50 years and older.
https://acphospitalist.acponline.org/weekly/archives/2021/06/16/3.htm
16 Jun 2021
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
ICU bundles do not appear to improve delirium but may help other outcomes
A meta-analysis found an association between bundled interventions in the ICU and improvements in coma duration, length of stay, and 28-day mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2020/12/23/3.htm
23 Dec 2020
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
Latest inpatient COVID-19 research looks at plasma, intubation, delirium, VTE, and more
Recent studies showed that convalescent plasma didn't improve outcomes, a protocol reduced intubation rates, delirium was a common presentation among elderly patients, venous thromboembolism (VTE) was more common in the ICU, and racial disparities persisted after adjustment.
https://acphospitalist.acponline.org/weekly/archives/2020/11/25/2.htm
25 Nov 2020