Search results for "Delirium"
Clinical decision support tool reduced nighttime vital checks but not delirium
The tool used real-time patient data and a trained prediction algorithm to notify the hospitalist if the patient had a high likelihood of nighttime vital sign measurements within reference ranges.
https://acphospitalist.acponline.org/archives/2022/01/12/clinical-decision-support-tool-reduced-nighttime-vital-checks-but-not-delirium.htm
12 Jan 2022
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
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
Routine frailty screening may help predict risk for poor outcomes in critically ill patients
In a study of 175 ICUs in Australia and New Zealand, patients who were frail at ICU admission had an in-hospital mortality rate of 16% compared to 5% in those who were not. Frail patients also had longer lengths of stay in the ICU and hospital.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/3.htm
9 Jun 2021
Late diagnoses, routine cultures, and more
Research summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2021/05/recent-research.htm
15 May 2021
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
Outcomes of hospital-level care at home comparable to hospitalization for older adults
A randomized trial of hospital at home found no difference in the proportion of patients who had died or were living at home at six months, although participants who had received care at home were less likely to be in long-term residential care than those who had been hospitalized.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/3.htm
21 Apr 2021
Ten tips to avoid ventilation
An expert offers his ideas on proning, feeding, and more.
https://acphospitalist.acponline.org/archives/2021/04/ten-tips-to-avoid-ventilation.htm
15 Apr 2021
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
Helping hip fracture patients
Is comanagement the answer?
https://acphospitalist.acponline.org/archives/2020/12/helping-hip-fracture-patients.htm
15 Dec 2020