Delirium Bibliography

**The Delirium Bibliography is moving!**

 

We're excited to announce that the Delirium Bibliography has been moved to the Network for Investigation of Delirium: Unifying Scientists (NIDUS) website! The new bibliography includes well over 3,000 references on delirium and acute care for elders in addition to new references on pediatric delirium, as well. Articles in the new bibliography are still indexed by keywords taken from MEDLINE and other relevant databases, and they can be easily browsed with a search function. Questions? Email margaretwebb@hsl.harvard.edu

The searchable delirium bibliography page is one of our most popular features, allowing you to quickly gain access to the literature on delirium and acute care of older persons.  The HELP team keeps it updated for you on a monthly basis!  Feel free to search by author, title, keywords. It is primarily intended for clinicians and researchers interested in exploring these topics.

Each article is indexed by keywords taken from MEDLINE and other relevant databases.

You may base your search on as many search terms as you like. A search term can be a keyword, an author's name, all or part of an article's title, or any word or phrase that you might expect to find in an article's abstract. You may then indicate whether you would like to limit the search to one or more options.

The results are prioritized so that entries including all search terms will be listed first, but you can indicate whether to then sort by title (the default), by author, by journal name or by publication year.

You may further restrict to a topic category. Note: If you do not enter any search terms, the results will include all of the entries for the selected topic category.

More information about each entry on this page is available by moving the mouse over the green information symbols.

Please note that Pub Med Central (PMC) full text links are provided wherever available.  However, due to copyright restrictions, only abstracts can be provided for articles not available in PMC.

Total Results: 3263

  • Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). 2001 Ely EW, Margolin R, Francis J, May L, Truman B, Dittus R, Speroff T, Gautam S, Bernard GR, Inouye SK. Critical care medicine, 29:7 (1370-9)
    • Title

      Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).

    • Authors
      Ely EW, Margolin R, Francis J, May L, Truman B, Dittus R, Speroff T, Gautam S, Bernard GR, Inouye SK
    • Year
      2001
    • Journal
      Critical care medicine
    • URL
    • Abstract
      To develop and validate an instrument for use in the intensive care unit to accurately diagnose delirium in critically ill patients who are often nonverbal because of mechanical ventilation.
    • PubMed ID
  • The cost of delirium in the surgical patient. 2001 Franco K, Litaker D, Locala J, Bronson D. Psychosomatics, 42:1 (68-73)
    • Title

      The cost of delirium in the surgical patient.

    • Authors
      Franco K, Litaker D, Locala J, Bronson D
    • Year
      2001
    • Journal
      Psychosomatics
    • URL
    • Abstract
      The authors identified the added cost attributable to postoperative delirium in patients undergoing elective surgery. The authors evaluated patients (n = 500) before their elective surgery, assessing cognitive functioning, medical conditions, medication usage, and other information regarding their health status. Using DSM-IV criteria, the authors assessed patients for delirium on Postoperative Days 1-4. Medical record review provided laboratory, radiological, and pharmaceutical information. The authors analyzed length of stay (LOS), comprehensive cost data collected through the hospital, and a group practice financial database to determine differences among those developing delirium. Of the 500 patients assessed, 57 (11.4%) developed delirium during the study. Delirium is an extremely costly disorder, both to the patient in terms of morbidity and mortality and to the medical facility. A prolonged LOS increases charges to third party payors and reduces return to physicians and hospitals when delirium develops. Careful presurgical screening and targeted postoperative interventions may help contain LOS and costs while affording greater physical, emotional, and cognitive health to patients hospitalized for elective surgery.
    • PubMed ID
  • Assessing delirium in cancer patients: the Italian versions of the Delirium Rating Scale and the Memorial Delirium Assessment Scale. 2001 Grassi L, Caraceni A, Beltrami E, Borreani C, Zamorani M, Maltoni M, Monti M, Luzzani M, Mercadante S, De Conno F. Journal of pain and symptom management, 21:1 (59-68)
    • Title

      Assessing delirium in cancer patients: the Italian versions of the Delirium Rating Scale and the Memorial Delirium Assessment Scale.

    • Authors
      Grassi L, Caraceni A, Beltrami E, Borreani C, Zamorani M, Maltoni M, Monti M, Luzzani M, Mercadante S, De Conno F
    • Year
      2001
    • Journal
      Journal of pain and symptom management
    • URL
    • Abstract
      To validate the Italian versions of the Delirium Rating Scale (DRS) and the Memorial Delirium Assessment Scale (MDAS), 105 cancer patients consecutively referred for neurological or psychiatric consultation for mental status change were evaluated using the Confusion Assessment Method (CAM), the DRS, the MDAS, and the Mini-Mental State Examination (MMSE). According to the CAM criteria and clinical examination, 66 patients were delirious, and 39 received diagnoses other than delirium. The DRS and the MDAS scores significantly distinguished delirious from non-delirious patients. The MDAS and the DRS were mutually correlated. When using the proposed cut-off scores for the two scales, the MDAS had higher specificity (94%) but lower sensitivity (68%) than the DRS (sensitivity = 95%, specificity = 61% for DRS cut-off 10; sensitivity = 80%, specificity = 76%, DRS cut-off 12). The MMSE showed high sensitivity (96%) and very low specificity (38%). Exploratory factor analysis of the DRS and the MDAS suggested a three-factor and two-factor structure, respectively. Both instruments in their Italian version proved to be useful for the assessment of delirium among cancer patients. Further research is needed to examine the use of the DRS and the MDAS in other clinical contexts.
    • PubMed ID
  • Delirium: a barometer for quality of hospital care. 2001 Inouye SK. Hospital practice (1995), 36:2 (15-6, 18)
  • Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. 2001 Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM. Archives of internal medicine, 161:20 (2467-73)
    • Title

      Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings.

    • Authors
      Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM
    • Year
      2001
    • Journal
      Archives of internal medicine
    • URL
    • Abstract
      Nurses play a key role in recognition of delirium, yet delirium is often unrecognized by nurses. Our goals were to compare nurse ratings for delirium using the Confusion Assessment Method based on routine clinical observations with researcher ratings based on cognitive testing and to identify factors associated with underrecognition by nurses.
    • PubMed ID
  • Delirium after hip fracture: to be or not to be? 2001 Inouye SK. Journal of the American Geriatrics Society, 49:5 (678-9)
  • Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value? 2001 Rizzo JA, Bogardus ST, Leo-Summers L, Williams CS, Acampora D, Inouye SK. Medical care, 39:7 (740-52)
    • Title

      Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value?

    • Authors
      Rizzo JA, Bogardus ST, Leo-Summers L, Williams CS, Acampora D, Inouye SK
    • Year
      2001
    • Journal
      Medical care
    • URL
    • Abstract
      Delirium, or acute confusional state, is a common and serious occurrence among hospitalized older persons. Current estimates suggest that delirium complicates hospital stays for more than 2.3 million older persons each year, involving more than 17.5 million hospital days and accounting for more than $4 billion (1994 dollars) of Medicare expenditures. A 40% reduction was recently reported in the risk for delirium among hospitalized older persons receiving a multicomponent targeted risk factor intervention (MTI) strategy to prevent delirium, compared with subjects receiving usual hospital care.1 Before recommending that this preventive strategy be implemented in clinical practice, however, the cost implications must be thoroughly examined as well.
    • PubMed ID
  • Intensive Care Delirium Screening Checklist: evaluation of a new screening tool. 2001 Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y. Intensive care medicine, 27:5 (859-64)
    • Title

      Intensive Care Delirium Screening Checklist: evaluation of a new screening tool.

    • Authors
      Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y
    • Year
      2001
    • Journal
      Intensive care medicine
    • URL
    • Abstract
      Delirium in the intensive care unit is poorly defined. Clinical evaluation is difficult in the setting of unstable, often intubated patients. A screening tool may improve the detection of delirium.
    • PubMed ID
  • Immunology of delirium: new opportunities for treatment and research. 2001 Broadhurst C, Wilson K. The British journal of psychiatry : the journal of mental science, (288-9)
    • Title

      Immunology of delirium: new opportunities for treatment and research.

    • Authors
      Broadhurst C, Wilson K
    • Year
      2001
    • Journal
      The British journal of psychiatry : the journal of mental science
    • URL
    • Abstract
    • PubMed ID
  • Delirium in the terminally-ill cancer patient: aetiology, symptoms and management. 2001 Brown S, Degner LF. International journal of palliative nursing, 7:6 (266-8, 270-2)
    • Title

      Delirium in the terminally-ill cancer patient: aetiology, symptoms and management.

    • Authors
      Brown S, Degner LF
    • Year
      2001
    • Journal
      International journal of palliative nursing
    • URL
    • Abstract
      Delirium is a frequent and serious clinical problem in the terminally ill cancer patient. Multiple dimensions of delirium make definition, measurement, and assessment of it challenging in clinical nursing practice. Assessment and management of delirium requires knowledge of the diagnostic criteria for it, aetiology, signs and symptoms, and nursing interventions. Four delirium assessment scales determined to be useful in assessing patients with terminal illness are reviewed. The use of a delirium assessment instrument in routine nursing assessments would be important for the nurse's early detection of delirium so that interventions to reverse the causes of delirium could immediately be implemented.
    • PubMed ID
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