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

  • Effect of psychiatric liaison nurse specialist consultation on the care of medical-surgical patients with sitters. 1990 Talley S, Davis DS, Goicoechea N, Brown L, Barber LL. Archives of psychiatric nursing, 4:2 (114-23)
    • Title

      Effect of psychiatric liaison nurse specialist consultation on the care of medical-surgical patients with sitters.

    • Authors
      Talley S, Davis DS, Goicoechea N, Brown L, Barber LL
    • Year
      1990
    • Journal
      Archives of psychiatric nursing
    • URL
    • Abstract
      One hundred seven patients in an acute care setting who had lay sitters to provide the constant observation judged necessary to meet their safety needs were studied to determine the effect of psychiatric liaison nurse specialist (PLNS) consultation on nursing care and the use of sitters. After placement in either a suicidal or nonsuicidal group, subjects were randomly assigned to receive consultation or not. Outcome variables of number of sitter shifts, number of nursing note observations, number of patient and sitter incidents and length of hospital stay were considered. Multiple analysis of variance indicated no significant differences among the groups for number of sitter shifts or number of nursing note observations. A significant main effect for group on length of hospital stay was found with suicidal patients having a significantly shorter hospital stay. Number of patients and sitter incidents were too small for analysis.
    • PubMed ID
  • Clarifying confusion: the confusion assessment method. A new method for detection of delirium. 1990 Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Annals of internal medicine, 113:12 (941-8)
    • Title

      Clarifying confusion: the confusion assessment method. A new method for detection of delirium.

    • Authors
      Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI
    • Year
      1990
    • Journal
      Annals of internal medicine
    • URL
    • Abstract
      To develop and validate a new standardized confusion assessment method (CAM) that enables nonpsychiatric clinicians to detect delirium quickly in high-risk settings.
    • PubMed ID
  • [Rheoencephlographic studies during general halothane anesthesia and laughing gas in stomatological treatment of children at the out-patient department]. 1989 Novkova A, Săbev K. Stomatologiia. Stomatology, 71:1 (19-22)
    • Title

      [Rheoencephlographic studies during general halothane anesthesia and laughing gas in stomatological treatment of children at the out-patient department].

    • Authors
      Novkova A, Săbev K
    • Year
      1989
    • Journal
      Stomatologiia. Stomatology
    • URL
    • Abstract
      Thirty two children, aged from 6 to 14 were studied by the rheoencephalographic method during general halothane and laughing gas anesthesia, stomatologically treated under out-patient department conditions. The quantitative analysis of the rheoencephalographic curves made of the method of differentia, the data being compared one hour before the general anesthesia, during the stage of surgical anesthesia and one hour after it. Statistically significant data were established showing pulse supply improvement and reduction of vascular tone of the brain blood vessels during general anesthesia and one hour after it. The expedience of the application of the rheoencephalographic method during general anesthesia is stressed upon as well as the potentialities of its application in the stomatological practice. The positive qualities of the method of general anesthesia applied for the stomatological treatment of children under out-patient department conditions are confirmed.
    • PubMed ID
  • Histological studies on the effects of pineal 5-methoxyindoles on the reproductive organs of the male golden hamster. 1989 Ooi VE, Ng TB. Journal of pineal research, 7:4 (315-24)
    • Title

      Histological studies on the effects of pineal 5-methoxyindoles on the reproductive organs of the male golden hamster.

    • Authors
      Ooi VE, Ng TB
    • Year
      1989
    • Journal
      Journal of pineal research
    • URL
    • Abstract
      The effects of late-afternoon injections of melatonin (MEL), 5-methoxytryptamine (MTN), 5-methoxytryptophol (MTOL), and 5-methoxyindole-3-acetic acid (MIAA) on testicular and seminal vesicular histology in the golden hamster were examined. MEL, MTN, and MTOL injections caused a reduction in the diameters of seminiferous tubules and an inhibition of spermatogenesis. Testicular regression ranged from a decrease in the abundance of late spermatids and mature spermatozoa in some animals to an almost complete loss of spermatogenesis in others. Sertoli cells were more resistant to the treatment than other cellular components of the seminiferous tubules. Leydig cells were reduced in size, showed a great reduction in cytoplasm, and possessed shrunken and angular nuclei. The epithelial cells of seminal vesicles were reduced in size and became cuboidal or low columnar. Some secretory cells possessed pyknotic nuclei and had minimal secretory activity. MTN and MTOL appeared to be more potent than MEL in inducing the aforementioned changes, whereas MIAA failed to exert similar effects.
    • PubMed ID
  • Cryptococcal pyarthrosis complicating gouty arthritis. 1989 Sinnott JT, Holt DA. Southern medical journal, 82:12 (1555-6)
    • Title

      Cryptococcal pyarthrosis complicating gouty arthritis.

    • Authors
      Sinnott JT, Holt DA
    • Year
      1989
    • Journal
      Southern medical journal
    • URL
    • Abstract
      Cryptococcal arthritis remains a rare entity. Crystalline arthropathy has been described in association with bacterial infection, but no similar association has been described for crystalline joint disease and fungal infection. We have described a renal transplant patient with concurrent gout and cryptococcal arthritis that responded favorably to treatment. Joints with crystalline arthropathy should be cultured for both bacteria and fungi.
    • PubMed ID
  • Confusion in the hospitalized elderly: incidence, onset, and associated factors. 1989 Foreman MD. Research in nursing & health, 12:1 (21-9)
    • Title

      Confusion in the hospitalized elderly: incidence, onset, and associated factors.

    • Authors
      Foreman MD
    • Year
      1989
    • Journal
      Research in nursing & health
    • URL
    • Abstract
      Seventy-one non-surgical patients over age 60 years were studied to obtain information about the incidence, onset and variables associated with the onset of confusion. The incidence of confusion was 38%; 27 of the 71 subjects developed confusion during hospitalization. Nineteen of the 27 patients developed confusion by the second day of hospitalization; no new cases of confusion were detected after the sixth day of hospitalization. An examination of the psychophysiologic variables associated with the onset of confusion produced a profile of the confused elderly patient. Confused patients were: hypernatremic, hypokalemic, hyperglycemic, hypotensive, had elevated blood levels of creatinine and urea nitrogen, received more medications, were more frequently perceived by nurses as confused, had more orienting objects in their immediate environment, and fewer interactions with significant others. Recommendations for the continued investigation and care of confused patients are offered.
    • PubMed ID
  • Duration of delirium shortened by the correction of electrolyte imbalance. 1988 Koizumi J, Shiraishi H, Ofuku K, Suzuki T. The Japanese journal of psychiatry and neurology, 42:1 (81-8)
    • Title

      Duration of delirium shortened by the correction of electrolyte imbalance.

    • Authors
      Koizumi J, Shiraishi H, Ofuku K, Suzuki T
    • Year
      1988
    • Journal
      The Japanese journal of psychiatry and neurology
    • URL
    • Abstract
      Among 53 delirious patients with an electrolyte imbalance in the serum, the duration of delirium in 18 cases was significantly shortened by the correction of electrolyte imbalance, compared with that of 35 cases of delirium without an electrolyte correction. The mean duration of delirium (mean value +/- SE) corrected by electrolyte was 9.4 +/- 1.9 days, whereas the mean duration of delirium without the electrolyte correction was 25.7 +/- 4.6 days. The mean duration of delirium in 13 cases without the electrolyte imbalance was 25.0 +/- 6.6 days. From these results, the electrolyte correction should be done systematically for the delirious patients as a treatment for the disorder.
    • PubMed ID
  • Identification of factors associated with the diagnosis of delirium in elderly hospitalized patients. 1988 Levkoff SE, Safran C, Cleary PD, Gallop J, Phillips RS. Journal of the American Geriatrics Society, 36:12 (1099-104)
    • Title

      Identification of factors associated with the diagnosis of delirium in elderly hospitalized patients.

    • Authors
      Levkoff SE, Safran C, Cleary PD, Gallop J, Phillips RS
    • Year
      1988
    • Journal
      Journal of the American Geriatrics Society
    • URL
    • Abstract
      We analyzed factors associated with the discharge diagnosis of delirium among 1,285 patients admitted to a major teaching hospital during a 2-year period, developed a model to classify the risk of developing delirium on the basis of clinical and diagnostic data, and tested the model on 471 patients admitted during the subsequent year. Using the multivariate technique of recursive partitioning, we identified four factors that distinguished 80% of all cases of delirium: 1) a urinary tract infection at any time during the hospital stay (odds ratio = 3.1; 95% confidence interval = 2.02-4.58); 2) no urinary tract infection, but low serum albumin on admission (odds ratio = 2.4; 95% confidence interval = 1.43-3.99); 3) neither urinary tract infection nor low serum albumin, but elevated white blood cell count on admission (odds ratio = 1.99; 95% confidence interval = 1.18-3.37); 4) none of these risk factors, but proteinuria on admission (odds ratio = 1.82; 95% confidence interval = 1.25-2.66). Patients without any of these four risk factors had the lowest probability of developing delirium during their hospital stay. Among individuals with delirium, in-hospital mortality and hospital charges were higher. The model developed accurately characterized the risk of delirium when it was tested on patients admitted to the same hospital during the subsequent year.
    • PubMed ID
  • A prospective study of delirium and prolonged hospital stay. Exploratory study. 1988 Thomas RI, Cameron DJ, Fahs MC. Archives of general psychiatry, 45:10 (937-40)
    • Title

      A prospective study of delirium and prolonged hospital stay. Exploratory study.

    • Authors
      Thomas RI, Cameron DJ, Fahs MC
    • Year
      1988
    • Journal
      Archives of general psychiatry
    • URL
    • Abstract
      Using explicit criteria, delirium was diagnosed in 15% of a cohort of 133 hospitalized patients. Following each patient's discharge or death, the length of stay was compared with the diagnosis related group-predicted length of hospitalization. An analysis of stay variations disclosed that delirious patients exceeded their predicted stay by an average of 13 days, while nondelirious patients exceeded theirs by 3.3 days. The mean (+/- SD) length of hospitalization for patients with delirium was significantly longer than for their nondelirious counterparts (21.6 +/- 23.7 days vs 10.6 +/- 10.1 days, respectively). Hospitals treating high proportions of patients with delirium as a comorbidity to a principal somatic diagnosis should institute measures for the early detection of and appropriate intervention in patients with this condition. These steps may help reduce prolonged hospitalizations and minimize financial risk under the current diagnosis related group reimbursement system.
    • PubMed ID
  • Delirium: a test of the Diagnostic and Statistical Manual III criteria on medical inpatients. 1987 Cameron DJ, Thomas RI, Mulvihill M, Bronheim H. Journal of the American Geriatrics Society, 35:11 (1007-10)
    • Title

      Delirium: a test of the Diagnostic and Statistical Manual III criteria on medical inpatients.

    • Authors
      Cameron DJ, Thomas RI, Mulvihill M, Bronheim H
    • Year
      1987
    • Journal
      Journal of the American Geriatrics Society
    • URL
    • Abstract
      Although 10% to 15% of patients admitted to acute care hospitals are in a state of delirium, few patients are given this diagnosis by their clinician. We field-tested the Diagnostic and Statistical Manual III (DSM-III) criteria for diagnosing delirium on 133 consecutively admitted patients to an acute medical ward. Twenty patients were delirious using DSM-III criteria, 19 more patients than were reported by the primary clinician. Seven delirious patients were less than 65 years of age (range, 32 to 64 years). Sixty-five percent of patients with delirium died, whereas significantly fewer (3.3%) of patients without delirium died (P less than .0001). We found that delirium could be readily and reliably detected (kappa coefficient of agreement = 0.62 for interrater reliability) using the DSM-III criteria. Clinicians should routinely screen hospitalized patients of all ages using DSM-III criteria to identify delirious patients for an immediate evaluation and treatment.
    • PubMed ID
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