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Delirium in the intensive care unit
Open accessAbstract
Delirium, an acute and fluctuating disturbance of consciousness and cognition, is a common manifestation of acute brain dysfunction in critically ill patients, occurring in up to 80% of the sickest intensive care unit (ICU) populations. Critically ill patients are subject to numerous risk factors for delirium. Some of these, such as exposure to sedative and analgesic medications, may be modified to reduce risk. Although dysfunction of other organ systems continues to receive more clinical attention, delirium is now recognized to be a significant contributor to morbidity and mortality in the ICU, and it is recommended that all ICU patients be monitored using a validated delirium assessment instrument. Patients with delirium have longer hospital stays and lower 6-month survival than do patients without delirium, and preliminary research suggests that delirium may be associated with cognitive impairment that persists months to years after discharge. Little evidence exists regarding the prevention and treatment of delirium in the ICU, but multicomponent interventions reduce the incidence of delirium in non-ICU studies. Strategies for the prevention and treatment of ICU delirium are the subjects of multiple ongoing investigations.
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Characteristics of house staff work rounds on two academic general medicine services
Wray, N. R., Friedland, J. A., Ashton, C. M., et al. (1986) · Academic Medicine · doi:10.1097/00001888-198611000-00005 · Cited by 37
Neurologic Complications of Critical Illness
Wijdicks, E. F. M. (2009) · Oxford University Press eBooks · doi:10.1093/med/9780195371093.001.0001 · Cited by 33
Delirium in the Intensive Care Unit: Are We Helping the Patient?
Webb, J. M., Carlton, E. F., & Geehan, D. (2000) · Critical Care Nursing Quarterly · doi:10.1097/00002727-200002000-00006 · Cited by 31
Fink, M. P. (2002) · Intensive Care Medicine · doi:10.1007/s00134-001-1191-4 · Cited by 18
Treatment of Agitation and Its Comorbidities in the Intensive Care Unit
Crippen, D. (2001) · Lung biology in health and disease · doi:10.1201/b14020-10 · Cited by 11
THE NATURE AND EXTENT OF MEDICAL INJURY IN OLDER PATIENTS
Rothschild, J. M., & Leape, L. L. (2000) · Cited by 9
Cited by
Traube, C., Silver, G., Kearney, J., Patel, A., Atkinson, T. M., Yoon, M. J., Halpert, S., Augenstein, J., Sickles, L. E., Li, C., et al. (2014) · Critical Care Medicine · doi:10.1097/ccm.0b013e3182a66b76 · Cited by 533
Balas, M. C., Vasilevskis, E. E., Olsen, K. M., Schmid, K. K., Shostrom, V., Cohen, M. Z., Peitz, G., Gannon, D. E., Sisson, J., Sullivan, J., et al. (2014) · Critical Care Medicine · doi:10.1097/ccm.0000000000000129 · Cited by 526
Self-citationGirard, T. D., Thompson, J. L., Pandharipande, P. P., Brummel, N. E., Jackson, J. C., Patel, M. B., Hughes, C. G., Chandrasekhar, R., Pun, B. T., Boehm, L. M., et al. (2018) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(18)30062-6 · Cited by 437
Self-citationSieber, F. E., Zakriya, K. J., Gottschalk, A., Blute, M.-R., Lee, H. B., Rosenberg, P. B., & Mears, S. C. (2010) · Mayo Clinic Proceedings · doi:10.4065/mcp.2009.0469 · Cited by 417
Delirium epidemiology in critical care (DECCA): an international study
Salluh, J. I., Soares, M., Teles, J. M., Ceraso, D., Raimondi, N., Nava, V. S., Blasquez, P., Ugarte, S., Ibanez-Guzman, C., Centeno, J. V., et al. (2010) · Critical Care · doi:10.1186/cc9333 · Cited by 373
Metadata
- Authors
- Girard, T. D., Pandharipande, P. P., & Ely, E. W.
- Venue
- Critical Care
- Published
- 2008
- Volume
- 12
- Issue
- Suppl 3
- Pages
- S3
- ISSN
- 1364-8535 (ISSN-L)
- OpenAlex
- W2116451916
- Cited by
- 622
- References
- 108
- Type
- conference abstract
- Language
- en
- Open access
- gold
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.