The Resource Delirium : screening, prevention, and diagnosis : a systematic review of the evidence, prepared for Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center ; principal investigator, Rebecca Rossom ; co-investigators, Pauline Anderson, Nancy Greer ; research associates, Roderick MacDonald, Indulis Rutks, James Tacklind, (electronic resource)

Delirium : screening, prevention, and diagnosis : a systematic review of the evidence, prepared for Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center ; principal investigator, Rebecca Rossom ; co-investigators, Pauline Anderson, Nancy Greer ; research associates, Roderick MacDonald, Indulis Rutks, James Tacklind, (electronic resource)

Label
Delirium : screening, prevention, and diagnosis : a systematic review of the evidence
Title
Delirium
Title remainder
screening, prevention, and diagnosis : a systematic review of the evidence
Statement of responsibility
prepared for Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center ; principal investigator, Rebecca Rossom ; co-investigators, Pauline Anderson, Nancy Greer ; research associates, Roderick MacDonald, Indulis Rutks, James Tacklind
Contributor
Subject
Genre
Language
  • eng
  • eng
Summary
Delirium is a common syndrome in hospitalized or institutionalized adults. It is characterized by the acute onset of altered mental status, hallmarked by difficulty sustaining attention and a fluctuating course. Delirium frequently causes patients, families, and health care providers considerable distress. The incidence varies widely based on patient population, setting, and intensity of diagnostic ascertainment with reported values of 10% to over 80%. Delirium is associated with multiple serious outcomes including increased morbidity, length of hospital stay, healthcare costs, institutionalization, and mortality. In surgical settings, older adults and those with multiple medical conditions are at increased risk for postoperative delirium. Delirium may be under-recognized by healthcare providers and it can be difficult to resolve. Several brief "bedside" questionnaires and checklists exist that can help detect delirium earlier and among those with milder symptoms. Additionally, efforts to prevent the development of delirium in those at risk have been advocated. Medications (including sedatives, narcotics, and anticholinergic drugs), diseases and intercurrent illnesses (e.g., stroke, infection, shock, anemia), surgical procedures (especially orthopedic and cardiac surgery), and environmental factors (e.g., use of a bladder catheter, pain, and emotional stress) are all associated with delirium. Therefore, identifying and implementing effective strategies to prevent and detect delirium could improve clinical outcomes and resource utilization. Suggested strategies to prevent delirium include avoidance of psychoactive medications, pharmacologic interventions to decrease risk, and single- or multi-component non-pharmacologic interventions (including use of music, mobilization, fluid and nutrition management, and orientation and cognitive stimulation). This review was undertaken to evaluate the effectiveness of screening for delirium, the effectiveness and harms of strategies to prevent delirium, and the comparative diagnostic accuracy of tools used to detect delirium
Member of
Cataloging source
DNLM
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • surveys of literature
NLM call number
WL 340
http://library.link/vocab/relatedWorkOrContributorName
  • Rossom, Rebecca
  • United States
  • Veterans Administration Medical Center (Minneapolis, Minn.)
Series statement
Evidence-based synthesis program
http://library.link/vocab/subjectName
  • Delirium
  • Delirium
  • Comparative Effectiveness Research
Label
Delirium : screening, prevention, and diagnosis : a systematic review of the evidence, prepared for Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center ; principal investigator, Rebecca Rossom ; co-investigators, Pauline Anderson, Nancy Greer ; research associates, Roderick MacDonald, Indulis Rutks, James Tacklind, (electronic resource)
Instantiates
Publication
Note
"September 2011."
Bibliography note
Includes bibliographical references
Color
black and white
Dimensions
unknown
Extent
1 online resource (1 PDF file (iii, 91 p.)
Form of item
online
Other physical details
ill.)
Specific material designation
remote
System control number
  • 1581892
  • (DNLM)BKSHLF:NBK82554
Label
Delirium : screening, prevention, and diagnosis : a systematic review of the evidence, prepared for Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center ; principal investigator, Rebecca Rossom ; co-investigators, Pauline Anderson, Nancy Greer ; research associates, Roderick MacDonald, Indulis Rutks, James Tacklind, (electronic resource)
Publication
Note
"September 2011."
Bibliography note
Includes bibliographical references
Color
black and white
Dimensions
unknown
Extent
1 online resource (1 PDF file (iii, 91 p.)
Form of item
online
Other physical details
ill.)
Specific material designation
remote
System control number
  • 1581892
  • (DNLM)BKSHLF:NBK82554

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