Evidence map›Paper›PMID 23636988›Full record

ReviewCurrent psychiatry reports2013

Geriatric psychiatry review: differential diagnosis and treatment of the 3 D's - delirium, dementia, and depression.

Lisa J Downing, Thomas V Caprio, Jeffrey M Lyness

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current psychiatry reports, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03647436 (Prospective Cohort Study on the Incidence of Geriatric Syndromes Overlap in Patients With Hospital Admission Due to Hip Fracture), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03647436 unknown statusnot on this mapstarted 2018, after this paper: background citation

Prospective Cohort Study on the Incidence of Geriatric Syndromes Overlap in Patients With Hospital Admission Due to Hip Fracture

TypeobservationalSponsorHospital de la RiberaRan2018 to 2019Enrolled506ConditionsGERIATRIC SYNDROMES, Hip Fractures, GERIATRIC ASSESSMENT, DeliriumArmsComprehensive Geriatric Assessment. Both groups.
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Oxytocin in old age psychiatry: A systematic review of the safety of using intranasal oxytocin in older adults.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2025
    Pooled it
  2. Pooled it
  3. Use of antipsychotics increases the risk of fracture: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Pooled it
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  15. Delirium in Nursing Home Residents: A Narrative Review.Healthcare (Basel, Switzerland) · 2022
    Review
  16. Article
  17. Article
  18. Integrating Neuropsychology into Interprofessional Geriatrics Clinics.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2022
    Article
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Lisa J DowningDepartment of Medicine, Division of Geriatrics and Aging, University of Rochester School of Medicine and Dentistry, Monroe Community Hospital, Rochester, NY 14620, USA. Lisa_Downing@URMC.Rochester.edu
Thomas V Caprio
Jeffrey M Lyness
University of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The three D's of Geriatric Psychiatry-delirium, dementia, and depression-represent some of the most common and challenging diagnoses for older adults. Delirium is often difficult to diagnose and treatment is sometimes controversial with the use of antipsychotic medications, but it is common in a variety of patient care settings and remains an independent risk factor for morbidity and mortality in older adults. Dementia may affect a significant number of older adults and is associated with delirium, depression, frailty, and failure to thrive. Treatment of dementia is challenging and while medication interventions are common, environmental and problem solving therapies may have some of the greatest benefits. Finally, depression increases with age and is more likely to present with somatic complaints or insomnia and is more likely to be reported to a primary care physician than any other healthcare provider by older adults. Depression carries an increased risk for suicide in older adults and proven therapies should be initiated immediately. These three syndromes have great overlap, can exist simultaneously in the same patient, and often confer increased risk for each other. The primary care provider will undoubtedly benefit from a solid foundation in the identification, classification, and treatment of these common problems of older adulthood.

Indexed as

DeliriumDementiaDepressive DisorderAgedDiagnosis, DifferentialHumans

Identifiers

PMID23636988
OpenAlexW2038732113

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.