Evidence map›Paper›PMID 25004177›Full record

ReviewCurrent opinion in supportive and palliative care2014

Delirium diagnosis, screening and management.

Peter G Lawlor, Shirley H Bush

Registry-linked trialAbstract readReview
In one paragraph

Review in Current opinion in supportive and palliative care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05857462 (A Randomized Controlled Trial to Evaluate the Impact of Integrated Preoperative Fascia Iliaca Compartment Block), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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.

NCT05857462 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Controlled Trial to Evaluate the Impact of Integrated Preoperative Fascia Iliaca Compartment Block (FICB) for Fast-track Surgery in Elderly Hip Fracture

TypeinterventionalSponsorMahidol UniversityRan2023 to 2026Enrolled420ConditionsHip Fractures, Pain, Acute, Hip Fracture Surgery, Delirium in Old AgeArmsPost-admission FICB
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Delirium in Nursing Home Residents: A Narrative Review.Healthcare (Basel, Switzerland) · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Delirium Tremens: Assessment and Management.Journal of clinical and experimental hepatology · 2018
    Review
  14. Article
  15. Review
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

2 authors.

Peter G LawloraDepartment of Medicine Epidemiology and Community Medicine, Division of Palliative Care, University of Ottawa bThe Ottawa Hospital Research Institute cBruyère Research Institute dBruyère Continuing Care eDepartment of Medicine, Division of Palliative Care, University of Ottawa, Ottawa, Ontario, Canada.
Shirley H Bush

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewOur review focuses on recent developments across many settings regarding the diagnosis, screening and management of delirium, so as to inform these aspects in the context of palliative and supportive care. RECENT

findingsDelirium diagnostic criteria have been updated in the long-awaited Diagnostic Statistical Manual of Mental Disorders, fifth edition. Studies suggest that poor recognition of delirium relates to its clinical characteristics, inadequate interprofessional communication and lack of systematic screening. Validation studies are published for cognitive and observational tools to screen for delirium. Formal guidelines for delirium screening and management have been rigorously developed for intensive care, and may serve as a model for other settings. Given that palliative sedation is often required for the management of refractory delirium at the end of life, a version of the Richmond Agitation-Sedation Scale, modified for palliative care, has undergone preliminary validation. SUMMARY: Although formal systematic delirium screening with brief but sensitive tools is strongly advocated for patients in palliative and supportive care, it requires critical evaluation in terms of clinical outcomes, including patient comfort. Randomized controlled trials are needed to inform the development of guidelines for the management of delirium in this setting.

Indexed as

Antipsychotic AgentsClinical ProtocolsDeliriumDisease ManagementHumansHypnotics and SedativesPalliative CarePractice Guidelines as TopicRisk FactorsAntipsychotic AgentsHypnotics and Sedatives

Identifiers

PMID25004177
PMCPMC4162328

What OpenQuestion holds

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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.