ReviewCurrent psychiatry reports2015
Management of delirium in palliative care: a review.
Review in Current psychiatry reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk Factors for Delirium in the Palliative Care Population: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2021Pooled it
- Drug therapy for delirium in terminally ill adults.The Cochrane database of systematic reviews · 2020Pooled it
- Association among rescue neuroleptic use, agitation, and perceived comfort: secondary analysis of a randomized clinical trial on agitated delirium.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Trial
- Preventing and treating delirium in clinical settings for older adults.Therapeutic advances in psychopharmacology · 2023Review
- Article
- Narrative review of palliative care in trauma and emergency general surgery.Annals of palliative medicine · 2022Review
- The prevalence, associated factors, clinical impact, and state of diagnosis of delirium in palliative care patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Delirium in Palliative Care.Cancers · 2021Review
- Factors for Timely Identification of Possible Occurrence of Delirium in Palliative Care: A Prospective Observational Study.Advances in therapy · 2021Observational
- Associations Between Hospice Care and Scary Family Caregiver Experiences.Journal of pain and symptom management · 2021Article
- Risk Factors and Antipsychotic Usage Patterns Associated With Terminal Delirium in a Veteran Long-Term Care Hospice Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021Article
- Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions.Epidemiology and psychiatric sciences · 2020Article
- Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study.PloS one · 2020Article
- Reversibility of delirium in Ill-hospitalized cancer patients: Does underlying etiology matter?Cancer medicine · 2020Observational
- Current Pharmacotherapy Does Not Improve Severity of Hypoactive Delirium in Patients with Advanced Cancer: Pharmacological Audit Study of Safety and Efficacy in Real World (Phase-R).The oncologist · 2019Article
- Prevalence of delirium in advanced cancer patients in home care and hospice and outcomes after 1 week of palliative care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Updates in palliative care - recent advancements in the pharmacological management of symptoms.Clinical medicine (London, England) · 2018Review
- Advance Directives, Hospitalization, and Survival Among Advanced Cancer Patients with Delirium Presenting to the Emergency Department: A Prospective Study.The oncologist · 2017Article
- The confused oncologic patient: a rational clinical approach.Current opinion in neurology · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Delirium is a complex but common disorder in palliative care with a prevalence between 13 and 88 % but a particular frequency at the end of life (terminal delirium). By reviewing the most relevant studies (MEDLINE, EMBASE, PsycLit, PsycInfo, Cochrane Library), a correct assessment to make the diagnosis (e.g., DSM-5, delirium assessment tools), the identification of the possible etiological factors, and the application of multicomponent and integrated interventions were reported as the correct steps to effectively manage delirium in palliative care. In terms of medications, both conventional (e.g., haloperidol) and atypical antipsychotics (e.g., olanzapine, risperidone, quetiapine, aripiprazole) were shown to be equally effective in the treatment of delirium. No recommendation was possible in palliative care regarding the use of other drugs (e.g., α-2 receptors agonists, psychostimulants, cholinesterase inhibitors, melatonergic drugs). Non-pharmacological interventions (e.g., behavioral and educational) were also shown to be important in the management of delirium. More research is necessary to clarify how to more thoroughly manage delirium in palliative care.
Indexed as
Identifiers
25663153What OpenQuestion holds
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.