Evidence map›Paper›PMID 28454532›Full record

ArticleBMC geriatrics2017

Protocol for the Delirium and Cognitive Impact in Dementia (DECIDE) study: A nested prospective longitudinal cohort study.

Sarah J Richardson, Daniel H J Davis, Blossom Stephan, Louise Robinson, Carol Brayne, Linda Barnes, Stuart Parker, Louise M Allan

Abstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Identifying delirium in Parkinson disease: A pilot study.International journal of geriatric psychiatry · 2020
    Article
  10. Article
  11. Article
  12. Observational
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

8 authors.

Sarah J RichardsonInstitute of Neuroscience, 3rd floor Biomedical Research Building, Newcastle University Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK. Sarah.Richardson2@newcastle.ac.uk.
Daniel H J DavisMRC Unit for Lifelong Health and Ageing, University College London, 33 Bedford Place, London, WC1B 5JU, UK.
Blossom StephanInstitute for Ageing, 2nd floor Biomedical Research Building, Newcastle University Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK.
Louise RobinsonInstitute for Ageing, 2nd floor Biomedical Research Building, Newcastle University Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK.
Carol BrayneInstitute of Public Health, Forvie Site, School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0SR, UK.
Linda BarnesInstitute of Public Health, Forvie Site, School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0SR, UK.
Stuart ParkerInstitute of Neuroscience, 3rd floor Biomedical Research Building, Newcastle University Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK.
Louise M AllanInstitute of Neuroscience, 3rd floor Biomedical Research Building, Newcastle University Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL, UK.

Funding

Medical Research Council G0601022Medical Research Council MC_UU_12019/1Wellcome Trust 107467/Z/15/Z
6 · The paper itself

Abstract

backgroundDelirium is common, affecting at least 20% of older hospital inpatients. It is widely accepted that delirium is associated with dementia but the degree of causation within this relationship is unclear. Previous studies have been limited by incomplete ascertainment of baseline cognition or a lack of prospective delirium assessments. There is an urgent need for an improved understanding of the relationship between delirium and dementia given that delirium prevention may plausibly impact upon dementia prevention. A well-designed, observational study could also answer fundamental questions of major importance to patients and their families regarding outcomes after delirium. The Delirium and Cognitive Impact in Dementia (DECIDE) study aims to explore the association between delirium and cognitive function over time in older participants. In an existing population based cohort aged 65 years and older, the effect on cognition of an episode of delirium will be measured, independent of baseline cognition and illness severity. The predictive value of clinical parameters including delirium severity, baseline cognition and delirium subtype on cognitive outcomes following an episode of delirium will also be explored.

methodsOver a 12 month period, surviving participants from the Cognitive Function and Ageing Study II-Newcastle will be screened for delirium on admission to hospital. At the point of presentation, baseline characteristics along with a number of disease relevant clinical parameters will be recorded. The progression/resolution of delirium will be monitored. In those with and without delirium, cognitive decline and dementia will be assessed at one year follow-up. We will evaluate the effect of delirium on cognitive function over time along with the predictive value of clinical parameters. DISCUSSION: This study will be the first to prospectively elucidate the size of the effect of delirium upon cognitive decline and incident dementia. The results will be used to inform future dementia prevention trials that focus on delirium intervention.

Indexed as

Clinical ProtocolsAgedAged, 80 and overAgingCognitionCognition DisordersCohort StudiesDeliriumDementiaDisease ProgressionFemaleHumansLongitudinal StudiesMalePatient AdmissionProspective StudiesCFAS IICognitive outcomesCohortDeliriumDementia

Identifiers

PMID28454532
PMCPMC5410072

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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.