Evidence map›Paper›PMID 29742219›Full record

ArticleRevista Brasileira de terapia intensiva2018

Assessment of delirium using the PRE-DELIRIC model in an intensive care unit in Argentina.

Fernando Ariel Sosa, Javier Roberti, Margarita Tovar Franco, María Mercedes Kleinert, Agustina Risso Patrón, Javier Osatnik

Registry-linked trialAbstract read
In one paragraph

Article in Revista Brasileira de terapia intensiva, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04218461 (Evaluation of the Usability of the Delirium Prediction Model of PRE-DELIRIC), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

NCT04218461 completednot on this mapstarted 2019, after this paper: background citation

Evaluation of the Usability of the Delirium Prediction Model of PRE-DELIRIC (PREdiction of DELIRium) in Medical ICU Patients

TypeobservationalSponsorIstanbul Demiroglu Bilim UniversityRan2019 to 2020Enrolled172ConditionsDelirium, Intensive Care Unit DeliriumArmsPRE-DELIRIC model
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Delirium.Nature reviews. Disease primers · 2020
    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

6 authors.

Fernando Ariel SosaUnidade de Terapia Intensiva, Hospital Alemán, Buenos Aires, Argentina.
Javier RobertiUnidade de Terapia Intensiva, Hospital Alemán, Buenos Aires, Argentina.
Margarita Tovar FrancoUnidade de Terapia Intensiva, Hospital Alemán, Buenos Aires, Argentina.
María Mercedes KleinertUnidade de Terapia Intensiva, Hospital Alemán, Buenos Aires, Argentina.
Agustina Risso PatrónUnidade de Terapia Intensiva, Hospital Alemán, Buenos Aires, Argentina.
Javier OsatnikUnidade de Terapia Intensiva, Hospital Alemán, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the incidence of and risk factors for delirium in the intensive care unit of a tertiary care teaching hospital in Argentina and to conduct the first non-European study exploring the performance of the PREdiction of DELIRium in ICu patients (PRE-DELIRIC) model.

methodsProspective observational study in a 20-bed intensive care unit of a tertiary care teaching hospital in Buenos Aires, Argentina. The PRE-DELIRIC model was applied to 178 consecutive patients within 24 hours of admission to the intensive care unit; delirium was assessed with the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).

resultsThe mean age was 64.3 ± 17.9 years. The median time of stay in the intensive care unit was 6 (range, 2 - 56) days. Of the total number of patients, 49/178 (27.5%) developed delirium, defined as a positive CAM-ICU assessment, during their stay in the intensive care unit. Patients in the delirium group were significantly older and had a significantly higher Acute Physiological and Chronic Health Evaluation II (APACHE II) score. The mortality rate in the intensive care unit was 14.6%; no significant difference was observed between the two groups. Predictive factors for the development of delirium were increased age, prolonged intensive care unit stay, and opioid use. The area under the curve for the PRE-DELIRIC model was 0.83 (95%CI; 0.77 - 0.90).

conclusionsThe observed incidence of delirium highlights the importance of this problem in the intensive care unit setting. In this first study conducted outside Europe, PRE-DELIRIC accurately predicted the development of delirium.

Indexed as

Intensive Care UnitsAdultAgedAged, 80 and overAge FactorsAnalgesics, OpioidAPACHEArgentinaCohort StudiesDeliriumFemaleHumansIncidenceLength of StayMaleMiddle AgedAnalgesics, Opioid

Identifiers

PMID29742219
PMCPMC5885231

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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.