Evidence map›Paper›PMID 31396415›Full record

ArticleCritical care research and practice2019

Impact of a Premorbid Psychiatric Disorder on the Incidence of Delirium during ICU Stay, Morbidity, and Long-Term Mortality.

Anna van der Kuur, Carina Bethlehem, Nynke Bruins, Corine de Jager, Cherryl van Alst, Oetse G Haagsma, Alexander Keijzers, E Christiaan Boerma

Open access · goldAbstract read
In one paragraph

Article in Critical care research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Independent Association of Prestroke Psychiatric Symptoms and Acute Phase Delirium with Poststroke Mortality at One Year in Nigeria.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Observational
  8. 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

8 authors at 1 institution in 1 country.

Anna van der KuurMedical Centre Leeuwarden, Department of Intensive Care, Leeuwarden, Netherlands.
Carina BethlehemMedical Centre Leeuwarden, Department of Intensive Care, Leeuwarden, Netherlands.
Nynke BruinsMedical Centre Leeuwarden, Department of Intensive Care, Leeuwarden, Netherlands.
Corine de JagerMedical Centre Leeuwarden, Department of Intensive Care, Leeuwarden, Netherlands.
Cherryl van AlstMedical Centre Leeuwarden, Department of Hospital Psychiatry, Leeuwarden, Netherlands.
Oetse G HaagsmaMedical Centre Leeuwarden, Department of Hospital Psychiatry, Leeuwarden, Netherlands.
Alexander KeijzersMedical Centre Leeuwarden, Department of Hospital Psychiatry, Leeuwarden, Netherlands.
E Christiaan BoermaMedical Centre Leeuwarden, Department of Intensive Care, Leeuwarden, Netherlands.ORCID https://orcid.org/0000-0001-7928-5309
Medisch Centrum Leeuwarden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDelirium during ICU stay is a widespread problem with complex aetiology. A premorbid psychiatric disorder has been associated with an increased incidence of delirium in the general hospital population, but data on the impact of ICU delirium and consequences for morbidity and long-term mortality remain scarce.

methodsIn this single-centre retrospective analysis, 472 patients with an ICU stay >48 hours were included during a 2-year period. Postresuscitation and neurosurgical patients were not included. The primary aim of the study was to establish the incidence and duration of delirium during ICU stay in patients with (PS group) and without (NPS group) a premorbid psychiatric disorder. Data were analysed with applicable nonparametric tests. In a secondary analysis, patients were compared according to the presence or absence of delirium. Finally, a binary logistic regression model was constructed to correct for potential confounders.

resultsOf all patients, 19.7% were included in the PS group. Baseline characteristics with respect to severity of illness and type of admission did not differ between groups, but PS patients were significantly younger and more often female in comparison with NPS patients. The overall incidence of delirium during ICU was 57% and did not significantly differ between groups (65% in PS group vs. 56% in the NPS group,

conclusionsIn ICU patients with a length of stay >48 hours and a premorbid psychiatric disorder, the incidence of delirium was not significantly higher in comparison with patients without a premorbid psychiatric disorder.

Identifiers

PMID31396415
PMCPMC6668544
OpenAlexW2956808736

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.