Evidence map›Paper›PMID 31724092›Full record

ReviewCurrent treatment options in neurology2019

Delirium Management in the ICU.

Michael E Reznik, Arjen J C Slooter

3 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Current treatment options in neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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.

NCT05085808 phase4withdrawnnot on this mapstarted 2028, after this paper: background citation

Comparison of Trazodone vs Quetiapine vs Placebo for the Treatment of ICU Delirium: A Randomized Controlled Trial (The TraQ Study)

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2028 to 2030Enrolled0ConditionsDelirium, Morality, Quality of Life, PsychArmsTrazodone, Quetiapine, Placebo
NCT05307003 terminatednot on this mapstarted 2024, after this paper: background citation

Trazodone vs. Quetiapine for the Treatment of ICU Delirium: A Prospective Observational Pilot Study

TypeobservationalSponsorUniversity of Southern CaliforniaRan2024 to 2024Enrolled10ConditionsDelirium, Delirium of Mixed Origin, Delirium, Sepsis Associated, Delirium in Old AgeArmsTrazodone, Quetiapine
NCT07776184 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

From Reactive Management to Proactive Prevention: Implementing a Multi-Component Bundle to Reduce Delirium in the Aging CICU Population

TypeinterventionalSponsorTel Aviv Medical CenterRan2026 to 2027Enrolled200ConditionsDelirium in Old Age, Delirium in the Intensive Care Unit, Delirium Confusional State, DeliriumArmsMulticomponent Delirium Prevention Bundle, Control Group
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  2. Effect of early cognitive interventions on delirium in critically ill patients: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020
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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.

Michael E ReznikDepartments of Neurology & Neurosurgery, Alpert Medical School, Brown University, Providence, RI, USA. michael_reznik@brown.edu.
Arjen J C SlooterDepartment of Intensive Care Medicine, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewDelirium occurs frequently in critically ill patients and is associated with adverse outcomes in both the short and long term. In this review, we aim to highlight recent study findings on the prevention and treatment of delirium, provide additional recommendations based on expert guidelines, and indicate knowledge gaps deserving of future study. RECENT

findingsMulticomponent non-pharmacologic interventions have been shown to be efficacious in non-ICU populations, and multicomponent strategies such as the ABCDEF bundle have been adopted in the ICU with several studies showing a potential benefit in delirium outcomes. Meanwhile, two negative randomized clinical trials of antipsychotics in ICU patients (REDUCE and MIND-USA) have provided strong evidence that such medications neither prevent nor shorten the duration of delirium. Other potential pharmacologic treatments with promising results include dexmedetomidine and, to a lesser extent, ramelteon, but more data is needed before they may be more definitively recommended. Effective and proven delirium management strategies are still largely lacking, though there is evidence to support the use of some non-pharmacologic interventions. Future studies of novel non-pharmacologic interventions and pharmacologic agents other than antipsychotics are warranted.

Indexed as

Delirium managementICU delirium

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.