Evidence map›Paper›PMID 33758677›Full record

ReviewCurrent emergency and hospital medicine reports2021

Succinct Approach to Delirium in the Emergency Department.

Sangil Lee, Clay Angel, Jin H Han

Open access · bronzeAbstract readReview
In one paragraph

Review in Current emergency and hospital medicine reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Observational
  5. Review
  6. 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

3 authors at 3 institutions in 1 country.

Sangil LeeDepartment of Emergency Medicine, The University of Iowa Carver College of Medicine, Iowa City, IA USA.ORCID 0000-0001-8529-4500
Clay AngelDepartment of Hospital Medicine, Kaiser Permanente San Jose Medical Center, San Jose, CA USA.
Jin H HanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN USA.
Kaiser Permanente San Jose Medical Center · USUniversity of Iowa · USVA Tennessee Valley Healthcare System · US

Funding

Early Cognitive Training and Rehabilitation to Prevent Cognitive Decline in Older Hospitalized Adults with DeliriumR01AG065249 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAN, JIN HO, JACKSON, JAMES C. · 2020 to 2024
$2.9M
Vitamin D to Improve Outcomes by Leveraging Early Treatment: Long-term Brain Outcomes in Vitamin D Deficient Patients (VIOLET-BUD)R56HL141567 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAN, JIN HO · 2018 to 2018
$728k
NHLBI NIH HHS R56 HL141567NIA NIH HHS R01 AG065249
6 · The paper itself

Abstract

purpose of reviewThis study aims to provide a concise delirium review for practicing emergency medicine providers using the Assess, Diagnose, Evaluate, Prevent, and Treat (ADEPT) framework. RECENT

findingsDelirium is a form of acute brain dysfunction that results in significant mortality and morbidity for older emergency department (ED) patients. Delirium is frequently missed by healthcare providers, but monitoring for this syndrome using brief delirium assessments may improve recognition. Once delirium is diagnosed, emergency medicine providers' primary goal is to perform a comprehensive history and physical examination to uncover the underlying etiology for delirium. This includes obtaining history from a collateral historian and obtaining an accurate medication history. If posssible, emergency physicians (EPs) should treat the medical etiology that precipitated the delirium. If agitated, non-pharmacologic interventions such that minimize the use of tethers are preferred. Pharmacologic agents such as antipsychotic medications should be used as a last resort. SUMMARY: Delirium is a common geriatric emergency and requires the EP to assess, diagnose, evaluate, prevent, and treat. Delirium is a key geriatric syndrome that geriatric ED providers should routinely screen for. A strong emphasis is on the widespread use of delirium screening, followed by prevention and treatment efforts.

Indexed as

AgitationDeliriumEmergency departmentOlder adultsPharmacotherapyScreening

Identifiers

PMID33758677
PMCPMC7971395
OpenAlexW3137482214

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.