Evidence map›Paper›PMID 33981458›Full record

ReviewCritical care research and practice2021

Delirium and Associated Length of Stay and Costs in Critically Ill Patients.

Claudia Dziegielewski, Charlenn Skead, Toros Canturk, Colleen Webber, Shannon M Fernando, Laura H Thompson, Madison Foster, Vanja Ristovic, Peter G Lawlor, Dipayan Chaudhuri and 8 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Critical care research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 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.

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

49 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

18 authors.

Claudia DziegielewskiDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0002-7309-1316
Charlenn SkeadDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.
Toros CanturkDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.
Colleen WebberOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Shannon M FernandoDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Laura H ThompsonOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Madison FosterOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Vanja RistovicDepartment of Anesthesia, University of Ottawa, Ottawa, ON, Canada.
Peter G LawlorOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Dipayan ChaudhuriDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Chintan DaveDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.
Brent HerrittDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Shirley H BushOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Salmaan KanjiOttawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Peter TanuseputroBruyère Research Institute, Ottawa, ON, Canada.
Kednapa ThavornICES uOttawa, Ottawa, ON, Canada.
Erin RosenbergDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Kwadwo KyeremantengDivision of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDelirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. MATERIALS AND

methodsProspective studies and randomized controlled trials of patients in the ICU with delirium published between January 1, 2015, and December 31, 2020, were evaluated. Outcome variables including ICU and hospital LOS were obtained, and ICU and hospital costs were derived from the respective LOS.

resultsForty-one studies met inclusion criteria. The mean difference of ICU LOS between patients with and without delirium was significant at 4.77 days (

conclusionICU and hospital LOS and associated costs were significantly higher for patients with delirium, compared to those without delirium. Further research is necessary to elucidate other determinants of increased costs and cost-reducing strategies for critically ill patients with delirium. This can provide insight into the required resources for the prevention of delirium, which may contribute to decreasing healthcare expenditure while optimizing the quality of care.

Identifiers

PMID33981458
PMCPMC8088381

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.