Evidence map›Paper›PMID 35192952›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Delirium severity in critical patients with COVID-19 from an Infectious Disease Intensive Care Unit.

Rafael Dias, João Paulo Caldas, André Silva-Pinto, Andreia Costa, António Sarmento, Lurdes Santos

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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

7 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

6 authors.

Rafael DiasDepartment of Neurology, Hospital Central do Funchal, Madeira, Portugal; Department of Neurology, Centro Hospitalar Universitário São João, Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Porto, Portugal. Electronic address: Rafael27dias@gmail.com.
João Paulo CaldasInfectious Disease Intensive Care Unit, Centro Hospitalar Universitário São João; Department of Medicine, Faculty of Medicine of University of Porto, Porto, Portugal. Electronic address: jpcaldas92@gmail.com.
André Silva-PintoInfectious Disease Intensive Care Unit, Centro Hospitalar Universitário São João; Department of Medicine, Faculty of Medicine of University of Porto, Porto, Portugal. Electronic address: pintoandre@gmail.com.
Andreia CostaDepartment of Neurology, Centro Hospitalar Universitário São João, Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Porto, Portugal. Electronic address: andreiafgcosta@gmail.com.
António SarmentoDepartment of Infectious Disease, Centro Hospitalar Universitário São João; Department of Medicine, Faculty of Medicine of University of Porto, Porto, Portugal. Electronic address: Antoniosarmento55@sapo.pt.
Lurdes SantosInfectious Disease Intensive Care Unit, Centro Hospitalar Universitário São João; Department of Medicine, Faculty of Medicine of University of Porto, Porto, Portugal. Electronic address: maria.lurdes.uci@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is mainly characterized by respiratory manifestations. Nevertheless, neurologic complications have been described, including delirium, which appears to be frequent, prolonged, and severe.

methodsWe conducted a retrospective analysis of demographic, clinical, and laboratory data of two cohorts: patients with COVID-19 admitted to the infectious disease intensive care unit (ID-ICU) and patients admitted to the ID-ICU with other respiratory infections in 2018-2019. Outcomes were defined as the presence, duration, and severity of delirium. Doses of antipsychotics used to control delirium were converted to equivalents and used as delirium severity. Logistics regression models were used to correlate COVID-19 with the outcomes.

resultsNinety-nine patients with COVID-19 and 40 patients without COVID-19 were included. The mean age of the COVID-19 cohort was 63 years, with a male predominance. Delirium developed in 42%, with a median duration of 3 days and an equivalent dose of olanzapine use of 10 mg/day. In univariate analysis, COVID-19 was not associated with the development or different duration of delirium when compared with patients without COVID-19. There was an association between COVID-19 and severity of delirium in a binary logistic regression model controlled to confounding variables.

conclusionCOVID-19 is not associated with a higher prevalence or duration of delirium than in cohorts without COVID-19. However, it is associated with more severe forms of delirium.

Indexed as

Communicable DiseasesCOVID-19DeliriumFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesCOVID-19DeliriumNeurologicSARS-CoV-2Severe

Identifiers

PMID35192952
PMCPMC8857775

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.