ArticleBMC nursing2022
Delirium in the intensive care unit: identifying difficulties in applying the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).
Article in BMC nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05949229 (The Effect of Preoperative Duloxetine on the Occurance of Postoperative Delirium in Patients Undergoing Cancer Surgery .), which is not on this map. Cited by 12 papers.
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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.
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.
The Effect of Preoperative Duloxetine on the Occurance of Postoperative Delirium in Patients Undergoing Cancer Surgery .
Who cites it
12 citing papers in PubMed.
- Nurses' usage of validated tools to assess for delirium in general acute care settings: A scoping review.International journal of nursing studies advances · 2026Review
- Psychometric Properties of the Persian Version of the Delirium Care Self-Efficacy Scale for Intensive Care Unit Nurses: A Methodological Study.Nursing open · 2026Article
- Barriers and Facilitators to Delirium Management Among ICU Nurses in Two Tertiary Hospitals in Chongqing, China: A Qualitative Study Using the COM-B Framework.Healthcare (Basel, Switzerland) · 2026Article
- Impact of Nurses' Knowledge, Self-Efficacy and Clinical Reasoning Competency on Difficulties in Caring for Patients With Delirium in the Intensive Care Unit: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Progress of nursing management for delirium in critically ill geriatric patients: a narrative review.Frontiers in human neuroscience · 2026Review
- Online machine learning model for predicting delirium risk in elderly patients with chronic kidney disease: development and preliminary validation.European journal of medical research · 2025Article
- Delirium and cognitive assessment in national hip fracture registries: a scoping review.European geriatric medicine · 2025Article
- Development of a Machine Learning-Based Predictive Model for Postoperative Delirium in Older Adult Intensive Care Unit Patients: Retrospective Study.Journal of medical Internet research · 2025Article
- Evaluating the Effectiveness of Educational Intervention on ICU Nurses' Knowledge of Delirium: A Quasi-Experimental Approach.Nursing reports (Pavia, Italy) · 2025Article
- Usefulness of the 4A's test for detecting delirium in critically ill patients: a multicenter prospective observation study.Internal and emergency medicine · 2024Observational
- Effect of intraoperative dexmedetomidine on heart-type fatty acid binding protein, CK-MB, and cardiac troponin I levels, and postoperative delirium in patients with heart valve replacement.American journal of translational research · 2024Article
- Development of a machine learning-based prediction model for sepsis-associated delirium in the intensive care unit.Scientific reports · 2023Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundDelirium is an underdiagnosed condition and this may be related, among other causes, to the incorrect use of assessment tools due to lack of knowledge about cognitive assessment and lack of training of the care team. The aim of this study was to investigate the difficulties encountered by the nursing team in the application of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in patients on mechanical ventilation.
methodsThis is descriptive study with a qualitative approach in a private tertiary hospital located in northeast Brazil. Data collection took place from July 2018 to January 2019. We included 32 nurses and used face-to-face semi-structured interviews. The recorded data were analysed using content analysis. This study followed the recommendations of the Standards for Reporting Qualitative Research (SRQR).
resultsWe identified three major categories: lack of knowledge of professionals, subdivided into deficit in academic formation, difficulty in the differential diagnosis of delirium and delusion, and lack of knowledge about the steps of the CAM-ICU; difficulty in patient cooperation; and lack of adequate training to apply the CAM-ICU.
conclusionNurses have a deficit in academic formation on delirium and need adequate training for the correct and frequent use of the CAM-ICU.
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