Evidence map›Paper›PMID 37414611›Full record

ArticleCardiovascular revascularization medicine : including molecular interventions2023

Delirium in older adults after percutaneous coronary intervention: Prevalence, risks, and clinical phenotypes.

Dae Yong Park, Yasser Jamil, Jiun-Ruey Hu, Angela Lowenstern, Jennifer Frampton, Ahmed Abdullah, Abdulla A Damluji, Yousif Ahmad, Robert Soufer, Michael G Nanna

Open access · greenAbstract read
In one paragraph

Article in Cardiovascular revascularization medicine : including molecular interventions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 9% 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, 13 citations in OpenAlex.

  1. Delirium Among Adults Undergoing Transcatheter Structural Heart Intervention: Incidence, Risk, and Clinical Phenotypes.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  2. Article
  3. The Negative Influence and Adverse Outcome of Red Blood Cell Transfusion in Contemporary Percutaneous Coronary Interventions.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Review
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Dae Yong ParkDepartment of Medicine, Cook County Health, Chicago, IL, USA.
Yasser JamilDepartment of Medicine, Yale School of Medicine, New Haven, CT, USA.
Jiun-Ruey HuSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Angela LowensternSection of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Jennifer FramptonSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Ahmed AbdullahSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Abdulla A DamlujiJohns Hopkins University School of Medicine, Baltimore, MD, USA; Inova Center of Outcomes Research, Falls Church, VA, USA.
Yousif AhmadSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Robert SouferDepartment of Medicine, Yale School of Medicine, New Haven, CT, USA; Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA; Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Michael G NannaSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA. Electronic address: michael.nanna@yale.edu.
Yale University · USCook County Health and Hospitals System · USInova Health System · USVanderbilt University Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Frailty and Resiliency in Older Adults with Acute Myocardial InfarctionK23HL153771 · NHLBI · INOVA HEALTH CARE SERVICES · PI DAMLUJI, ABDULLA AL · 2020 to 2024
$916k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL153771
6 · The paper itself

Abstract

introductionIn-hospital delirium is more common among older adults and is associated with increased mortality and adverse health-related outcomes. We aim to establish the contemporary prevalence of delirium among older adults undergoing percutaneous coronary intervention (PCI) and the impact of delirium on in-hospital complications.

methodsWe identified older adults aged ≥75 years in the National Inpatient Sample who underwent inpatient PCI for any reason from 2016 to 2020 and stratified them into those with and without delirium. The primary outcome was in-hospital mortality, and secondary outcomes encompassed post-procedural complications.

resultsDelirium occurred in 14,130 (2.6 %) hospitalizations in which PCI was performed. Patients who developed delirium were older and had more comorbidities. Patients with in-hospital delirium had higher odds of in-hospital mortality (adjusted odds ratio [aOR] 1.27, p = 0.002) and non-home discharge (aOR 3.17, p < 0.001). Delirium was also associated with higher odds of intracranial hemorrhage (aOR 2.49, p < 0.001), gastrointestinal hemorrhage (aOR 1.25, p = 0.030), need for blood transfusion (aOR 1.52, p < 0.001), acute kidney injury (aOR 1.62, p < 0.001), and fall in hospital (aOR 1.97, p < 0.001).

conclusionDelirium among older adults undergoing PCI is relatively common and associated with higher odds of in-hospital mortality and adverse events. This highlights the importance of vigilant delirium prevention and early recognition in the peri-procedural setting, especially for older adults.

Indexed as

DeliriumPercutaneous Coronary InterventionAgedHospital MortalityHumansPhenotypePrevalenceRetrospective StudiesRisk FactorsTreatment OutcomeDeliriumMorbidityMortalityPCIRisk factors

Identifiers

PMID37414611
PMCPMC10730763
OpenAlexW4381337451

What OpenQuestion holds

Textmetadata
LicenceTDM
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.