Evidence map›Paper›PMID 37522255›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Advancing specificity in delirium: The delirium subtyping initiative.

Emily M L Bowman, Nathan E Brummel, Gideon A Caplan, Colm Cunningham, Lis A Evered, Kirsten M Fiest, Timothy D Girard, Thomas A Jackson, Sara C LaHue, Heidi L Lindroth and 15 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  15. Advancing specificity in delirium: The delirium subtyping initiative.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  16. 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

25 authors.

Emily M L BowmanCentre for Public Health, Queen's University Belfast, Block B, Institute of Clinical Sciences, Royal Victoria Hospital Site, Belfast, Northern Ireland.ORCID 0000-0003-2631-0288
Nathan E BrummelThe Ohio State University College of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Columbus, Ohio, USA.
Gideon A CaplanDepartment of Geriatric Medicine, Prince of Wales Hospital, Sydney, Australia University of New South Wales, Sydney, Australia.
Colm CunninghamSchool of Biochemistry & Immunology, Trinity Biomedical Sciences Institute, Trinity College, Dublin, Republic of Ireland.
Lis A EveredDepartment of Anesthesiology, Weill Cornell Medicine, New York, New York, USA.
Kirsten M FiestDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Timothy D GirardClinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Thomas A JacksonInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Sara C LaHueDepartment of Neurology, School of Medicine, University of California, San Francisco, California, USA.
Heidi L LindrothDepartment of Nursing, Mayo Clinic, Rochester, Minnesota, USA.
Alasdair M J MaclullichEdinburgh Delirium Research Group, Ageing and Health, Usher Institute, University of Edinburgh, Edinburgh, UK.
Daniel F McAuleyCentre for Experimental Medicine, Queen's University Belfast, Wellcome-Wolfson Institute for Experimental Medicine, Belfast, Northern Ireland.
Esther S OhDepartments of Medicine, Psychiatry and Behavioral Sciences and Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mark A OldhamDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA.
Valerie J PageDepartment of Anaesthetics, Watford General Hospital, Watford, UK.
Pratik P PandharipandeDepartments of Anesthesiology and Surgery, Division of Anesthesiology Critical Care Medicine and Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kelly M PotterClinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Pratik SinhaDivision of Clinical and Translational Research, Washington University School of Medicine, St. Louis, Missouri, USA.
Arjen J C SlooterDepartments of Psychiatry and Intensive Care Medicine and UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Aoife M SweeneyCentre for Public Health, Queen's University Belfast, Block B, Institute of Clinical Sciences, Royal Victoria Hospital Site, Belfast, Northern Ireland.
Zoë TiegesEdinburgh Delirium Research Group, Ageing and Health, Usher Institute, University of Edinburgh, Edinburgh, UK.
Edwin Van DellenDepartments of Psychiatry and Intensive Care Medicine and UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Mary Elizabeth WilcoxDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Emma L CunninghamCentre for Public Health, Queen's University Belfast, Block B, Institute of Clinical Sciences, Royal Victoria Hospital Site, Belfast, Northern Ireland.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI W. JOHN BOSCARDIN · 2013 to 2026
$19.9M
Multidisciplinary Training in Critical Care Outcomes ResearchT32HL007820 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Timothy D Girard, Jeremy M Kahn · 1996 to 2026
$6.4M
Addressing Hearing Loss as a Common Unmet Contributor to Neuropsychiatric SymptomsR01AG076525 · NIA · JOHNS HOPKINS UNIVERSITY · PI CARRIE L NIEMAN, Esther Seunghee Oh · 2022 to 2026
$3.9M
Novel Blood Biomarker of Alzheimer's disease Using Oral Glucose ToleranceR01AG057725 · NIA · JOHNS HOPKINS UNIVERSITY · PI OH, ESTHER SEUNGHEE · 2017 to 2021
$2.4M
Long Term Outcomes of Physical Activity in Older Adults with Critical IllnessK76AG054864 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BRUMMEL, NATHAN E · 2016 to 2020
$826k
Harnessing the Power of Technology to Transform Delirium Severity Measurement in the ICUK23AG076662 · NIA · MAYO CLINIC ROCHESTER · PI Heidi Lindroth · 2022 to 2026
$815k
Biological signatures of neurodegeneration and aging associated with delirium in older adults following hip fracture surgeryR03AG074035 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LAHUE, SARA CATHERINE · 2021 to 2022
$323k
Medical Research Council MR/L023210/1NHLBI NIH HHS T32 HL007820NIA NIH HHS K23 AG076662NIA NIH HHS K76 AG054864NIA NIH HHS P30 AG044281NIA NIH HHS R01 AG057725NIA NIH HHS R01 AG076525NIA NIH HHS R03 AG074035Wellcome Trust
6 · The paper itself

Abstract

backgroundDelirium, a common syndrome with heterogeneous etiologies and clinical presentations, is associated with poor long-term outcomes. Recording and analyzing all delirium equally could be hindering the field's understanding of pathophysiology and identification of targeted treatments. Current delirium subtyping methods reflect clinically evident features but likely do not account for underlying biology.

methodsThe Delirium Subtyping Initiative (DSI) held three sessions with an international panel of 25 experts.

resultsMeeting participants suggest further characterization of delirium features to complement the existing Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision diagnostic criteria. These should span the range of delirium-spectrum syndromes and be measured consistently across studies. Clinical features should be recorded in conjunction with biospecimen collection, where feasible, in a standardized way, to determine temporal associations of biology coincident with clinical fluctuations. DISCUSSION: The DSI made recommendations spanning the breadth of delirium research including clinical features, study planning, data collection, and data analysis for characterization of candidate delirium subtypes. HIGHLIGHTS: Delirium features must be clearly defined, standardized, and operationalized. Large datasets incorporating both clinical and biomarker variables should be analyzed together. Delirium screening should incorporate communication and reasoning.

Indexed as

DeliriumData CollectionDiagnostic and Statistical Manual of Mental DisordersHumansResearch Designacute encephalopathybiomarkersclinical featurescognitive changedeliriumendotypesubphenotypesubtype

Identifiers

PMID37522255
PMCPMC10917010

What OpenQuestion holds

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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.