Evidence map›Paper›PMID 37892725›Full record

ReviewJournal of clinical medicine2023

A Lethal Combination of Delirium and Overcrowding in the Emergency Department.

Alessandra Bonfichi, Iride Francesca Ceresa, Andrea Piccioni, Christian Zanza, Yaroslava Longhitano, Zoubir Boudi, Ciro Esposito, Gabriele Savioli

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Beyond Triage: Cognitive Profiles and ED-To-Inpatient Costs and Resource Pathways in Older Adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  7. Article
  8. Article
  9. 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

8 authors at 4 institutions in 2 countries.

Alessandra BonfichiDepartment of Internal Medicine, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.
Iride Francesca CeresaDepartment of Emergency Medicine, Humanitas University-Research Hospital, 20089 Rozzano, Italy.ORCID 0000-0001-5460-4625
Andrea PiccioniDepartment of Emergency, Fondazione Policlinico Universitario A. Gemelli, IRCCS Fondazione Policlinico San Matteo, 00168 Roma, Italy.ORCID 0000-0001-5703-8737
Christian ZanzaItalian Society of Pre-Hospital Emergency Medicine (SIS-118), 74121 Taranto, Italy.
Yaroslava LonghitanoDepartment of Emergency Medicine, Humanitas University-Research Hospital, 20089 Rozzano, Italy.ORCID 0000-0001-8831-1361
Zoubir BoudiDepartment of Emergency Medicine, Dr Sulaiman Alhabib Hospital, Dubai 2542, United Arab Emirates.ORCID 0000-0002-7851-5130
Ciro EspositoNephrology and Dialysis Unit, ICS Maugeri, University of Pavia, 27100 Pavia, Italy.
Gabriele SavioliEmergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Policlinico San Matteo Fondazione · ITHumanitas University · ITItalian Society of Physiotherapy · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delirium is a common public health concern that significantly impacts older patients admitted to the Emergency Department (ED). This condition is linked to adverse outcomes such as reduced long-term functionality, higher mortality rates, extended hospital stays, and increased medical costs. The identification of risk factors is crucial for the early recognition and management of delirium in ED patients. Aging, cognitive decline, polypharmacy, and sensory impairment are some of the most common general risk factors described in the literature. Although validated delirium assessment tools already exist, they are not practical for the fast-paced ED environment because of their extended evaluation period or specialized training request. Moreover, clear guidance is needed to select the most suitable tool for detecting delirium, balancing between the accuracy and the swiftness required in an overcrowded, high-stress, and understaffed healthcare setting. This narrative review aims to analyze the updated literature on delirium risk factors in older ED patients and focuses on the methods for better screening, managing, and treating this condition in the ED.

Indexed as

acute confusionassessmentdeliriumdementiadiagnosiselderemergency careemergency departmentemergency medicineepidemiologyetiologyovercrowdingrisk factors

Identifiers

PMID37892725
PMCPMC10607343
OpenAlexW4387737833

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.