Evidence map›Paper›PMID 40903402›Full record

ArticleAcute and critical care2025

Nursing delirium management to promoting critically ill patients' safety: an umbrella review.

Daniela Carvalho Plácido, Maria do Rosário Pinto, Maria Cândida Durão, Helga Rafael Henriques, Joana Ferreira Teixeira

Abstract read
In one paragraph

Article in Acute and critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Daniela Carvalho PlácidoStudent in Master in Medical-Surgical Nursing - Critical Care, RN in Unidade de Urgência Médica da ULS S. José, Lisbon, Portugal.
Maria do Rosário PintoNursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Escola Superior de Enfermagem de Lisboa - id. Care Project, Lisbon, Portugal.
Maria Cândida DurãoNursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Escola Superior de Enfermagem de Lisboa - id. Care Project, Lisbon, Portugal.
Helga Rafael HenriquesNursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Escola Superior de Enfermagem de Lisboa - id. Care Project, Lisbon, Portugal.
Joana Ferreira TeixeiraNursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Escola Superior de Enfermagem de Lisboa - id. Care Project, Lisbon, Portugal.

Funding

Portuguese School of Higher Education in Nursing
6 · The paper itself

Abstract

Delirium is an acute disorder characterized by changes in the patient's cognitive function, which another neurocognitive or pre-existing disease cannot explain. It produces adverse outcomes for critically ill patients and their families related to adverse events associated with the accidental removal of medical devices that increase the risk of the patient and the length of stay at the hospital, manifested by agitation and confusion behaviors. Five reviewers conducted An Umbrella Review from May to August 2023 through research in the databases Medline, CINAHL, Scopus, Web of Science, Cochrane Database of Systematic Reviews and articles obtained through research in other sources. After verifying their eligibility, we obtained 22 systematic reviews and meta-analyses for data extraction and analysis. From the results obtained, the importance of the implementation of surveillance interventions and systematic evaluation of the presence of delirium is highlighted, with particular emphasis on the use of the scale, Confusion Assessment Method, followed by the implementation of multicomponent interventions, pharmacological or not, highlighting the use of dexmedetomidine and family as support, as well early mobilization for the management of delirium. Managing delirium in critically ill patients based on Meyer and Lavin's theory, is an area sensitive to nursing care with an impact on the prevention of complications and consequent promotion of the safety of these patients, which also translates into positive results for the family and health organizations, reducing morbidity, mortality, length of stay and health costs.

Indexed as

critical caredeliriumdelirium managementnursing caresafety

Identifiers

PMID40903402
PMCPMC12408456

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.