keyword
https://read.qxmd.com/read/38321514/spanish-transcultural-adaptation-of-the-4at-score-for-the-evaluation-of-delirium-in-the-emergency-department-a-prospective-diagnostic-test-accuracy-study
#21
JOURNAL ARTICLE
Marta Morales-Puerto, María Ruiz-Díaz, Silvia García-Mayor, Álvaro León-Campos, José Miguel Morales-Asencio, José Carlos Canca-Sánchez, Sonia Gavira-Guerra, Cecilia Toledo-Fernandez, Marta Aranda-Gallardo
BACKGROUND: Delirium is one of the most common adverse events in older people during hospitalization, especially in the emergency department. Reliable, easy-to-use instruments are necessary to properly manage delirium in this setting. This study aims to evaluate the diagnostic validity of the Spanish version of the 4 'A's Test (4AT) in the ED. METHODS: A diagnostic accuracy study was conducted in patients over 65 years old admitted to the Emergency Department who did not have a formal diagnosis of dementia or a severe mental health disorder...
February 6, 2024: BMC Nursing
https://read.qxmd.com/read/38314872/poor-olfaction-prior-to-cardiac-surgery-association-with-cognition-plasma-neurofilament-light-and-post-operative-delirium
#22
JOURNAL ARTICLE
Vidyulata Kamath, Lisa R Yanek, Karin J Neufeld, Alexandria Lewis, Hamza Aziz, Lan M Le, Jing Tian, Abhay Moghekar, Charles W Hogue, Charles H Brown
OBJECTIVES: Post-operative delirium (POD) affects up to 50% of cardiac surgery patients, with higher incidence in older adults. There is increasing need for screening tools that identify individuals most vulnerable to POD. Here, we examined the relationship between pre-operative olfaction and both incident POD and POD severity in patients undergoing cardiac surgery. We also examined cross-sectional relationships between baseline olfaction, cognition, and plasma neurofilament light (NfL)...
February 2024: International Journal of Geriatric Psychiatry
https://read.qxmd.com/read/38314508/hemichorea-hemiballismus-associated-with-a-case-of-cerebral-toxoplasmosis-in-a-hematopoietic-stem-cell-transplant-recipient
#23
JOURNAL ARTICLE
Xiomara Rocha-Cadman, Amanda R Revilla, Karla Cadman, James C Root
Due to their immunocompromised state, recipients of hematopoietic stem cell transplants (HSCTs) are at a higher risk of opportunistic infections, such as that of toxoplasmosis. Toxoplasmosis is a rare but mortal infection that can cause severe neurological symptoms, including confusion. In immunosuppressed individuals, such as those with acquired immunodeficiency syndrome (AIDS), toxoplasmosis can cause movement disorders, including hemichorea-hemiballismus. We present the case of a 54-year-old Caucasian male with a history of hypertension and JAK-2-negative primary myelofibrosis who underwent an allogeneic peripheral blood stem cell transplant from a related donor...
February 5, 2024: Palliative & Supportive Care
https://read.qxmd.com/read/38313744/comparison-of-safety-and-efficacy-between-laparoscopic-ventral-rectopexy-and-delorme-s-procedure-for-external-rectal-prolapse-in-nonagenarians
#24
JOURNAL ARTICLE
Akira Tsunoda, Satoshi Matsuda, Hiroshi Kusanagi
OBJECTIVES: This study evaluates the safety and efficacy of laparoscopic ventral rectopexy (LVR) in nonagenarian patients with external rectal prolapse (ERP) compared to Delorme's procedure. METHODS: We conducted a retrospective analysis of prospectively collected data, including nonagenarian patients who underwent either LVR or Delorme's procedure, comparing outcomes such as morbidity, length of hospital stay (LOS), and recurrence rates. RESULTS: Between September 2009 and August 2023, 22 patients (median age 91, range 90-94 years) underwent LVR, while 12 patients (median age 91, range 90-96 years) received Delorme's procedure...
2024: Journal of the Anus, Rectum and Colon
https://read.qxmd.com/read/38307226/outcomes-following-use-of-bovine-pericardium-xenoprosthetic-grafts-for-reconstruction-of-mycotic-aortic-aneurysms-and-infected-aortic-grafts-a-systematic-review-and-meta-analysis
#25
REVIEW
Samuel Grills, Nadia El-Diaz, Abigail Walker-Jacobs, Joseph Borucki, Philip Stather
OBJECTIVE: Infected aortic grafts and mycotic aneurysms represent one of the most complex challenges faced by vascular surgeons. Treatment has progressed from extra-anatomical bypass to in-situ reconstruction. Additionally, Bovine pericardium reconstruction (BPR) has increased, due to accessibility and reduced lower limb morbidity. There remains, however, limited evidence for its use. The aim is to pool all known data to understand outcomes following BPR of mycotic aneurysms or infected vascular grafts...
January 31, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38302424/postoperative-delirium
#26
JOURNAL ARTICLE
L Urbánek, P Urbánková, I Satinský, T Trávníček, I Penka, J Hruda
Postoperative delirium is a serious complication occurring mainly in patients over 65 years. This complication is common in the above mentioned age group and has been described in up to 50% of patients. Postoperative delirium has a significant impact both on postoperative morbidity and mortality. Systematic and early detection of at-risk patients is essential to reduce the risk of postoperative delirium. Targeted efforts are then developed in thus identified patients to reduce the risk factors for developing delirium...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/38300249/successful-treatment-of-severe-alcohol-withdrawal-delirium-with-very-high-dose-diazepam-260-480%C3%A2-mg-administration
#27
JOURNAL ARTICLE
Şükrü Alperen Korkmaz, Ebru Aldemir, Demet Güleç Öyekçin
Introduction: Alcohol withdrawal delirium, commonly known as "delirium tremens (DT)", is the most severe clinical condition of alcohol withdrawal syndrome (AWS). Symptoms of DT include changes in consciousness and cognitive and perceptual impairments that fluctuate during the day. Treatment includes general support, such as helping the patient to re-orientate, close monitoring of vital signs and adequate hydration, and symptomatic treatment for agitation, autonomic instability, and hallucinations. In symptomatic treatment of DT, benzodiazepines are most commonly preferred due to their GABA-ergic effects...
February 1, 2024: Current Medical Research and Opinion
https://read.qxmd.com/read/38291898/target-flow-deviations-on-the-cardiopulmonary-bypass-cause-postoperative-delirium-in-cardiothoracic-surgery-a-retrospective-study-evaluating-temporal-fluctuations-of-perfusion-data
#28
JOURNAL ARTICLE
Johannes Krefting, Hagen Gorki, Markus Hoenicka, Günter Albrecht, Robert Kraft, Andreas Liebold
OBJECTIVES: Postoperative delirium is common, costly, and associated with long-term morbidity and increased mortality. We conducted a cohort study to assess the contribution of cardiopulmonary bypass to the development of postoperative delirium by means of algorithm-based data processing. METHODS: A database was compiled from three datasets of patients who underwent cardiac surgery between 2014 and 2019: Intensive care unit discharge files, cardiopulmonary bypass protocols, and medical quality management records...
January 30, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38279829/characterization-of-alcohol-related-seizures-in-withdrawal-syndrome
#29
JOURNAL ARTICLE
Bettina Kata Kádár, Janka Gajdics, Ildikó Katalin Pribék, Bálint Andó, Bence András Lázár
OBJECTIVE: Alcohol-related seizures (ARS) are one of the most important consequences of alcohol withdrawal syndrome (AWS). However, demographic and clinical characteristics, and furthermore, the relationship of ARS with delirium tremens (DT), have not yet been evaluated in detail. Therefore, the aim of the present study was to reveal the correlates of ARS and examine the interaction of ARS with the occurrence of DT and with the severity of AWS. METHODS: In the retrospective study (Study 1) 2851 medical charts of inpatient admissions characterized by AWS and DT were listed...
January 27, 2024: Epilepsia Open
https://read.qxmd.com/read/38277519/is-there-a-difference-between-preoperative-and-postoperative-delirium-in-elderly-hip-fracture-patients-a-retrospective-case-control-study
#30
JOURNAL ARTICLE
Chaemoon Lim, Young Ho Roh, Yong-Geun Park, Jaeryun Lee, Kwang Woo Nam
Delirium is associated with greater morbidity, higher mortality, and longer periods of hospital day after hip fracture. There are number of studies on postoperative delirium after a hip fracture. However, few studies have made a distinction between preoperative and postoperative delirium. The purpose of this study is to compare risk factors and clinical outcome between preoperative and postoperative delirium in elderly patients with a hip fracture surgery. A total of 382 consecutive patients aged > 65 years who underwent operation for hip fracture were enrolled...
January 26, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38258654/combined-prognostic-impact-of-low-muscle-mass-and-hypoalbuminemia-in-patients-hospitalized-for-heart-failure-a%C3%A2-retrospective-cohort-study
#31
JOURNAL ARTICLE
Saeid Mirzai, Kunaal S Sarnaik, Ian Persits, Pieter Martens, Jerry D Estep, Po-Hao Chen, W H Wilson Tang
BACKGROUND: Sarcopenia and hypoalbuminemia have been identified as independent predictors of increased adverse outcomes, including mortality and readmissions, in hospitalized older adults with acute decompensated heart failure (ADHF). However, the impact of coexisting sarcopenia and hypoalbuminemia on morbidity and death in adults with ADHF has not yet been investigated. We aimed to investigate the combined effects of lower muscle mass (LMM) as a surrogate for sarcopenia and hypoalbuminemia on in-hospital and postdischarge outcomes of patients hospitalized for ADHF...
January 23, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38245939/enhancing-delirium-assessment-and-management-through-nursing-education-interventions-a-scoping-review
#32
REVIEW
Yunchuan Zhao, Nicolette Missbrenner, H Daniel Xu, Jayne Josephson
AIM/OBJECTIVE: The purpose of this scoping review was to explore the characteristics and outcomes of education interventions for nurses focused on delirium assessment and management. BACKGROUND: Delirium is a prevalent acute and reversible neuropsychiatric syndrome in hospitalized patients. Delirium can cause cognitive, psychiatric and physical impairments and result in prolonged hospital stay, increased risk of readmission and elevated morbidity and mortality rates...
January 11, 2024: Nurse Education in Practice
https://read.qxmd.com/read/38237791/investigation-of-serum-bdnf-levels-in-alcohol-withdrawal-syndrome-with-and-without-other-medical-co-morbidities
#33
JOURNAL ARTICLE
Marta Malinowska-Kubiak, Magda Malewska-Kasprzak
No abstract text is available yet for this article.
January 16, 2024: Alcohol
https://read.qxmd.com/read/38228452/preoperative-delirium-risk-screening-in-patients-undergoing-a-cardiac-surgery-results-from-the-prospective-observational-finderi-study
#34
JOURNAL ARTICLE
Monika Sadlonova, Niels Hansen, Hermann Esselmann, Christopher M Celano, Carlotta Derad, Thomas Asendorf, Mohammed Chebbok, Stephanie Heinemann, Adriana Wiesent, Jessica Schmitz, Frederike E Bauer, Julia Ehrentraut, Ingo Kutschka, Jens Wiltfang, Hassina Baraki, Christine A F von Arnim
OBJECTIVE: Postoperative delirium (POD) is a common complication of cardiac surgery that is associated with higher morbidity, longer hospital stay, cognitive decline, and mortality. Preoperative assessments may help to identify patients´ POD risk. However, a standardized screening assessment for POD risk has not been established. DESIGN: Prospective observational FINd DElirium RIsk factors (FINDERI) study. PARTICIPANTS: Patients aged ≥50 years undergoing cardiac surgery...
December 29, 2023: American Journal of Geriatric Psychiatry
https://read.qxmd.com/read/38218222/outcomes-of-total-aortic-arch-replacement-in-a-canadian-nationwide-registry
#35
JOURNAL ARTICLE
Julia F Chen, Maral Ouzounian, Mark Peterson, Mark Tatangelo, Francois Dagenais, Ali Hage, Thomas F Lindsay, Michael W A Chu, Jennifer Chung
BACKGROUND: Accurate benchmarking of outcomes following elective open total arch replacement is important for surgical decision-making and for comparisons to emerging endovascular technologies. METHODS: A multicenter registry of consecutive aortic arch procedures in 9 centers across Canada contained 250 elective total arch replacements from 2010 to 2021. A total of 728 patients undergoing elective hemiarch replacement over the same time period was used as a comparator group...
January 11, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38192765/effect-of-remimazolam-on-electroencephalogram-burst-suppression-in-elderly-patients-undergoing-cardiac-surgery-protocol-for-a-randomized-controlled-noninferiority-trial
#36
JOURNAL ARTICLE
Zheng-Min Ma, Jing-Hui Hu, Yao-Yu Ying, Xian Chen, Jing-Ya Xu, Wen-Wen Huo, Hong Liu, Fu-Hai Ji, Ke Peng
BACKGROUND: Postoperative delirium (POD) is a common complication following cardiac surgery and increases postoperative morbidity and mortality. Intraoperative electroencephalogram (EEG) burst suppression suggests excessively deep anesthesia and predicts POD. Use of remimazolam provides a stable hemodynamic status and an appropriate depth of anesthesia. We aim to assess remimazolam administered for anesthesia and sedation in elderly patients having cardiac surgery. METHODS: This is a randomized controlled clinical trial with noninferiority design...
January 15, 2024: Heliyon
https://read.qxmd.com/read/38184824/the-prognostic-validity-of-delirium-severity-as-measured-by-delirium-observation-screening-scale-dos-scale-on-adverse-outcomes
#37
JOURNAL ARTICLE
Elyshia Ann Gray, Champa Ranasinghe, Hui-Shan Lin
OBJECTIVE: To investigate whether an assessment of delirium severity at diagnosis using the Delirium Observation Screening Scale (DOS scale) predicts adverse outcomes in hospital and on discharge. METHODS: A prospective cohort study was conducted on a convenience sample of patients admitted to an acute geriatric ward with delirium over an eight-month period. DOS scale was administered to the patients within 48 h of delirium diagnosis to measure delirium severity...
January 7, 2024: Australasian Journal on Ageing
https://read.qxmd.com/read/38182982/clinical-characteristics-and-outcomes-of-covid-19-patients-with-preexisting-dementia-a-large-multicenter-propensity-matched-brazilian-cohort-study
#38
JOURNAL ARTICLE
Maria Aparecida Camargos Bicalho, Márlon Juliano Romero Aliberti, Polianna Delfino-Pereira, Victor Schulthais Chagas, Patryk Marques da Silva Rosa, Magda Carvalho Pires, Lucas Emanuel Ferreira Ramos, Adriana Falangola Benjamin Bezerra, Ana Beatriz de Castro Feres, Angélica Gomides Dos Reis Gomes, Angelinda Rezende Bhering, Bruno Porto Pessoa, Carla Thais Cândida Alves da Silva, Christiane Corrêa Rodrigues Cimini, Claudia Kimie Suemoto, Cristiana Andrade Coelho Dias, Daniela Dos Reis Carazai, Daniela Ponce, Danyelle Romana Alves Rios, Euler Manenti, Fernando Anschau, Joanna d'Arc Lyra Batista, Joice Coutinho de Alvarenga, Julia Avancini Viguini, Julia Mariot Zanellato, Juliana Machado Rugolo, Karen Brasil Ruschel, Leticia do Nascimento, Luanna Silva Monteiro Menezes, Lucas Moyses Carvalho de Oliveira, Luís César de Castro, Luiz Antônio Nasi, Marcelo Carneiro, Maria Angélica Pires Ferreira, Mariana Frizzo de Godoy, Milton Henriques Guimarães-Júnior, Neimy Ramos de Oliveira, Patricia Klarmann Ziegelmann, Paula Fonseca Porto, Paulo Mascarenhas Mendes, Pedro Gibson Paraíso, Priscilla Pereira Dos Reis, Saionara Cristina Francisco, Silvia Ferreira Araújo, Thiago Junqueira Avelino-Silva, Milena Soriano Marcolino
BACKGROUND: Although dementia has emerged as an important risk factor for severe SARS-CoV-2 infection, results on COVID-19-related complications and mortality are not consistent. We examined the clinical presentations and outcomes of COVID-19 in a multicentre cohort of in-hospital patients, comparing those with and without dementia. METHODS: This retrospective observational study comprises COVID-19 laboratory-confirmed patients aged ≥ 60 years admitted to 38 hospitals from 19 cities in Brazil...
January 5, 2024: BMC Geriatrics
https://read.qxmd.com/read/38167861/reduced-length-of-intensive-care-unit-stay-and-early-mechanical-ventilator-weaning-with-enhanced-recovery-after-surgery-eras-in-free-fibula-flap-surgery
#39
JOURNAL ARTICLE
Wei-Ling Hsiao, Yao-Cheng Wu, Hao-Chih Tai
This study aimed to evaluate the effects of the enhanced recovery after surgery (ERAS) program on postoperative recovery of patients who underwent free fibula flap surgery for mandibular reconstruction. This retrospective study included 188 patients who underwent free fibula flap surgery for complex mandibular and soft tissue defects between January 2011 and December 2022. We divided them into two groups: the ERAS group, consisting of 36 patients who were treated according to the ERAS program introduced from 2021 to 2022...
January 3, 2024: Scientific Reports
https://read.qxmd.com/read/38141049/pre-stroke-and-early-post-stroke-apathy-is-associated-with-increased-risk-of-dementia-3%C3%A2-months-after-stroke
#40
JOURNAL ARTICLE
Anna Maria Lopatkiewicz, Agnieszka Slowik, Tomasz Dziedzic
OBJECTIVES: Apathy is a frequent neuropsychiatric syndrome after stroke. We determined whether pre-morbid and early post-stroke apathy predicts dementia 3 months after stroke. METHODS: We included ischemic stroke patients without dementia who participated in the Prospective Observational Polish Study on post-stroke delirium. We used the Neuropsychiatric Inventory and clinician-reported version of Apathy Evaluation Scale to score apathy symptoms before stroke and on day 8 after stroke...
December 2023: International Journal of Geriatric Psychiatry
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