Delirium monitoring in neurocritically Ill patients: a systematic review

Detalhes bibliográficos
Autor(a) principal: Patel, Mayur B.
Data de Publicação: 2018
Outros Autores: Bednarik, Josef, Lee, Patricia, Shehabi, Yahya, Salluh, Jorge I., Slooter, Arjen J., Klein, Kate E., Skrobik, Yoanna, Morandi, Alessandro, Spronk, Peter E., Naidech, Andrew M., Pun, Brenda T., Bozza, Fernando A., Marra, Annachiara, John, Sayona, Pandharipande, Pratik P., Ely, E. Wesley
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/33878
Resumo: 2020-07-08
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spelling Patel, Mayur B.Bednarik, JosefLee, PatriciaShehabi, YahyaSalluh, Jorge I.Slooter, Arjen J.Klein, Kate E.Skrobik, YoannaMorandi, AlessandroSpronk, Peter E.Naidech, Andrew M.Pun, Brenda T.Bozza, Fernando A.Marra, AnnachiaraJohn, SayonaPandharipande, Pratik P.Ely, E. Wesley2019-07-08T14:14:09Z2019-07-08T14:14:09Z2018PATEL, Mayur B. et al. Delirium monitoring in neurocritically Ill patients: a systematic review. Critical Care Medicine, v. 46, n. 11, p. 1832-1841, 2018.0090-3493https://www.arca.fiocruz.br/handle/icict/3387810.1097/CCM.00000000000033491530-0293engLippincott, Williams & WilkinsDelirium monitoring in neurocritically Ill patients: a systematic reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-07-08Critical Illness, Brain dysfunction, and ICU Survivorship Center. Nashville, TN, USA / Vanderbilt University Medical Center. Center for Health Services Research. Nashville, TN, USA / Tennessee Valley Healthcare System. Geriatric Research Education and Clinical Center. Department of Veterans Affairs Medical Center. Nashville, TN, USA / Vanderbilt University Medical Center. Vanderbilt Brain Institute. Section of Surgical Sciences. Departments of Surgery, Neurosurgery, Hearing & Speech Sciences. Division of Trauma, Surgical Critical Care, and Emergency General Surgery. Nashville, TN, USA / Tennessee Valley Healthcare System. Department of Veterans Affairs Medical Center. Surgical Service. Nashville, TN, USA.University Hospital Brno. Department of Neurology. Brno, Czech Republic / Masaryk University. Central European Institute of Technology. Applied Neuroscience Research Group. Brno, Czech Republic.Vanderbilt University Medical Center. Center for Knowledge Management. Nashville, TN, USA.University New South Wales. Clinical School of Medicine. Prince of Wales Hospital. Randwick, NSW, Australia.D’Or Institute for Research and Education. Rio De Janeiro, RJ, Brazil.University Medical Center Utrecht. Brain Center Rudolf Magnus. Department of Intensive Care Medicine. Utrecht. The Netherlands.Novant Health Presbyterian Medical Center. Charlotte, NC, USA.McGill University. Department of Medicine. Montreal, QC, Canada.Fondazione Camplani. Ancelle Hospital. Department of Rehabilitation and Aged Care. Cremona, Italy / Geriatric Research Group. Brescia, Italy.Gelre Ziekenhuizen. Department of Intensive Care. Apeldoorn, The Netherlands.Northwestern University. Feinberg School of Medicine. Departments of Neurology (Stroke and Neurocritical Care), Neurological Surgery, Anesthesiology, Medical Social Sciences, and Preventive Medicine (Health and Biomedical Informatics). Chicago, IL, USA.Vanderbilt University Medical Center. Department of Medicine. Division of Allergy, Pulmonary and Critical Care Medicine. Nashville, TN, USA.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Medicina Intensiva. Rio de Janeiro, RJ, Brasil.University of Naples. Department of Neurosciences and Department of Public Health. Naples, Italy.Rush University Medical Center. Department of Neurological Sciences. Section of Neurocritical Care. Chicago, IL, USA.Critical Illness, Brain dysfunction, and ICU Survivorship Center. Nashville, TN, USA / Vanderbilt University Medical Center. Center for Health Services Research. Nashville, TN, USA / Tennessee Valley Healthcare System. Geriatric Research Education and Clinical Center. Department of Veterans Affairs Medical Center. Nashville, TN, USA / Vanderbilt University Medical Center. Department of Anesthesiology. Division of Critical Care Medicine. Nashville, TN, USA / Tennessee Valley Healthcare System. Department of Veterans Affairs Medical Center. Anesthesiology Service. Nashville, TN, USA.Critical Illness, Brain dysfunction, and ICU Survivorship Center. Nashville, TN, USA / Vanderbilt University Medical Center. Center for Health Services Research. Nashville, TN, USA / Tennessee Valley Healthcare System. Geriatric Research Education and Clinical Center. Department of Veterans Affairs Medical Center. Nashville, TN, USA / Vanderbilt University Medical Center. Department of Medicine. Division of Allergy, Pulmonary and Critical Care Medicine. Nashville, TN, USA.Objectives: The Society of Critical Care Medicine recommends routine delirium monitoring, based on data in critically ill patients without primary neurologic injury. We sought to answer whether there are valid and reliable tools to monitor delirium in neurocritically ill patients and whether delirium is associated with relevant clinical outcomes (e.g., survival, length of stay, functional independence, cognition) in this population. Data Sources: We systematically reviewed Cumulative Index to Nursing and Allied Health Literature, Web of Science, and PubMed. Study Selection and Data Extraction: Inclusion criteria allowed any study design investigating delirium monitoring in neurocritically ill patients (e.g., neurotrauma, ischemic, and/or hemorrhagic stroke) of any age. We extracted data relevant to delirium tool sensitivity, specificity, negative predictive value, positive predictive value, interrater reliability, and associated clinical outcomes. Data Synthesis: Among seven prospective cohort studies and a total of 1,173 patients, delirium was assessed in neurocritically patients using validated delirium tools after considering primary neurologic diagnoses and associated complications, finding a pooled prevalence rate of 12–43%. When able to compare against a common reference standard, "Diagnostic and Statistical Manual of Mental Disorders", Fourth Edition, the test characteristics showed a sensitivity of 62–76%, specificity of 74–98%, positive predictive value of 63–91%, negative predictive value of 70–94%, and reliability kappa of 0.64–0.94. Among four studies reporting multivariable analyses, delirium in neurocritically patients was associated with increased hospital length of stay (n = 3) and ICU length of stay (n = 1), as well as worse functional independence (n = 1) and cognition (n = 2), but not survival. Conclusions: These data from studies of neurocritically ill patients demonstrate that patients with primary neurologic diagnoses can meet diagnostic criteria for delirium and that delirious features may predict relevant untoward clinical outcomes. There is a need for ongoing investigations regarding delirium in these complicated neurocritically ill patients.DeliriumIntensive care unitNeurocritical careNeurotraumaStrokeTraumatic brain injuryinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/33878/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Patel_Mayur_etal_INI_2018.pdfve_Patel_Mayur_etal_INI_2018.pdfapplication/pdf256501https://www.arca.fiocruz.br/bitstream/icict/33878/2/ve_Patel_Mayur_etal_INI_2018.pdfa526c8b46375664a77f3530a1cdd94bfMD52TEXTve_Patel_Mayur_etal_INI_2018.pdf.txtve_Patel_Mayur_etal_INI_2018.pdf.txtExtracted texttext/plain58563https://www.arca.fiocruz.br/bitstream/icict/33878/3/ve_Patel_Mayur_etal_INI_2018.pdf.txt4d99673f4160b9008f8079c8a2eaf54eMD53icict/338782021-03-24 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dc.title.pt_BR.fl_str_mv Delirium monitoring in neurocritically Ill patients: a systematic review
title Delirium monitoring in neurocritically Ill patients: a systematic review
spellingShingle Delirium monitoring in neurocritically Ill patients: a systematic review
Patel, Mayur B.
Delirium
Intensive care unit
Neurocritical care
Neurotrauma
Stroke
Traumatic brain injury
title_short Delirium monitoring in neurocritically Ill patients: a systematic review
title_full Delirium monitoring in neurocritically Ill patients: a systematic review
title_fullStr Delirium monitoring in neurocritically Ill patients: a systematic review
title_full_unstemmed Delirium monitoring in neurocritically Ill patients: a systematic review
title_sort Delirium monitoring in neurocritically Ill patients: a systematic review
author Patel, Mayur B.
author_facet Patel, Mayur B.
Bednarik, Josef
Lee, Patricia
Shehabi, Yahya
Salluh, Jorge I.
Slooter, Arjen J.
Klein, Kate E.
Skrobik, Yoanna
Morandi, Alessandro
Spronk, Peter E.
Naidech, Andrew M.
Pun, Brenda T.
Bozza, Fernando A.
Marra, Annachiara
John, Sayona
Pandharipande, Pratik P.
Ely, E. Wesley
author_role author
author2 Bednarik, Josef
Lee, Patricia
Shehabi, Yahya
Salluh, Jorge I.
Slooter, Arjen J.
Klein, Kate E.
Skrobik, Yoanna
Morandi, Alessandro
Spronk, Peter E.
Naidech, Andrew M.
Pun, Brenda T.
Bozza, Fernando A.
Marra, Annachiara
John, Sayona
Pandharipande, Pratik P.
Ely, E. Wesley
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Patel, Mayur B.
Bednarik, Josef
Lee, Patricia
Shehabi, Yahya
Salluh, Jorge I.
Slooter, Arjen J.
Klein, Kate E.
Skrobik, Yoanna
Morandi, Alessandro
Spronk, Peter E.
Naidech, Andrew M.
Pun, Brenda T.
Bozza, Fernando A.
Marra, Annachiara
John, Sayona
Pandharipande, Pratik P.
Ely, E. Wesley
dc.subject.en.pt_BR.fl_str_mv Delirium
Intensive care unit
Neurocritical care
Neurotrauma
Stroke
Traumatic brain injury
topic Delirium
Intensive care unit
Neurocritical care
Neurotrauma
Stroke
Traumatic brain injury
description 2020-07-08
publishDate 2018
dc.date.issued.fl_str_mv 2018
dc.date.accessioned.fl_str_mv 2019-07-08T14:14:09Z
dc.date.available.fl_str_mv 2019-07-08T14:14:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PATEL, Mayur B. et al. Delirium monitoring in neurocritically Ill patients: a systematic review. Critical Care Medicine, v. 46, n. 11, p. 1832-1841, 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/33878
dc.identifier.issn.pt_BR.fl_str_mv 0090-3493
dc.identifier.doi.none.fl_str_mv 10.1097/CCM.0000000000003349
dc.identifier.eissn.none.fl_str_mv 1530-0293
identifier_str_mv PATEL, Mayur B. et al. Delirium monitoring in neurocritically Ill patients: a systematic review. Critical Care Medicine, v. 46, n. 11, p. 1832-1841, 2018.
0090-3493
10.1097/CCM.0000000000003349
1530-0293
url https://www.arca.fiocruz.br/handle/icict/33878
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Lippincott, Williams & Wilkins
publisher.none.fl_str_mv Lippincott, Williams & Wilkins
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron:FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
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