The neuropsychological profile of delirium vulnerability: A systematic review and meta-analysis
Neuroscience & Biobehavioral Reviews, ISSN: 0149-7634, Vol: 132, Page: 248-259
2022
- 3Citations
- 30Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations3
- Citation Indexes3
- CrossRef3
- Captures30
- Readers30
- 30
Review Description
Delirium is a common neurocognitive disorder in hospitalised older adults with substantial negative consequences. Impaired global cognition is a well-established delirium risk factor. However, poor performance on attention tests and higher intra-subject variability may be more sensitive delirium risk factors, given the disorder is characterised by a fluctuating course and attentional deficits. We systematically searched databases (Embase, PsycINFO, MEDLINE) and 44 studies satisfied inclusion criteria. Random-effects meta-analysis models showed poor performance in all cognitive domains except perception was significantly associated with incident delirium. Largest effects were for orientation ( g =-1.20) and construction and motor performance ( g =-0.60). These effects were no longer significant in the subgroup without pre-existing cognitive impairment, where executive functions and verbal functions and language skills were associated with incident delirium. A small, non-significant association between intra-subject variability and incident delirium was found ( g =0.42). Cognitive domain specific tests may be quicker and more sensitive predictors of incident delirium. This pattern of neuropsychological findings supports the proposition that vulnerability for delirium manifests as a dysfunction of whole-brain information integration.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0149763421005479; http://dx.doi.org/10.1016/j.neubiorev.2021.11.046; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85120652912&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/34863781; https://linkinghub.elsevier.com/retrieve/pii/S0149763421005479; https://dx.doi.org/10.1016/j.neubiorev.2021.11.046
Elsevier BV
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