已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Risk factors for delirium among hospitalized adults with COVID-19: A systematic review and meta-analysis of cohort studies

医学 谵妄 科克伦图书馆 梅德林 奇纳 队列研究 荟萃分析 重症监护医学 内科学 精神科 政治学 心理干预 法学
作者
Yating Guo,Jiamin Lin,Tingting Wu,Tingting Zhou,Yan Mu
出处
期刊:International Journal of Nursing Studies [Elsevier BV]
卷期号:148: 104602-104602 被引量:3
标识
DOI:10.1016/j.ijnurstu.2023.104602
摘要

This study aims to systematically assess the risk factors, the overall strength of association, and evidence quality related to delirium among adults hospitalized with COVID-19. A comprehensive search was conducted in thirteen databases from inception to February 10, 2023. The included databases were thoroughly searched, including PubMed, Web of Science, Proquest, Ovid MEDLINE, CINAHL, Scopus, the Cochrane Library, FMRS, Wanfang Database, Chinese Biomedical Database (CBM), China Knowledge Resource Integrated Database (CNKI), Weipu Database (VIP), and Embase. The search was limited to articles published in English and Chinese. The selected studies were screened, data were extracted, and the quality was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was performed using RevMan 5.4 software. The certainty of the evidence was assessed using the GRADE criteria. A total of 22 cohort studies with a sample size of 11,957 individuals were included in the analysis. Among these studies, 20 were of high quality, while the remaining 2 were of moderate quality. The risk factors that showed the strongest association with delirium were prior cognitive impairment (including dementia), mechanical ventilation, and ICU admission. Age, frailty (Clinical Frailty Scale score > 5), antipsychotic use, benzodiazepine use, neutrophil-to-lymphocyte ratio, and vasopressor use were identified as moderate risk factors for delirium. According to the GRADE evaluation, ICU admission, benzodiazepine use, neutrophil-to-lymphocyte ratio, and vasopressor use had a high-quality body of evidence, while antipsychotic usage had an intermediate-quality body of evidence. All other risk factors had a low-quality body of evidence. This systematic review and meta-analysis identified several medium- to high-intensity risk factors for delirium in hospitalized adults with COVID-19. ICU admission, benzodiazepine usage, neutrophil-to-lymphocyte ratio, antipsychotic use, and vasopressor use were associated with delirium and were supported by medium- to high-quality evidence. These findings provide healthcare professionals with an evidence-based basis for managing and treating delirium in hospitalized adults with COVID-19.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
迷路的夏之完成签到,获得积分10
1秒前
乐乐应助hyr采纳,获得10
3秒前
小丫发布了新的文献求助10
3秒前
kaka发布了新的文献求助10
4秒前
不安分的橙子完成签到 ,获得积分10
5秒前
5秒前
谦让幻珊完成签到,获得积分10
5秒前
羊绮发布了新的文献求助10
6秒前
饶丹发布了新的文献求助10
8秒前
胡林完成签到,获得积分10
9秒前
10秒前
Chengcheng发布了新的文献求助10
11秒前
芯之痕发布了新的文献求助10
11秒前
自觉向秋发布了新的文献求助10
12秒前
13秒前
大秦完成签到,获得积分10
16秒前
fjiang2003发布了新的文献求助10
17秒前
土豆泥关注了科研通微信公众号
18秒前
小方发布了新的文献求助10
20秒前
liuxl完成签到,获得积分10
20秒前
袋鼠给袋鼠的求助进行了留言
21秒前
21秒前
23秒前
香蕉觅云应助爻解采纳,获得10
24秒前
24秒前
李健应助胡林采纳,获得10
26秒前
纸鸢发布了新的文献求助10
26秒前
打打应助科研通管家采纳,获得10
26秒前
26秒前
科研通AI5应助科研通管家采纳,获得10
26秒前
26秒前
orixero应助科研通管家采纳,获得10
26秒前
Smile发布了新的文献求助30
26秒前
利物鸟贝拉完成签到,获得积分10
27秒前
27秒前
hyr发布了新的文献求助10
28秒前
ohh发布了新的文献求助10
28秒前
Lamis完成签到 ,获得积分10
29秒前
17852573662完成签到,获得积分10
29秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976455
求助须知:如何正确求助?哪些是违规求助? 3520548
关于积分的说明 11203850
捐赠科研通 3257210
什么是DOI,文献DOI怎么找? 1798648
邀请新用户注册赠送积分活动 877835
科研通“疑难数据库(出版商)”最低求助积分说明 806539