亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Relationship Between Near-Infrared Spectroscopy-Derived Cerebral Oxygenation and Delirium in Critically Ill Patients: A Systematic Review

医学 谵妄 科克伦图书馆 重症监护医学 病危 梅德林 人口 重症监护 痴呆 急诊医学 荟萃分析 内科学 环境卫生 疾病 政治学 法学
作者
Nathaniel Bendahan,Oliver Neal,Amanda Ross‐White,John Muscedere,J. Gordon Boyd
出处
期刊:Journal of Intensive Care Medicine [SAGE]
卷期号:34 (6): 514-520 被引量:22
标识
DOI:10.1177/0885066618807399
摘要

Background: A common neurological complication of critical illness is delirium, defined as an acute change in level of consciousness, with impaired attention and disorganized thinking. Patients with delirium have increased risk of long-term cognitive dysfunction and mortality. The cause is unknown, which limits our ability to design therapeutic interventions. In patients undergoing surgery, low regional cerebral oxygenation (rSO2), as measured by near-infrared spectroscopy (NIRS), is associated with postoperative neurological dysfunction (eg delirium and long-term cognitive impairment). However, the relationship between NIRS-derived rSO2 and neurological outcomes in critically ill patients is unclear. The objective of this study was to assess the utilization of NIRS-derived rSO2 in critically ill patients outside the operating theater. We aimed to examine the relationship between rSO2 and neurological outcomes as well as to report rSO2 values in this population. Methods: The following databases were searched from inception to August 14, 2017: Ovid MedLine, Embase, Cochrane Library, and Web of Science. Results: Of 1410 articles identified by the search strategy, 8 were ultimately selected for final review. Most (7 of 8) were published since 2014. These studies included a total of 213 patients primarily with shock or respiratory failure. A variety of devices were used to measure rSO2, including INVOS and FORESIGHT. The duration of recording varied from 5 minutes to 72 hours. Four of the 8 studies reported on neurological outcomes. In all 4 studies, rSO2 was lower in critically ill patients who were delirious compared to controls, but this was only statistically significant in 2 of the studies. The heterogeneity in devices and duration of recording precluded meta-analysis. Conclusions: There is limited literature describing rSO2 in critically ill patients outside the operating room. Although there may be a slight signal of an association between low rSO2 and delirium, more study is needed to explore this relationship.
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
大幅提高文件上传限制,最高150M (2024-4-1)

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
欢喜怀绿完成签到,获得积分10
4秒前
33秒前
35秒前
调研昵称发布了新的文献求助10
38秒前
调研昵称发布了新的文献求助10
41秒前
林思完成签到,获得积分10
52秒前
56秒前
WerWu完成签到,获得积分10
1分钟前
阿明发布了新的文献求助10
1分钟前
大模型应助科研通管家采纳,获得10
2分钟前
2分钟前
年轻大楚发布了新的文献求助10
2分钟前
小马甲应助阿明采纳,获得10
2分钟前
年轻大楚完成签到,获得积分10
2分钟前
2分钟前
调研昵称发布了新的文献求助10
2分钟前
Sooinlee发布了新的文献求助10
2分钟前
wizardz发布了新的文献求助10
2分钟前
搜集达人应助科研通管家采纳,获得10
3分钟前
4分钟前
4分钟前
橘涂完成签到 ,获得积分10
4分钟前
调研昵称发布了新的文献求助10
4分钟前
4分钟前
无语发布了新的文献求助10
4分钟前
4分钟前
xpqiu完成签到,获得积分10
5分钟前
5分钟前
无语完成签到,获得积分20
5分钟前
Sooinlee完成签到,获得积分10
5分钟前
5分钟前
阿明发布了新的文献求助10
5分钟前
Nancy0818完成签到 ,获得积分10
6分钟前
Tirachen完成签到,获得积分10
6分钟前
Tirachen发布了新的文献求助10
6分钟前
情怀应助后会无期采纳,获得10
6分钟前
7分钟前
动听乐萱发布了新的文献求助10
7分钟前
科目三应助动听乐萱采纳,获得10
7分钟前
7分钟前
高分求助中
Sustainability in Tides Chemistry 1500
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Gerard de Lairesse : an artist between stage and studio 500
Digging and Dealing in Eighteenth-Century Rome 500
Queer Politics in Times of New Authoritarianisms: Popular Culture in South Asia 500
Livre et militantisme : La Cité éditeur 1958-1967 500
Retention of title in secured transactions law from a creditor's perspective: A comparative analysis of selected (non-)functional approaches 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 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 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3062985
求助须知:如何正确求助?哪些是违规求助? 2717920
关于积分的说明 7456576
捐赠科研通 2364178
什么是DOI,文献DOI怎么找? 1253324
科研通“疑难数据库(出版商)”最低求助积分说明 608499
版权声明 596552