Serum biomarkers of delirium in the elderly: a narrative review.


Journal

Annals of intensive care
ISSN: 2110-5820
Titre abrégé: Ann Intensive Care
Pays: Germany
ID NLM: 101562873

Informations de publication

Date de publication:
01 Jul 2019
Historique:
received: 06 06 2019
accepted: 20 06 2019
entrez: 3 7 2019
pubmed: 3 7 2019
medline: 3 7 2019
Statut: epublish

Résumé

Delirium after surgery and in the intensive care unit (ICU) remains a challenge for patients, families, and caregivers. Over the years, many promising biomarkers have been investigated as potential instruments for risk stratification of delirium. This review aimed to identify and assess the clinical usefulness of candidate serum biomarkers associated with hospital delirium in patients aged 60 years and older. We performed a time-unlimited review of publications indexed in PubMed, Cochrane, Embase, and MEDLINE databases until June 2019 that evaluated baseline and/or longitudinal biomarker measurements in patients suffering from delirium at some point during their hospital stay. A total of 32 studies were included in this review reporting information on 7610 patients. Of these 32 studies, twenty-four studies reported data from surgical patients including four studies in ICU cohorts, five studies reported data from medical patients (1026 patients), and three studies reported data from a mixed cohort (1086 patients), including one study in an ICU cohort. Findings confirm restricted clinical usefulness to predict or diagnose delirium due to limited evidence on which biomarkers can be used and limited availability due to non-routine use.

Identifiants

pubmed: 31263968
doi: 10.1186/s13613-019-0548-1
pii: 10.1186/s13613-019-0548-1
pmc: PMC6603109
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

76

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Auteurs

Katharina Toft (K)

Department for Anesthesia, Intensive Care and Emergency Medicine, See-Spital, Horgen, Kilchberg, Switzerland.
Institute for Anesthesia and Intensive Care, Hirslanden Klinik Zurich, Zurich, Switzerland.

Janna Tontsch (J)

Department for Intensive Care, University Hospital Basel, Basel, Switzerland.

Salim Abdelhamid (S)

Department for Intensive Care, University Hospital Basel, Basel, Switzerland.

Luzius Steiner (L)

Medical Faculty of the University of Basel, Basel, Switzerland.
Department for Anesthesia, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, Basel, Switzerland.

Martin Siegemund (M)

Department for Intensive Care, University Hospital Basel, Basel, Switzerland.
Medical Faculty of the University of Basel, Basel, Switzerland.

Alexa Hollinger (A)

Department for Intensive Care, University Hospital Basel, Basel, Switzerland. alexa.hollinger@usb.ch.

Classifications MeSH