Risk factors for delirium: are systematic reviews enough?
Risk factors for delirium: are systematic reviews enough?
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DOI：
10.1097/ccm.0000000000000665
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发表时间：
2015-01
影响因子：
8.8
通讯作者：
Dowdy D
中科院分区：
文献类型：
--
作者：
Brown CH 4th;Dowdy D
重症监护医学www. ccmjournal。org 233治疗和HIV感染后的生存率（11），以及肾功能和全因死亡率之间的关系（12），对政策和临床实践都有重要意义。美国谵妄协会和欧洲谵妄协会都是活跃的团体，每年举行大型会议，非常适合促进这样的倡议。收集和测量一组常见的重要变量并标准化谵妄评估的方法和报告将是一个重大进步。此外，创建一个协作网络将有助于与类似的分析方法共享数据，从而更有力地评估风险因素，并深入了解谵妄的病理生理学和最佳临床管理。总之，Zaal等人（6）对谵妄风险因素的详尽审查值得称赞。然而，作者最重要的贡献可能不是他们的综述方法，而是他们阐明了我们目前对谵妄研究方法的局限性。在这样做的过程中，作者证明了如果我们最终要了解ICU谵妄危险因素的重要性并预防危重患者谵妄并发症，则需要合作的标准化研究方法。
Critical Care Medicine www. ccmjournal. org 233 therapy and survival after HIV infection (11), and between kidney function and all-cause mortality (12), with important implications for both policy and clinical practice. Both the American Delirium Society and European Delirium Association are vibrant groups with large annual meetings and would be well suited to facilitate such an initiative. Collecting and measuring a common set of important variables and standardizing the methods and reporting of delirium assessment would be a major advance. Further, creating a collaborative network would facilitate sharing of data with similar analytic approaches to allow much stronger evaluation of risk factors and lend insight into the pathophysiology and optimal clinical management of delirium.In summary, Zaal et al (6) should be applauded for their exhaustive review of risk factors for delirium. However, the authors’ most important contribution may not be the methodology of their review, but rather their elucidation of the limitations in our current approach to delirium research. In doing so, the authors demonstrate the need for collaborative standardized research approaches if we are ultimately to understand the importance of risk factors for ICU delirium and prevent the complications of delirium among critically ill patients.