Evidence map›Paper›PMID 37566435›Full record

ArticleJournal of geriatric psychiatry and neurology2024

Does the Etiology, Phenomenology and Motor Subtype of Delirium Differ When It Occurs in Patients With An Underlying Dementia?: A Multi-Site, International Study.

Kevin Glynn, Frank McKenna, Kevin Lally, Sandeep Grover, Subho Chakrabarti, Surendra K Mattoo, Ajita Avasthi, Akhilesh Sharma, Dimitrios Adamis, Fahad Awan and 6 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of geriatric psychiatry and neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Agitation Severity and Psychotropic Prescription in Acute Patients With Delirium Superimposed on Dementia.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Kevin GlynnDepartment of Psychiatry, University Hospital Limerick, Dooradoyle, Ireland.ORCID 0000-0002-2103-9006
Frank McKennaDepartment of Psychiatry, University Hospital Limerick, Dooradoyle, Ireland.
Kevin LallyDepartment of Psychiatry, University Hospital Limerick, Dooradoyle, Ireland.
Sandeep GroverDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Subho ChakrabartiDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Surendra K MattooDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ajita AvasthiDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Akhilesh SharmaDepartment of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Dimitrios AdamisCognitive Impairment Research Group, Graduate Entry Medical School, University of Limerick, Dooradoyle, Ireland.
Fahad AwanCognitive Impairment Research Group, Graduate Entry Medical School, University of Limerick, Dooradoyle, Ireland.
Colum P DunneCognitive Impairment Research Group, Graduate Entry Medical School, University of Limerick, Dooradoyle, Ireland.
John McFarlandCognitive Impairment Research Group, Graduate Entry Medical School, University of Limerick, Dooradoyle, Ireland.
Faiza JabbarPsychiatry for Later Life Service, University College Hospital, Galway, Ireland.
Henry O'ConnellCognitive Impairment Research Group, Graduate Entry Medical School, University of Limerick, Dooradoyle, Ireland.
Maeve LeonardDepartment of Psychiatry, University Hospital Limerick, Dooradoyle, Ireland.
David J MeagherDepartment of Psychiatry, University Hospital Limerick, Dooradoyle, Ireland.
University of Limerick · IEPost Graduate Institute of Medical Education and Research · INUniversity Hospital Galway · IEUniversity Hospital Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the etiology, phenomenology and motor subtype of delirium in patients with and without an underlying dementia.

methodsA combined dataset (n = 992) was collated from two databases of older adults (>65 years) from liaison psychiatry and palliative care populations in Ireland and India. Phenomenology and severity of delirium were analysed using the Delirium Symptom Rating Scale Revised (DRS-R98) and contributory etiologies for the delirium groups were ascertained using the Delirium Etiology Checklist (DEC). Delirium motor subtype was documented using the abbreviated version of the Delirium Motor Subtype Scale (DMSS4).

resultsDelirium superimposed on dementia (DSD) showed greater impairment in short term memory, long term memory and visuospatial ability than the delirium group but showed significantly less perceptual disturbance, temporal onset and fluctuation. Systemic infection, cerebrovascular and other Central nervous system etiology were associated with DSD while metabolic disturbance, organ insufficiency and intracranial neoplasm were associated with the delirium only group.

conclusionThe etiology and phenomenology of delirium differs when it occurs in the patient with an underlying dementia. We discuss the implications in terms of identification and management of this complex condition.

Indexed as

DeliriumDementiaAgedHumansIndiaMemory, Short-TermNeuropsychological Testscognitive impairmentdeliriumdelirium motor subtypesdementia

Identifiers

PMID37566435
PMCPMC10802083
OpenAlexW4385751601

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.