JAMA Neurol: Delirium is an important risk factor for long-term cognitive decline.
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Last Update: 2020-07-17
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Source: Internet
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Author: User
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!---- delirium can lead to increased medical expenses, complications, and mortality, and researchers recently looked at the association between delirium and long-term cognitive declinethis study is a systematic review and meta-analysis of data from January 1, 1965 to December 31, 2018, with key words including delirium and postoperative cognitive dysfunction; delirium and cognitive impairment; delirium and dementia; and delirium and memoryThe main endpoint of thestudy was the decline in cognitive ability of the delirium group compared to those who had no delirium experiencethe study included data from 23 studies, including 3,562 delirium patients and 6,987 delirium-free control groupsstudy found a significant association between delirium and long-term cognitive decline, with the estimated effect size (Hedges g) in 23 studies at 0.45in all studies, patients who experienced delirium had poorer cognitive ability in the last evaluation nodeThe I2 value for heterogeneity betweenstudies is 0.81multivariate metaregression analysis shows that follow-up time (longer, gs is larger), the number of covariates controlled (more number, less gs), and baseline cognitive matching (matching with largegs) are the main factors of biassubgroup and meta-regression analysis show that delirium may be the cause of cognitive declinestudies have found a significant correlation between delirium and long-term cognitive decline.
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