Updated Systematic Review and Meta-Analysis Delirium Prevalence in Iranian Hospitals Patients
-
Ali Erfani
,
Hashim Hamid Shabeeb
,
Yousef Asadoola Jamshidi
,
Nazila Ghoreishi Amin
,
Aminollah Vasigh
Abstract
Background: Delirium is a clinical neuropsychiatric syndrome, the main characteristic of which is a disturbance of consciousness affecting the patient's psychological state, and various factors are effective in causing it. the aim of study is prevalence of delirium in the Iran using a meta-analysis method.
Methods: In this study, which was conducted in the group of patients hospitalized in Iranian hospitals, the prevalence of delirium was investigated. The search was carried out in the domestic databases of Iran and international databases including PubMed, Scopus, ISI, Science Direct and Google Scholar search engine in Farsi and English languages. The results of the extracted articles were entered in the checklist designed by the researchers and the extracted results were analyzed in the CMA software.
Results: In the initial search of this study, 766 articles were found, of which 458 articles were excluded in the initial screening. 98 articles were excluded from the study due to repetition in the search, and finally 25 articles were included in the analysis stage. According to the findings, the overall delirium prevalence is 22% (CI: 16.8-28.3%), the overall delirium prevalence in heart surgery patients is 20.2% (CI: 12.7-30.6%), and the delirium prevalence in the elderly is 44.3% (CI: was 20.7-70.8%).
Conclusion: It is necessary to conduct preventive studies in this field to reduce this amount.
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[40] Valizade Hasanloei MA, Khalilzadeh R, Karami T, Khakzad A. Assessment Of The Delirium Frequency And Its Outcomes After Urologic Surgeries Admitted To Intensive Care Unit. Stud Med Sci. 2023; 34(2):109-15.
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[44] Beiranvand A, fallahi khoshkneb M, Ashayeri H, Rahgozar M. Comparison between prevalence of delirium after hip surgery and general surgery in hospitalized female elderly. J Geriatr Nurs. 2014; 1(1):83-93.
[45] Ghana S, Saeedi S, Sanagoo A. The incidence of delirium in patients after surgery in recovery room. Jorjani Biomed J. 2012; 1(1):23-9.
[46] Hosseini SH, Mortazavi M. Frequency of Referral Rate and Psychiatric Diagnoses in Sari Imam Khomeini Hospital during 2008 and 2009. J Mazandaran Univ Med Sci. 2011; 20(80):63-8.
[47] Hosseini F, Shajari A, Hosseini BS. Investigation of The Frequency of Delirium in Different Departments in the Yazd Shohadaye Kargar Hospital. Shahid Sadoughi Univ Med Sci J. 2016; 24(8):640-8.
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[51] Hatefi M, Vaisi-Raygani A, Borji M, Tarjoman A. Investigating the Relationship between Religious Beliefs with Care Burden, Stress, Anxiety, and Depression in Caregivers of Patients with Spinal Cord Injuries. J Relig Health. 2020; 59(4):1754-65.
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[2] Karimian M, Khalighi E, Salimi E, Borji M, Tarjoman A, Mahmoudi Y. The effect of educational intervention on the knowledge and attitude of intensive care nurses in the prevention of pressure ulcers. Int J Risk Saf Med. 2020; 31(2):89-95.
[3] Tokuda R, Nakamura K, Takatani Y, Tanaka C, Kondo Y, Ohbe H, et al. Sepsis-Associated Delirium: A Narrative Review. J Clin Med. 2023; 12(4).
[4] Ankravs MJ, McKenzie CA, Kenes MT. Precision-based approaches to delirium in critical illness: A narrative review. Pharmacotherapy. 2023; 43(11):1139-53.
[5] Fong TG, Inouye SK. The inter-relationship between delirium and dementia: the importance of delirium prevention. Nat Rev Neurol. 2022; 18(10):579-96.
[6] Herling SF, Greve IE, Vasilevskis EE, Egerod I, Bekker Mortensen C, Møller AM, et al. Interventions for preventing intensive care unit delirium in adults. Cochrane Database Syst Rev. 2018; 11(11):Cd009783.
[7] Han JH, Zimmerman EE, Cutler N, Schnelle J, Morandi A, Dittus RS, et al. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Acad Emerg Med. 2009; 16(3):193-200.
[8] Hayhurst CJ, Pandharipande PP, Hughes CG. Intensive Care Unit Delirium: A Review of Diagnosis, Prevention, and Treatment. Anesthesiology. 2016; 125(6):1229-41.
[9] keykha a, Ramezani M, Amini S, Saki A, Heydari A. Psychometric Properties Persian version of Nursing Delirium Screening Scale. J Nurs Educ. 2021; 9(5):63-75.
[10] Traube C, Silver G, Gerber LM, Kaur S, Mauer EA, Kerson A, et al. Delirium and Mortality in Critically Ill Children: Epidemiology and Outcomes of Pediatric Delirium. Crit Care Med. 2017; 45(5):891-8.
[11] Navaeifar MR, Abbaskhanian A, Shahbaznejad L, Khoshkam M. Translation, Adaptation and Validity Assessment of the Cornell Assessment of Pediatric Delirium Scale in Persian language. J Mazandaran Univ Med Sci. 2019; 29(178):75-84.
[12] Arbabi M, Zebardast J, Noorbala AA, Mohamadi M, Rahimnia M, Larijani R. Efficacy of Liaison Education and Environmental Changes on Delirium Incidence in ICU. Arch Neurosci. 2018; 5(2):e56019.
[13] Radfar M, Khalkhali H. The effect of family involvement on cognitive status and severity of delirium in icu patients: an interventional study. Nurs Midwifery J. 2021; 19(8):599-609.
[14] Sharafi S, Hajiabadi F, Malekzadeh J, Bahrami M. The effect of using earplugs and eye mask during sleep on delirium in intensive care unit patients. Nurs Midwifery J 2019; 17 (7):515-524.
[15] White L, Jackson T. Delirium and COVID-19: a narrative review of emerging evidence. Anaesthesia. 2022; 77 Suppl 1:49-58.
[16] Chen H, Mo L, Hu H, Ou Y, Luo J. Risk factors of postoperative delirium after cardiac surgery: a meta-analysis. J Cardiothorac Surg. 2021; 16(1):113.
[17] Shokri S, Navab E, Haghani H, NematollahiMaleki R, Shali M. Investigating Factors Related to Delirium in Patients and Family Caregivers of Patients Hospitalized in the Intensive Care Unit: A Cross-Sectional Study. J Crit Care Nurs. 2023; 16(3):1-8.
[18] Cortés-Beringola A, Vicent L, Martín-Asenjo R, Puerto E, Domínguez-Pérez L, Maruri R, et al. Diagnosis, prevention, and management of delirium in the intensive cardiac care unit. Am Heart J. 2021; 232:164-76.
[19] Tahmasbi F, Madani Neishaboori A, Mardani M, Toloui A, Komlakh K, Azizi Y, et al. Efficacy of polyarginine peptides in the treatment of stroke: A systematic review and meta-analysis. Brain Behav. 2023; 13(1):e2858.
[20] Rahmatian A, Bastani E, Shokri F, Karbasfrushan A. Prevalence of Hemiplegic Shoulder Pain in Iran: A Systematic Review and Meta-analysis. Anesth Pain Med. 2023; 13(3):e136423.
[21] Bastani E, Shokri F. Incidence Trend of Lung Cancer in Iran: A Systematic Review and Meta-analysis. Int J Cancer Manag. 2023; 16(1):e135020.
[22] Karimiyarandi H, Khalilizad M. Prevalence of Orthopedic Pains in Children and Adolescents: A Systematic Review and Meta-analysis. Anesth Pain Med. 2023; 13(4):e136616.
[23] Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. bmj. 2021; 372.
[24] Janati Y, Bagheri NM, Sohrabi M, Yazdani CJ, Mazdarani S. Incidence of delirium and associated factors before open heart surgery. J Res Dev Nurs Midwifery. 2013; 10(1):33-42.
[25] Jodati A, Safaie N, Raoofi M, Ghorbani L, Ranjbar F, Noorazar G, et al. Prevalence and risk factors of postoperative delirium in patients undergoing open heart surgery in northwest of Iran. J Cardiovasc Thorac Res. 2013; 5(3):97.
[26] Cheraghi MA, Hazaryan M, Bahramnezhad F, Mirzaeipour F, Haghani H. Study of the relationship between sleep quality and prevalence of delirium in patients undergoing cardiac surgery. Health Sci. 2016; 5(9S):38-43.
[27] Eizadi-Mood N, Aghadavoudi O, Najarzadegan MR, Fard MM. Prevalence of delirium in opium users after coronary artery bypass graft surgery. Int J Prev Med. 2014; 5(7):900.
[28] Shadvar K, Baastani F, Mahmoodpoor A, Bilehjani E. Evaluation of the prevalence and risk factors of delirium in cardiac surgery ICU. J Cardiovasc Thorac Res. 2013; 5(4):157.
[29] Salari A, Hasandokht T, Dadkhah Tirani H, Nourisaeed A, Javadzadeh Moghtader A. The Incidence of Delirium after Heart Bypass Surgery in Patients with Preoperative Anxiety and Depression. J Guilan Univ Med Sci. 2017; 26(101):36-45.
[30] Seedoshohadee M, Mohammadi N, Rad M, Haghani H. Relationship of blood transfusion and CPB with delirium. J Sabzevar Univ Med Sci. 2014; 20(5):801-7.
[31] Hassani E, Mahoori A, Noroozinia H, Mehdizadeh H, Sepasi N. Evaluation of risk factors for adverse neurologic outcome after cardiac surgery. Urmia Med J. 2010; 21(2):249-53.
[32] Ganavati A, Foroughi M, Esmaeili S, Hasantash S, Bolourain A, Shahzamani M, et al. The relation between post cardiac surgery delirium and intraoperative factors. Iran J Surg. 2009; 17(3):16-25.
[33] Tashakori A, Mougahi NK, SS A. Comparison of incidence rate of post operative Delirium between patients with open-heart surgery and general surgery. Ahwaz Golestan Hospital. Jundishapur Sci Med J. 1999; (41):37-43.
[34] Bagheri K, Honarmand A, Hosseini MSJ. Association of mean arterial pressure during cardiopulmonary pump and incidence of delirium after coronary artery bypass graft surgery. J Isfahan Med Sch. 2017; 35(449): 1358-1363.
[35] Rezvani M, Alikiaii B, Ramezani S. The relationship of erythrocyte sedimentation rate (ESR) and c-reactive protein (CRP) with an uncertain prognosis for the patients admitted to the intensive care unit in Alzahra hospital, Isfahan, Iran, during 2014-2015. J Isfahan Med Sch. 2016; 34(391):835-40.
[36] Rajabpour Nikfam M, Ghanbari Khanghah A, Khaleghdoost Mohammadi T, Kazemnezhad Leili E, Ashraf A. Study of Predictors of Delirium Incidence in Hospitalized Patients In Intensive Care Units. J Holist Nurs Midwifery. 2014; 26(3):25-35.
[37] Modabernia M, Forghan parast K, Khalkhali S, Najafi K. Delirium in CCU. J Guilan Univ Med Sci. 2002; 11(41):1-6.
[38] Heidari A, Dianati M, Mousavi G. Prevalence of delirium, its related factors and short-term outcomes in ICU wards of Kashan Shahid-Beheshti and Isfahan Kashani hospitals during 2012-2013. Feyz J Kashan Univ Med Sci. 2014; 18(1).
[39] Darabi B, Alemzadeh M, Karbasfrushan A, Borji M. Assessment of the Delirium Prevalence among Pediatric Patients Admitted to the Pediatric Intensive Care Unit in West of Iran. Arch Neurosci. 2023; 10(1).
[40] Valizade Hasanloei MA, Khalilzadeh R, Karami T, Khakzad A. Assessment Of The Delirium Frequency And Its Outcomes After Urologic Surgeries Admitted To Intensive Care Unit. Stud Med Sci. 2023; 34(2):109-15.
[41] Foroughan M, Delbari A, Said SE, AkbariKamrani AA, Rashedi V, Zandi T. Risk factors and clinical aspects of delirium in elderly hospitalized patients in Iran. Aging Clin Exp Res. 2016; 28(2):313-9.
[42] Golparvaran M, Shariati B, Kamalzadeh L, Rashedi V, Bahadori F, Kamalinajad K, et al. Prevalence of Delirium and its Related Factors in the Elderly Admitted to Selected Hospitals in Tehran, Iran. Salmand: Iran J Ageing. 2023; 17(4):568-79.
[43] Beyraghi N, Shams J, Mohajer M, Bahreinian AM. Psychiatric consultation in Taleghani hospital in 2002. Res Med. 2004; 28(2):141-3.
[44] Beiranvand A, fallahi khoshkneb M, Ashayeri H, Rahgozar M. Comparison between prevalence of delirium after hip surgery and general surgery in hospitalized female elderly. J Geriatr Nurs. 2014; 1(1):83-93.
[45] Ghana S, Saeedi S, Sanagoo A. The incidence of delirium in patients after surgery in recovery room. Jorjani Biomed J. 2012; 1(1):23-9.
[46] Hosseini SH, Mortazavi M. Frequency of Referral Rate and Psychiatric Diagnoses in Sari Imam Khomeini Hospital during 2008 and 2009. J Mazandaran Univ Med Sci. 2011; 20(80):63-8.
[47] Hosseini F, Shajari A, Hosseini BS. Investigation of The Frequency of Delirium in Different Departments in the Yazd Shohadaye Kargar Hospital. Shahid Sadoughi Univ Med Sci J. 2016; 24(8):640-8.
[48] Asaei R, Nazari H, Hosseini S. Prevalence of delirium in hospitalized internal medicine and surgical adult patients in Shohadaye Ashayer Hospital of Khoram AB. Yafteh, 2008; 10(3(37)): 21-27.
[49] Alizadeh Arimi F, Zarghami M, Moosazadeh M, Mehravaran H, Sedighi F, Ghasemian R, et al. Frequency of delirium and its associated factors among COVID‐19 inpatients in Iran. Clin Respir J. 2023; 17(5):414-28.
[50] Gholi Z, Rezaei M, Vahdat Shariatpanahi Z, Momen R, Fallah Bagher Shaidaei M, Gholami M, et al. Malnutrition elevates delirium and ICU stay among critically ill older adult COVID-19 patients. Frontiers in Medicine. 2024; 11:1259320.
[51] Hatefi M, Vaisi-Raygani A, Borji M, Tarjoman A. Investigating the Relationship between Religious Beliefs with Care Burden, Stress, Anxiety, and Depression in Caregivers of Patients with Spinal Cord Injuries. J Relig Health. 2020; 59(4):1754-65.
[52] Komlakh K, Aghamiri SH, Farshadmoghadam H. The role and therapeutic applications of exosomes in multiple sclerosis disease Clin Exp Pharmacol Physiol. 2022; 49(12):1249-56.
[53] Komlakh K, Oveisi H, Aghamiri SH. Endoscopic third ventricolustomy as treatment option for normal pressure hydrocephalus. Eur J Transl Myol. 2022; 32(4).
[54] Zeighami R, Alipour Heydari M, Babaee R. The effect of a multifactorial intervention on the incidence of delirium in cardiac surgery unit. Iran J Psychiatric Nurs. 2016; 3(4):48-57.
[55] Vasilevskis EE, Han JH, Hughes CG, Ely EW. Epidemiology and risk factors for delirium across hospital settings. Best Pract Res Clin Anaesth. 2012; 26(3):277-87.
[56] Hamidović J, Hamidović LD, Haskic S, Prljača E, Brigić A, Mešanović M. Etiology and pharmacological treatment of delirious syndrome. Eur Psychiatry. 2023; 66(S1):S380-S.
[57] Mattimore D, Fischl A, Christophides A, Cuenca J, Davidson S, Jin Z, et al. Delirium after Cardiac Surgery-A Narrative Review. Brain Sci. 2023; 13(12).
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| Delirium Iran Meta-analysis Prevalence | ||
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How to Cite
1.
Erfani A, Shabeeb HH, Asadoola Jamshidi Y, Ghoreishi Amin N, Vasigh A. Updated Systematic Review and Meta-Analysis Delirium Prevalence in Iranian Hospitals Patients. Arch Anesth & Crit Care. 2024;.
