@MarkOldhamMD @dr_shibley @ZoeTieges @Krockdoc @sharon_inouye Any such studies have to include the full spectrum of arousal up to the level of coma. It's already well-known that reduced level of arousal has the strongest association with mortality. 2 of
@dhj_davis @MarkOldhamMD @Age_and_Ageing 2/ A review we did before showed that altered arousal alone is linked with 5.7-fold risk of 30-day mortality. https://t.co/NpopMkgT7N @emmavardy2 https://t.co/MOphe1yyB2
@markoldhamMD has forced me to think about whether it is arousal per se or a change in a higher state of consciousness that is an issue. but more importantly the key issue is how we benefit patients - this must include reducing mortality https://t.co/QkFhy
@DrDavidWarriner They may be the ones who aren’t actually complaining of anything… reduced level of arousal in the Acute Medical Unit is a bad sign. Paper here by @Sam_Blackley and @AmyKelly50: https://t.co/Jj6rcQB7BM
I’ve lost track now, but earlier this evening we were discussing drowsiness in acute medical inpatients. Beware, they may have #Delirium. It’s not good news and they’re not “just a bit sleepy because it’s noisy here overnight..”
RT @Trisha_the_doc: Back in the admissions ward this week & quoting research from @Sam_Blackley @AmyKelly50 @SusanShenkin @A_MacLullich et…
RT @Trisha_the_doc: Back in the admissions ward this week & quoting research from @Sam_Blackley @AmyKelly50 @SusanShenkin @A_MacLullich et…
RT @Trisha_the_doc: Back in the admissions ward this week & quoting research from @Sam_Blackley @AmyKelly50 @SusanShenkin @A_MacLullich et…
Back in the admissions ward this week & quoting research from @Sam_Blackley @AmyKelly50 @SusanShenkin @A_MacLullich et al. If someone is drowsy on the ward round, don’t just assume they had a bad night. They may have hypoactive #delirium & are v u
Very interesting article, and this could be prevented by maintaining a more appropriate level of arousal within hospital, whilst supporting engagement in suitable and meaningful occupations. #OT
RT @MichaelaWaak: Apparently simple things done right can have huge impact! Let’s focus on this in #pedsICU! https://t.co/LetxvJSWhp
Apparently simple things done right can have huge impact! Let’s focus on this in #pedsICU!
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @OtStell: interesting read although not surprising, @caseywilliamsOT @Jonny_Ford - note the interpretation and implications - think this…
interesting read although not surprising, @caseywilliamsOT @Jonny_Ford - note the interpretation and implications - think this is the pretty much the conversation we had last week/this week! 😣
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
RT @WesElyMD: 6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital…
6/fin Drowsiness…we just published a meta-analysis of 21 studies (N>50,000 pts) showing reduced arousal had a 6X ⬆️ hospital death rate. This can be the canary in the coal mine for #delirium, which we miss to our pts’ peril 😖! https://t.co/7WRAevK85g
RT @A_MacLullich: @MarkOldhamMD @dr_shibley @Krockdoc Reduced arousal seems important in relation to prognosis. Our meta-analysis of alter…
@MarkOldhamMD @dr_shibley @Krockdoc Reduced arousal seems important in relation to prognosis. Our meta-analysis of altered arousal in general: https://t.co/lZgboW5VtO And of individual features in studies which included a #delirium assessment: https://t.
RT @A_MacLullich: V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but…
RT @A_MacLullich: V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but…
RT @A_MacLullich: V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but…
RT @A_MacLullich: V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but…
RT @A_MacLullich: V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but…
RT @A_MacLullich: V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but…
V important & aligned with our prior review (link below). Underlines the need for #delirium tools to include drowsy (but non-comatose) pts & allow delirium Dx rather than 'Unable To Assess' - which helps nobody. https://t.co/VKFi0QWk0z @WesElyMD
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
RT @JerrySoucyRN: "... better formal detection of hypoactive delirium and implementation of care pathways may improve outcomes." Because #…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @dr_shibley: This cannot be stated enough, along with the issue that hypoactive delirium is the most common form of delirium, often unde…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @dr_shibley: This cannot be stated enough, along with the issue that hypoactive delirium is the most common form of delirium, often unde…
@weCANResearch
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @dr_shibley: This cannot be stated enough, along with the issue that hypoactive delirium is the most common form of delirium, often unde…
"... better formal detection of hypoactive delirium and implementation of care pathways may improve outcomes." Because #delirium doesn't always look like people think it should look
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @dr_shibley: This cannot be stated enough, along with the issue that hypoactive delirium is the most common form of delirium, often unde…
RT @dr_shibley: This cannot be stated enough, along with the issue that hypoactive delirium is the most common form of delirium, often unde…
This cannot be stated enough, along with the issue that hypoactive delirium is the most common form of delirium, often under-recognised, and has terrible outcomes for reasons we're currently unsure about.
Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients. Open access article here: https://t.co/NpopMkgT7N #delirium https://t.co/sAJlMJTQpw
RT @A_MacLullich: Reduced level of arousal is a strong predictor of mortality in acute medical patients. Nearly 6-fold in this meta-analy…
RT @dr_shibley: Reduced level of arousal and increased mortality in adult acute medical admissions: a systematic review and meta-analysis h…
Reduced level of arousal and increased mortality in adult acute medical admissions: a systematic review and meta-analysis https://t.co/Mon0LDY46L
RT @drjohnmorley: Reduced level of arousal which is what the paper is about is a major indicator of DELIRIUM https://t.co/TBgouzMk4A
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
RT @drjohnmorley: Reduced level of arousal which is what the paper is about is a major indicator of DELIRIUM https://t.co/TBgouzMk4A
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
RT @drjohnmorley: Reduced level of arousal which is what the paper is about is a major indicator of DELIRIUM https://t.co/TBgouzMk4A
RT @drjohnmorley: Reduced level of arousal which is what the paper is about is a major indicator of DELIRIUM https://t.co/TBgouzMk4A
Reduced level of arousal which is what the paper is about is a major indicator of DELIRIUM
RT @Trisha_the_doc: I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al i…
I have a limited list of papers that I quote on the Acute Medical Unit, but I think this one from @Sam_Blackley et al is really important. If someone’s drowsy in the admissions ward, this is a BAD SIGN. They aren’t just “a bit sleepy”, they are very sick!
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @GiusepeBellelli: Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
Drowsiness is a very powerful sign of health status, especially in older pts. Often it reflects delirium in those with preexisting dementia @AleMorandi78 @ChristianPozzi0 @SOSUmusic
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…
RT @A_MacLullich: Systematic review: reduced level of arousal is linked with a 6-fold increased risk of mortality in acute medical patients…
RT @Trisha_the_doc: This is a really important piece of research. If someone is drowsy in the Acute Medical Unit, that’s a big worry. If…