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Recognition of cognitive dysfunction in hospitalised older patients

Fleur C. W. Visser; Marlise E. A. van Eersel; Liesbeth Hempenius; Nicolaas A. Verwey; Caterina Band; Robbert Gobbens (Lector); Barbara C. van Munster

Background: It is important that healthcare professionals recognise cognitive dysfunction in hospitalised older patients in order to address associated care needs, such as enhanced involvement of relatives and extra cognitive and functional support. However, studies analysing medical records suggest …

2024-01-16GezondheidArtikel

DeltaScanfortheAssessmentofAcuteEncephalopathyandDeliriuminICUandnon-ICUPatients,aProspectiveCross-SectionalMulticenterValidationStudy

Fienke L. Ditzel; Suzanne C.A. Hut; Paul Rood; Mark van den Boogaard; Michel Boonstra; Frans S.S Leijten; Evert-Jan Wils; Timotheus A. van Nesselrooij; Marjan Kromkamp; Christian Röder; Paul F. Bouvy; Michiel Coesmans; Robert Jan Osse; Monica Pop-Purceleanu; Edwin van Dellen; Jaap W.M. Krulder; Koen Milisen; Richard Faaij; Ariël M. Vondeling; Ad M. Kamper; Barbara C. van Munster; Annemarieke de Jonghe; Marian A.M. Winters; Jeannette van der Ploeg; Sanneke van der Zwaag; Dineke H.L. Koek

Highlights What is the primary question addressed by this study? What is the accuracy of DeltaScan;a portable brain state monitor that offers real-time automated artifact rejection and analysis, delivering a probability score for both acute encephalopathy and delirium in both ICU and non-ICU patients? …

2023-09GezondheidArtikel

The Impact of Non-Pharmacological Interventions on Delirium in Neurological Intensive Care Unit Patients: A Single-Center Interrupted Time Series Trial

Paul Rood; Dharmanand Ramnarain; A. Oldenbeuving; Brenda L. den Oudsten; Sjaak Pouwels; Lex M. van Loon; Steven Teerenstra; Peter Pickkers; Jolanda de Vries; Mark van den Boogaard

Abstract: Background: Delirium is a pathobiological brain process that is frequently observed in Intensive Care Unit (ICU) patients, and is associated with longer hospitalization as well as long-term cognitive impairment. In neurological ICU patients, delirium may be more treatment-resistant due to the …

2023-09GezondheidArtikel

The Delirium Interview as a new reference standard in studies on delirium assessment tools

Paul Rood; Fienke L. Ditzel; Arjen Slooter; Mark van den Boogaard; Michel Boonstra; Timotheus A. van Nesselrooij; Marjan Kromkamp; Monica Pop-Purceleanu; Robert Jan Osse; Carol K. Chan; Alasdair M.J. MacLullich; Zoë Tieges; Karin J. Neufeld; Suzanne C.A. Hut

Delirium is a neuropsychiatric syndrome characterized by disturbances of awareness, attention, cognitive functions, and behavior.1 It occurs in the severely ill, often older patients2 and is associated with prolonged hospitalization,3 institutionalization, increased costs, long-term cognitive decline, …

2023-01GezondheidArtikel

The implementation of nUrsiNg DEliRium preventive INterventions in the Intensive Care Unit (UNDERPIN-ICU): A qualitative evaluation

Bram Tilburgs; Paul Rood; Marieke Zegers; Mark van den Boogaard

Background: Delirium frequently occurs in intensive care unit patients and is associated with worse outcomes. Recently, a multicomponent non-pharmacological nursing intervention program called UNDERPIN-ICU, was implemented in ten Dutch intensive care units. The program was aimed at delirium reduction …

2022-10-30GezondheidArtikel

Impact of a surgical ward breakfast buffet on nutritional intake in postoperative patients

BACKGROUND: An early return to normal intake and early mobilization enhances postoperative recovery. However, one out of six surgical patients is undernourished during hospitalization and approximately half of the patients eat 50% or less of the food provided to them. We assessed the use of newly introduced …

2022-04-28AlgemeenArtikel

Exploring nurse-sensitive patient outcomes in Dutch district nursing care: a survey study

Jessica D. Veldhuizen (Onderzoeker); Marieke J. Schuurmans (Onderzoeker); Misja C. Mikkers (Onderzoeker); Nienke Bleijenberg (Lector)

There is a lack of evidence to guide district nurses in using nurse-sensitive patient outcomes as it is unclear how these outcomes are currently used in daily district nursing practice. Therefore, we aimed to explore (1) which nurse-sensitive patient outcomes are measured and how these outcomes are measured, …

2022GezondheidArtikel

The Impact of Nursing Delirium Preventive Interventions in the ICU. A multicenter cluster-randomized controlled clinical trial

Paul Rood; M. Zegers; D. Ramnarain; M. Koopmans; T. Klarenbeek; E. Ewalds; M. van der Steen; A. Oldenbeuving; M. Kuiper; S. Teerenstra; E. Adang; L.M. van Loon; A. Wassenaar; H. Vermeulen; P. Pickkers; M. van den Boogaard

2021AlgemeenArtikel

The performance of the Dutch Safety Management System frailty tool to predict the risk of readmission or mortality in older hospitalised cardiac patients

Patricia Jepma (Onderzoeker); Lotte Verweij (Onderzoeker); Arno Tijssen (Onderzoeker); Martijn W Heymans (Onderzoeker); Isabelle Flierman (Onderzoeker); Corine HM Latour (Onderzoeker); Ron JG Peters (Onderzoeker); Wilma JM Scholte op Reimer (Onderzoeker); Bianca M Buurman (Onderzoeker); Gerben ter Riet (Onderzoeker)

Background: Early identification of older cardiac patients at high risk of readmission or mortality facilitates targeted deployment of preventive interventions. In the Netherlands, the frailty tool of the Dutch Safety Management System (DSMS-tool) consists of (the risk of) delirium, falling, functional …

2021GezondheidArtikel

The performance of the Dutch Safety Management System frailty tool to predict the risk of readmission or mortality in older hospitalised cardiac patients

Jepma, Patricia; Verweij, Lotte; Tijssen, Arno; Heymans, Martijn W.; Flierman, Isabelle; Latour, Corine H. M. (Lectoraat Geïntegreerde Complexe Zorg); Peters, Ron J. G.; Scholte op Reimer, Wilma J. M.; Buurman, Bianca M.; ter Riet, Gerben

Background Early identification of older cardiac patients at high risk of readmission or mortality facilitates targeted deployment of preventive interventions. In the Netherlands, the frailty tool of the Dutch Safety Management System (DSMS-tool) consists of (the risk of) delirium, falling, functional …

2021AlgemeenArtikel

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