To the Editor: The standardized management of pain–agitation–delirium (PAD) represents a fundamental component of clinical practice in intensive care units (ICUs).[1] Evidence-based analgesia and sedation strategies not only alleviate patients’ physiological discomfort and psychological distress, but also significantly reduce mechanical ventilation duration, improve long-term prognosis, and optimize healthcare resource allocation.[1,2] Equally crucial is delirium management, as evidenced by studies demonstrating that delirium duration independently predicts mortality risk, hospital stay length, healthcare expenditures, and acquired dementia incidence.[3] Although existing studies have explored PAD management practices, most rely on clinicians’ subjective recall that may distort objective clinical realities and fail to reflect distinctive characteristics.[4] Therefore, this nationwide multicenter cross-sectional study, initiated by the Critical Care Analgesia and Sedation Quality Control Subspecialty Group under the China National Center for Medical Quality Control in Critical Care Medicine, aims to investigate the current status of PAD management in China. 5 key findings →
Design: cross-sectional
Participants: 2,627
Evidence: moderate
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48/100
✓ Peer-reviewed
alzhub usefulness score 48 out of 100.
·
BMJ Open
·
2026-06-01
From the database searches, 4796 records were identified. 5 key findings →
Participants: 12
Evidence: high
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Cognitive decline after surgery is biphasic and accelerated among persons with delirium. 1 key finding →
Participants: 560
Evidence: low
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Comanagement by geriatricians and orthopedic surgeons, combined with standardized care, leads to improved processes and outcomes for patients with hip fractures. 4 key findings →
Participants: 193
Evidence: low
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The low likelihood of patients with cAF in general practice remaining on treatment long-term indicates that not all benefits as observed in clinical trials may be achieved in usual clinical practice. 4 key findings →
Participants: 41
Evidence: low
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Delirium is highly prevalent among persons with AD who are hospitalized and is associated with an increased rate of cognitive deterioration that is maintained for up to 5 years. 5 key findings →
Participants: 263
Evidence: moderate
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A lower number of teeth are positively related to swallowing dysfunction, whereas denture wearing contributes to recovery of swallowing function. 3 key findings →
Participants: 286
Evidence: low
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Although their prognosis is worse, even the oldest and most severely frail patients may benefit from hospitalization for COVID-19, if sufficient resources are available. 5 key findings →
Participants: 48
Evidence: low
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Dysphagia is a major health care problem in nursing homes. 2 key findings →
Participants: 395
Evidence: low
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48/100
✓ Peer-reviewed
alzhub usefulness score 48 out of 100.
·
Neurology
·
2008-01-23
This study confirms previous reports of potentially hazardous driving in persons with early Alzheimer disease, but also indicates that some individuals with very mild dementia can continue to drive safely for extended periods of time. 3 key findings →
Participants: 128
Evidence: low
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Dementia and delirium were prevalent, yet under-recognized, in acute medical geriatric inpatients. 3 key findings →
Participants: 144
Evidence: low
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Our aim was to investigate the long-term prognosis of delirium in the frailest elderly, and to clarify whether delirium is just a marker of the underlying severe disease. 5 key findings →
Participants: 425
Evidence: low
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Memory clinics have been promoted as opportunities for improving dementia diagnosis and care. 1 key finding →
Participants: 151
Evidence: low
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Community-acquired pneumonia (CAP) in the elderly has a different clinical presentation than CAP in other age groups. 5 key findings →
Participants: 101
Evidence: moderate
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Despite the significant impact of postoperative delirium on surgical outcomes and the long-term prognosis of older patients, its neural basis has not yet been clarified. 3 key findings →
Participants: 136
Evidence: low
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A strategy of targeting type-specific BPSD may be beneficial, such as environmental stimulus control for DLB patients who are prone to have hallucinations, design of a pacing path for patients with FTD who need support for symptoms of wandering and emotional support for patients with VaD who are susceptible to depression. 1 key finding →
Participants: 137
Evidence: low
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Hypothalamic-pituitary-adrenal axis hyperresponsiveness and a less frequent suppression of the GH/IGF-1 axis in response to acute stress are possibly involved in delirium pathophysiology. 2 key findings →
Participants: 101
Evidence: low
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Prolonged delirium was found to be associated with a poor functional outcome and increased mortality. 3 key findings →
Participants: 110
Evidence: low
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Neurodegenerative diseases are associated with profound changes in social and emotional function. 3 key findings →
Participants: 148
Evidence: low
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STOPP criteria PIMs, unlike Beers criteria PIMs, are significantly associated with avoidable ADEs in older people that cause or contribute to urgent hospitalization. 5 key findings →
Participants: 600
Evidence: low
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48/100
✓ Peer-reviewed
alzhub usefulness score 48 out of 100.
·
Nutrients
·
2026-07-29
Cognitive decline is closely associated with biological aging and with interconnected processes, including chronic low-grade inflammation, oxidative stress, mitochondrial dysfunction, and cellular senescence. 2 key findings →
Design: narrative review
Evidence: high
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Apathy was significantly associated with older age (p = 0.009), and a higher frequency of minor and major depression (p < 0.0001). 3 key findings →
Participants: 354
Evidence: low
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In relation to placebo, the last observation in phase 1 showed greater improvement with olanzapine or risperidone on the Neuropsychiatric Inventory total score, risperidone on the Clinical Global Impression of Changes, olanzapine and risperidone on the Brief Psychiatric Rating Scale (BPRS) hostile suspiciousness factor, and risperidone on the BPRS psychosis factor. 5 key findings →
Design: clinical trial
Participants: 421
Evidence: low
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Fifty-three experts participated (eight completed all rounds). 5 key findings →
Participants: 32
Evidence: low
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47/100
✓ Peer-reviewed
alzhub usefulness score 47 out of 100.
·
Age and Ageing
·
2025-05-31
A total of 120 people with delirium participated [median age 86.3, range 70-99, 67 (55.8%) female and 55 (45.8%) with dementia]. 5 key findings →
Participants: 120
Evidence: low
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This is alzhub's own score. It is not an official metric, not an impact factor,
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Journals are placed in ordered tiers, never given a numeric impact factor — we
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See the whole rubric drawn out →
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