🧠 #antipsychotics in ICU #delirium - do they work?

📙 RCT: haloperidol vs ziprasidone vs placebo, long-term outcomes

➡️ Results: no long-term benefits of drug Rx

⚠️ Antipsychotics should not routinely be used to treat delirium

🔗 pubmed.ncbi.nlm.nih.gov/38701817/

WesElyMD

See the 𝕏 thread below for more info.

Short link for public comment: bit.ly/25FYProposedRu…

#Delirium matters.

We are thrilled to announce that our highly anticipated conference program is now available for viewing! We eagerly await your participation in the insightful sessions, engaging workshops, and networking opportunities at this year's 14th Annual American Delirium Society

ACLP members are petitioning medical insurers to reclassify delirium so that it is reimbursed on par with acute encephalopathy—for which insurers pay higher rates. But a proposed ruling recommends no change. Learn more about this and make your voice heard! tinyurl.com/5237dmmz

I am so pleased to be leading a symposium of A/Prof Tamara Fong, A/Prof Niccolò Terrando, A/Prof @markoldhamMD and A/Prof Sara LaHue for a session on June 11th 2024 in Sacramento, CA American Delirium Society on evidence-based innovations in delirium-superimposed-on-dementia. #ADS24SAC

Exhibit A for why #delirium should be classified as a major complication or comorbidity.

We need incentives not only to screen for delirium but to find it when it's there, else we'll all keep playing screening theater rather than properly screening for delirium.

That drink has a lot of milk in it, and propofol is known as milk of amnesia. I'd say the reference checks out!

Far more importantly, though, there's a lot of truth to this. 👇👇👇

Provocative new paper 📄

Temporal correlations ⌚️ with propensity score matching 🎚️ do strengthen the results, but I really wonder about indications.

What if antipsychotics were being used to treat unrecognized #delirium (confounding by indication)?

doi.org/10.1136/bmj-20…

Hello everyone!

🌟I am excited to share a new publication with you all in BJPsych Journals Open. We conducted a multisite retrospective analysis to characterize symptoms of catatonia in children via the Bush Francis Catatonia Rating Scale (BFCRS) and to explore demographics and

🦋doctor doubt🦋 Mark’s point here is important. The only symptoms that you can *maybe* observe in a patient who can’t report symptoms are those highlighted, and we know their sensitivity is TERRIBLE in patients who CAN report symptoms (suprapubic tenderness is the best at ~50%)

Join us at our 14th annual conference and discover the latest in Pediatrics. #ADS24SAC #Delirium
Register today! americandeliriumsociety.org/events/ads-con…

Appropriate clinical care for delirious patients is crucial. Hospitals should get credit for the complexity of that care but current CMS rules only do so if it's called 'encephalopathy', not if it's correctly termed 'delirium.' See below & let CMS know this should be changed!