Delirium in the ICU: how much do we know? A narrative review

Ann Med. 2024 Dec;56(1):2405072. doi: 10.1080/07853890.2024.2405072. Epub 2024 Sep 23.

Abstract

Delirium in critical ill patients is a complex and common neurological syndrome in the intensive care unit (ICU) that is caused by a range of structural or functional abnormalities. ICU Delirium is associated with reduced compliance, prolonged hospital stays, greater use or delayed withdrawal of sedatives, higher rates and durations of mechanical ventilation, and higher rates of mortality. The aetiology and pathogenesis of ICU delirium are unclear, and the lack of better prediction, prevention, and treatment measures leads to a non-standardized control of delirium. By searching the relevant literature, we aim in this narrative review to describe progress in the pathogenesis, predictive biomarkers, diagnosis, and treatment of ICU delirium.

Keywords: Delirium; biomarkers; diagnosis; intensive care unit; treatment.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Delirium* / diagnostic imaging
  • Delirium* / pathology
  • Delirium* / therapy
  • Humans
  • Intensive Care Units* / statistics & numerical data
  • Metabolic Diseases / diagnosis
  • Nervous System Diseases / diagnostic imaging

Substances

  • Biomarkers

Grants and funding

This work was supported by the Dalian Medical Key Specialty ‘Climbing the Peak Plan’ [Grant No. 2022ZZ267] and the Dalian High-Level Talents Innovation Support Plan [Grant Nos. 2021RQ029 and 2023RY019].