2022 ADS Year in Review Webinar

Date & Time

Monday, December 12th, 2022, at 11:00 EST
Click here to register!

Year in Review Coordination

Coordinator: C. Adrian Austin

Hosts: Geriatric Workforce Enhancement Program at Johns Hopkins (Jane Marks) and Tullyvision (Michelle Powell)

Joint Provider: Sutter Health (Kerri Maya)


Members of the ADS Research Committee each nominated up to 6 studies they considered to be the best delirium research published during the 2021–2022 academic year, which was operationalized as articles having a DOI assigned from 9/1/21 through 7/31/22. The nominated studies were divided into three categories. Each ADS Research Committee member was then assigned to one of the three categories, and they reviewed the studies in their assigned category for methodological rigor and impact using the scoring rubrics below. The studies below received the highest average ratings and will be presented at the 2022 ADS Year in Review Webinar.

Scientific rigor: Is the methodology sound?
0 = Major design or bias concerns that undermine the validity of results
2 = Major design or bias concerns that cast serious doubt on the validity of results
4 = One or two major or multiple minor design or bias concerns that cast considerable doubt on the validity of results
6 = No major concerns but multiple minor design or bias concerns that cast some doubt the validity of results
8 = A few minor design or bias concerns that introduce no more than limited questions regarding the validity of results
10 =  Methodologically sound without design or bias concerns

Overall impact & importance: Does this study matter?
0 = Ignore it. No relevance or addition to field
2 = Extremely limited value. Only a niche group might find useful
4 = Some limited value. May be worthwhile to share with others, explore further
6 = Suggestive results. Warrants further discussion and/or study
8 = Promising results. Places new perspectives into translational or application cycle of research
10 = Conclusive. I will implement into my practice and share with a larger audience


Medical Intervention RCTs

Presenter: Kendall Smith

Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults

Effect of Regional vs General Anesthesia on Incidence of Postoperative Delirium in Older Patients Undergoing Hip Fracture Surgery: The RAGA Randomized Trial

Prophylactic melatonin for delirium in intensive care (Pro-MEDIC): a randomized controlled trial


Non-medical Intervention RCTs

Presenter: Benjamin Chapin

Outcomes of a Delirium Prevention Program in Older Persons After Elective Surgery: A Stepped-Wedge Cluster Randomized Clinical Trial

Association Between Implementation of a Geriatric Trauma Clinical Pathway and Changes in Rates of Delirium in Older Adults With Traumatic Injury

Pre-operative breathing training based on video learning reduces emergence delirium in preschool children: A randomized clinical trial


Delirium detection / Basic Science

Presenter: Shih-Yin Lin

Comparative Implementation of a Brief App-Directed Protocol for Delirium Identification by Hospitalists, Nurses, and Nursing Assistants : A Cohort Study

Physiological Assessment of Delirium Severity: The Electroencephalographic Confusion Assessment Method Severity Score (E-CAM-S)

Protective effects of omega-3 fatty acids in a blood-brain barrier-on-chip model and on postoperative delirium-like behaviour in mice