{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:17:28Z","timestamp":1785417448488,"version":"3.56.0"},"reference-count":30,"publisher":"European Delirium Association","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increasingly shorter intensive care unit stays have limited the screening for delirium and therefore our understanding of delirium risk and characteristics in the modern liver transplant population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We sought to evaluate delirium prevalence in the intensive care unit, on the surgical floor, and overall during the liver transplant hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We enrolled 50 liver transplant recipients to receive daily delirium assessments using both the 4AT and either the Confusion Assessment Method (CAM) for the ICU or the CAM short form immediately pre-transplant and until the first of discharge or post-transplant day 14. We evaluated delirium prevalence in the ICU, on the surgical floor, and overall and visualized the daily mental status of recipients and cumulative incidence of delirium in this cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Delirium was present in 58% of recipients, including 47% in the ICU and 43% on the surgical floor. Nine participants (31%) were captured as having delirium only on the surgical floor. Demographic and transplant characteristics were statistically similar between recipients with and without post-transplant delirium. Compared to recipients without post-transplant delirium, recipients with delirium had similar ICU length of stay [3 (2-5) vs.\u00a02 (1-3) days, p=0.24] but significantly longer transplant hospitalization length of stay [16 (13-20) vs.\u00a08 (8-13), p=0.004].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delirium is highly prevalent among liver transplant recipients not only during their stay in the intensive care unit, but also on the surgical floor. These findings underscore the importance of continuing routine assessment for delirium on liver transplant recipients after transfer to the surgical floor to optimize post-transplant care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.56392\/001c.146699","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T15:02:37Z","timestamp":1762786957000},"source":"Crossref","is-referenced-by-count":1,"title":["Longitudinal Evaluation of Delirium in Liver Transplant Recipients"],"prefix":"10.56392","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5749-5505","authenticated-orcid":false,"given":"Jessica","family":"Ruck","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Jefferis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayan","family":"Teles","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aura","family":"Teles","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif","family":"Helmy","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Cameron","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Neufeld","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02fa3aq29","id-type":"ROR","asserted-by":"publisher"}],"name":"McMaster University","department":["Department of Psychiatry and Behavioural Neurosciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Oh","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Psychiatry and Behavioral Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"King","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"publisher"}],"name":"Johns Hopkins University","department":["Department of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35609","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1007\/s13304-020-00887-3","article-title":"Graft factors as determinants of postoperative delirium after liver transplantation","volume":"72","author":"D. 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Oliver","year":"2017","journal-title":"Ochsner journal"},{"issue":"3","key":"ref30","first-page":"416","article-title":"[Association of Glucose Variability and ICU Delirium of Patients after Liver Transplantation]","volume":"51","author":"J. L. Cheng","year":"2020","journal-title":"Sichuan da xue xue bao Yi xue ban = Journal of Sichuan University Medical science edition"}],"container-title":["Delirium"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/deliriumjournal.com\/article\/146699-longitudinal-evaluation-of-delirium-in-liver-transplant-recipients","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T15:02:38Z","timestamp":1762786958000},"score":1,"resource":{"primary":{"URL":"https:\/\/deliriumjournal.com\/article\/146699-longitudinal-evaluation-of-delirium-in-liver-transplant-recipients"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":30,"URL":"https:\/\/doi.org\/10.56392\/001c.146699","relation":{},"ISSN":["2958-9134"],"issn-type":[{"value":"2958-9134","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,10]]}}}