{"id":"https://openalex.org/W7224739958","doi":"https://doi.org/10.3390/jcm15218457","title":"Association of Admission Medication Regimen Complexity with Delirium in Critically Ill Adults: A Prospective Multicenter Cohort Study","display_name":"Association of Admission Medication Regimen Complexity with Delirium in Critically Ill Adults: A Prospective Multicenter Cohort Study","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224739958","doi":"https://doi.org/10.3390/jcm15218457"},"language":"en","primary_location":{"id":"doi:10.3390/jcm15218457","doi":"https://doi.org/10.3390/jcm15218457","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218457","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/jcm15218457","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160210691","display_name":"Abrar Alotaibi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111472","display_name":"King Abdul Aziz University Hospital","ror":"https://ror.org/01vv03303","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210111472"]},{"id":"https://openalex.org/I4210113049","display_name":"Armed Forces Hospital","ror":"https://ror.org/024eyyq66","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210113049"]},{"id":"https://openalex.org/I4405276535","display_name":"King Abdulaziz Hospital","ror":"https://ror.org/05mvv1442","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210127754","https://openalex.org/I4405269311","https://openalex.org/I4405276535"]}],"countries":["SA"],"is_corresponding":true,"raw_author_name":"Abrar Alotaibi","raw_affiliation_strings":["Department of Clinical Pharmacy, Al Hada Armed Forces Hospital, Taif 26792, Saudi Arabia","Department of Clinical Pharmacy, King Abdulaziz University Hospital, Jeddah 21589, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Pharmacy, Al Hada Armed Forces Hospital, Taif 26792, Saudi Arabia","institution_ids":["https://openalex.org/I4210113049"]},{"raw_affiliation_string":"Department of Clinical Pharmacy, King Abdulaziz University Hospital, Jeddah 21589, Saudi Arabia","institution_ids":["https://openalex.org/I4210111472","https://openalex.org/I4405276535"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093493732","display_name":"Maram Alshreef","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335369389","display_name":"Riyadh Armed Forces Hospital","ror":"https://ror.org/00mtny680","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I1335369389"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Maram Alshreef","raw_affiliation_strings":["Department of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia","institution_ids":["https://openalex.org/I1335369389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160192717","display_name":"Qoot Almedainy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335369389","display_name":"Riyadh Armed Forces Hospital","ror":"https://ror.org/00mtny680","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I1335369389"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Qoot Almedainy","raw_affiliation_strings":["Department of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia","institution_ids":["https://openalex.org/I1335369389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030750014","display_name":"Alaa Almagthali","orcid":"https://orcid.org/0009-0003-4316-4945","observed_orcids":["https://orcid.org/0009-0003-4316-4945"]},"institutions":[{"id":"https://openalex.org/I4210111472","display_name":"King Abdul Aziz University Hospital","ror":"https://ror.org/01vv03303","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210111472"]},{"id":"https://openalex.org/I4405276535","display_name":"King Abdulaziz Hospital","ror":"https://ror.org/05mvv1442","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210127754","https://openalex.org/I4405269311","https://openalex.org/I4405276535"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Alaa Almagthali","raw_affiliation_strings":["Department of Clinical Pharmacy, King Abdulaziz University Hospital, Jeddah 21589, Saudi Arabia"],"raw_orcid":"https://orcid.org/0009-0003-4316-4945","affiliations":[{"raw_affiliation_string":"Department of Clinical Pharmacy, King Abdulaziz University Hospital, Jeddah 21589, Saudi Arabia","institution_ids":["https://openalex.org/I4210111472","https://openalex.org/I4405276535"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028541412","display_name":"Ahmed Basilim","orcid":"https://orcid.org/0000-0003-0505-1360","observed_orcids":["https://orcid.org/0000-0003-0505-1360"]},"institutions":[{"id":"https://openalex.org/I185163786","display_name":"King Abdulaziz University","ror":"https://ror.org/02ma4wv74","country_code":"SA","type":"education","lineage":["https://openalex.org/I185163786"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Ahmed Basilim","raw_affiliation_strings":["Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah 22254, Saudi Arabia"],"raw_orcid":"https://orcid.org/0000-0003-0505-1360","affiliations":[{"raw_affiliation_string":"Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah 22254, Saudi Arabia","institution_ids":["https://openalex.org/I185163786"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160210699","display_name":"Ahmad Majrashi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210152863","display_name":"King Fahad Central Hospital","ror":"https://ror.org/04y2gp806","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210152863"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Ahmad Majrashi","raw_affiliation_strings":["Department of Clinical Pharmacy, King Fahad Central Hospital, Jazan 82666, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Pharmacy, King Fahad Central Hospital, Jazan 82666, Saudi Arabia","institution_ids":["https://openalex.org/I4210152863"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025556232","display_name":"Abdulhamid A. Althagafi","orcid":"https://orcid.org/0000-0002-1957-1618","observed_orcids":["https://orcid.org/0000-0002-1957-1618"]},"institutions":[{"id":"https://openalex.org/I185163786","display_name":"King Abdulaziz University","ror":"https://ror.org/02ma4wv74","country_code":"SA","type":"education","lineage":["https://openalex.org/I185163786"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abdulhamid Althagafi","raw_affiliation_strings":["Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah 22254, Saudi Arabia"],"raw_orcid":"https://orcid.org/0000-0002-1957-1618","affiliations":[{"raw_affiliation_string":"Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah 22254, Saudi Arabia","institution_ids":["https://openalex.org/I185163786"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160182810","display_name":"Eman Alqahtani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335369389","display_name":"Riyadh Armed Forces Hospital","ror":"https://ror.org/00mtny680","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I1335369389"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Eman Alqahtani","raw_affiliation_strings":["Department of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia","institution_ids":["https://openalex.org/I1335369389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160230540","display_name":"Qasem Bahri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210152863","display_name":"King Fahad Central Hospital","ror":"https://ror.org/04y2gp806","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210152863"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Qasem Bahri","raw_affiliation_strings":["Department of Clinical Pharmacy, King Fahad Central Hospital, Jazan 82666, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Pharmacy, King Fahad Central Hospital, Jazan 82666, Saudi Arabia","institution_ids":["https://openalex.org/I4210152863"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031533974","display_name":"Dina Kutbi","orcid":"https://orcid.org/0000-0002-2371-2145","observed_orcids":["https://orcid.org/0000-0002-2371-2145"]},"institutions":[{"id":"https://openalex.org/I4210105508","display_name":"King Fahd Armed Forces Hospital","ror":"https://ror.org/00z1vyk43","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210105508"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Dina Kutbi","raw_affiliation_strings":["Department of Pharmacy, King Fahad Armed Forces Hospital, Jeddah 23311, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, King Fahad Armed Forces Hospital, Jeddah 23311, Saudi Arabia","institution_ids":["https://openalex.org/I4210105508"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5138828314","display_name":"Arwa Albeladi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4400600919","display_name":"Batterjee Medical College","ror":"https://ror.org/00dqry546","country_code":"SA","type":"education","lineage":["https://openalex.org/I4400600919"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Arwa Albeladi","raw_affiliation_strings":["College of Pharmacy, Batterjee Medical College, Jeddah 21442, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Pharmacy, Batterjee Medical College, Jeddah 21442, Saudi Arabia","institution_ids":["https://openalex.org/I4400600919"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5160210691"],"corresponding_institution_ids":["https://openalex.org/I4210111472","https://openalex.org/I4210113049","https://openalex.org/I4405276535"],"apc_list":{"value":2600,"currency":"CHF","value_usd":3137},"apc_paid":{"value":2600,"currency":"CHF","value_usd":3137},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.84388287,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"21","first_page":"8457","last_page":"8457"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/delirium","display_name":"delirium","score":0.7760000228881836},{"id":"https://openalex.org/keywords/medication-regimen-complexity","display_name":"medication regimen complexity","score":0.9580000042915344},{"id":"https://openalex.org/keywords/critically-ill-adults","display_name":"critically ill adults","score":0.9190000295639038},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.890999972820282},{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.9330000281333923},{"id":"https://openalex.org/keywords/fluid-overload","display_name":"fluid overload","score":0.9980000257492065},{"id":"https://openalex.org/keywords/renal-replacement-therapy","display_name":"renal replacement therapy","score":0.996999979019165},{"id":"https://openalex.org/keywords/icu-mortality","display_name":"ICU mortality","score":0.847000002861023},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.9210000038146973},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8619999885559082},{"id":"https://openalex.org/keywords/apache-ii","display_name":"APACHE II score","score":0.8220000267028809},{"id":"https://openalex.org/keywords/sofa-score","display_name":"SOFA score","score":0.7599999904632568},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.675000011920929},{"id":"https://openalex.org/keywords/delirium-risk-factors","display_name":"delirium risk factors","score":0.6290000081062317},{"id":"https://openalex.org/keywords/mortality-prediction-model","display_name":"mortality prediction model","score":0.31700000166893005},{"id":"https://openalex.org/keywords/delirium-prevention-and-treatment","display_name":"delirium prevention and treatment","score":0.35899999737739563},{"id":"https://openalex.org/keywords/delirium-screening","display_name":"delirium screening","score":0.335999995470047}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9620000123977661},{"id":"https://openalex.org/C2779753318","wikidata":"https://www.wikidata.org/wiki/Q160796","display_name":"Delirium","level":2,"score":0.9157999753952026},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.6409000158309937},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5722000002861023},{"id":"https://openalex.org/C2781413609","wikidata":"https://www.wikidata.org/wiki/Q7308373","display_name":"Regimen","level":2,"score":0.5504999756813049},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5131000280380249},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5084999799728394},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.4925000071525574},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4830999970436096},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.446399986743927},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.42559999227523804},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4205000102519989},{"id":"https://openalex.org/C2780472472","wikidata":"https://www.wikidata.org/wiki/Q424337","display_name":"Acute kidney injury","level":2,"score":0.4088999927043915},{"id":"https://openalex.org/C2779541074","wikidata":"https://www.wikidata.org/wiki/Q185643","display_name":"Renal replacement therapy","level":2,"score":0.40700000524520874},{"id":"https://openalex.org/C2991859549","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Critically ill","level":2,"score":0.40450000762939453},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.3917999863624573},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.3628999888896942},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.34700000286102295},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.3443000018596649},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.31200000643730164},{"id":"https://openalex.org/C2780347030","wikidata":"https://www.wikidata.org/wiki/Q344843","display_name":"APACHE II","level":3,"score":0.3075000047683716},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.29019999504089355},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.2840999960899353},{"id":"https://openalex.org/C2777984932","wikidata":"https://www.wikidata.org/wiki/Q7336293","display_name":"Risk of mortality","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2500999867916107}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/jcm15218457","doi":"https://doi.org/10.3390/jcm15218457","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218457","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/jcm15218457","doi":"https://doi.org/10.3390/jcm15218457","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218457","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322322","display_name":"King Abdulaziz University","ror":"https://ror.org/02ma4wv74"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W2000270443","https://openalex.org/W2002201406","https://openalex.org/W2037614372","https://openalex.org/W2038882699","https://openalex.org/W2055028830","https://openalex.org/W2108485082","https://openalex.org/W2885896746","https://openalex.org/W2944058558","https://openalex.org/W2950593515","https://openalex.org/W2977252151","https://openalex.org/W3010605880","https://openalex.org/W3030759344","https://openalex.org/W3087491463","https://openalex.org/W3135666699","https://openalex.org/W3164015379","https://openalex.org/W4200484538","https://openalex.org/W4211122792","https://openalex.org/W4212875048","https://openalex.org/W4281741214","https://openalex.org/W4290940005","https://openalex.org/W4367846511","https://openalex.org/W4383187411","https://openalex.org/W4389403051","https://openalex.org/W4415829684","https://openalex.org/W7140100880"],"related_works":["https://openalex.org/W3118374428","https://openalex.org/W7151331046","https://openalex.org/W2138021422","https://openalex.org/W2039800154","https://openalex.org/W4290940005","https://openalex.org/W6958838207","https://openalex.org/W2136004435","https://openalex.org/W4382181543","https://openalex.org/W4389730667","https://openalex.org/W2037614372"],"abstract_inverted_index":{"Background:":[0],"The":[1,107],"medication":[2,15,312],"regimen":[3,16,313],"complexity\u2013intensive":[4],"care":[5,72],"unit":[6],"(MRC-ICU)":[7],"score":[8,49,152,195,280],"is":[9],"a":[10],"validated":[11],"tool":[12],"for":[13,265],"assessing":[14],"complexity":[17,314],"in":[18,158,191,196],"critically":[19],"ill":[20],"patients":[21,68,160],"and":[22,50,53,81,89,92,131,134,136,153,172,256,281,301,315],"has":[23],"been":[24],"associated":[25,56,286],"with":[26,33,287],"several":[27],"clinical":[28,57,292],"outcomes.":[29,58,293],"However,":[30,294],"its":[31],"association":[32,44,148,185,273,309],"delirium":[34,51,111,171,229,282,299,316],"remains":[35],"poorly":[36],"characterized.":[37],"This":[38,60],"study":[39,64],"aimed":[40],"to":[41,54,70,145],"evaluate":[42],"the":[43,46,113,147,170,192,198,214,266,277,295,308],"between":[45,79,149,169,276,310],"day-1":[47,150,193,278],"MRC-ICU":[48,151,163,194,279],"development":[52],"describe":[55],"Methods:":[59],"prospective":[61],"multicenter":[62],"cohort":[63],"enrolled":[65],"364":[66],"adult":[67],"admitted":[69],"intensive":[71],"units":[73],"(ICUs)":[74],"across":[75],"four":[76],"tertiary":[77],"hospitals":[78],"January":[80],"April":[82],"2025.":[83],"MRC-ICU,":[84],"sequential":[85],"organ":[86],"failure":[87],"assessment,":[88],"acute":[90,119],"physiology":[91],"chronic":[93],"health":[94],"evaluation":[95],"II":[96],"(APACHE":[97],"II)":[98],"scores":[99,164],"were":[100,118],"recorded":[101],"within":[102],"24":[103],"h":[104],"of":[105,139,233,290,298],"admission.":[106],"primary":[108],"outcome":[109],"was":[110,143,186,274,285],"during":[112],"ICU":[114,130,135,251],"stay.":[115,140],"Secondary":[116],"outcomes":[117],"kidney":[120],"injury":[121],"(AKI),":[122],"fluid":[123],"overload":[124],"(FO),":[125],"renal":[126],"replacement":[127],"therapy":[128],"(RRT),":[129],"hospital":[132,137,257],"mortality,":[133],"length":[138],"Logistic":[141],"regression":[142],"used":[144],"assess":[146],"delirium.":[154],"Results:":[155],"Delirium":[156,284],"occurred":[157],"12":[159,176],"(3.3%).":[161],"Baseline":[162],"did":[165],"not":[166],"significantly":[167],"differ":[168],"no-delirium":[173],"groups":[174],"(median,":[175],"vs.":[177,237,244,249,254,260],"11;":[178],"p":[179,210,223,239],"=":[180,211,224,240],"0.364).":[181],"No":[182,270],"statistically":[183,271],"significant":[184,272],"detected":[187,275],"per":[188],"5-point":[189],"increase":[190],"either":[197],"unadjusted":[199],"model":[200,217],"(odds":[201],"ratio":[202],"[OR]":[203],"1.28,":[204],"95%":[205,220],"confidence":[206],"interval":[207],"[CI]":[208],"0.73\u20132.23;":[209],"0.385)":[212],"or":[213],"APACHE":[215],"II-adjusted":[216],"(OR":[218],"1.27,":[219],"CI":[221],"0.73\u20132.22;":[222],"0.398).":[225],"Patients":[226],"who":[227],"developed":[228],"had":[230],"higher":[231,288],"rates":[232,289],"incident":[234],"AKI":[235],"(33.3%":[236],"4.5%;":[238],"0.009),":[241],"FO":[242],"(83.3%":[243,253],"10.5%),":[245],"RRT":[246],"initiation":[247],"(66.7%":[248],"4.3%),":[250],"mortality":[252,258],"12.5%),":[255],"(100%":[259],"17.0%)":[261],"(p":[262],"<":[263],"0.001":[264],"remaining":[267],"outcomes).":[268],"Conclusions:":[269],"development.":[283],"adverse":[291],"small":[296],"number":[297],"events":[300],"imprecise":[302],"estimates":[303],"preclude":[304],"definitive":[305],"conclusions":[306],"regarding":[307],"admission":[311],"risk.":[317]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}
