Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study

Introduction: Delirium is a fatal but potentially reversible disorder of the central nervous system that imposes high costs on health systems. This study aims to evaluate the effect of intermittent theta-burst stimulation on the severity and course of delirium disorder. Methods: This is a double-bli...

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Main Authors: Emad Yaghoubi, Seyed Vahid Shariat, Vahid Rashedi, Atefeh Ghanbari Jolfaei
Format: Article
Language:English
Published: Iran University of Medical Sciences 2022-03-01
Series:Basic and Clinical Neuroscience
Subjects:
Online Access:http://bcn.iums.ac.ir/article-1-1503-en.html
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author Emad Yaghoubi
Seyed Vahid Shariat
Vahid Rashedi
Atefeh Ghanbari Jolfaei
author_facet Emad Yaghoubi
Seyed Vahid Shariat
Vahid Rashedi
Atefeh Ghanbari Jolfaei
author_sort Emad Yaghoubi
collection DOAJ
description Introduction: Delirium is a fatal but potentially reversible disorder of the central nervous system that imposes high costs on health systems. This study aims to evaluate the effect of intermittent theta-burst stimulation on the severity and course of delirium disorder. Methods: This is a double-blind, randomized, sham-controlled pilot study. The study participants were randomly allocated into the active (active intermittent theta-burst stimulation) and sham groups. The severity of delirium was assessed 15 minutes before the intervention and 15 minutes after that by the Neelon and Champagne (NEECHAM) confusion scale. Results: In the active group, total and subscale scores of NEECHAM significantly decreased after intervention (P<0.05). Although no statistical difference was found in the control group regarding the subscale scores of NEECHAM, the difference in the total scores before and after the sham intervention was statistically significant. Conclusion: Carrying one session of repetitive transcranial magnetic stimulation on the left dorsolateral prefrontal cortex can reduce the delirium severity in a short period, although it will not decrease the number of delirium cases three days after the intervention.
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spelling doaj.art-90d4afe443c842fa9f2a7305214216492024-03-03T05:36:52ZengIran University of Medical SciencesBasic and Clinical Neuroscience2008-126X2228-74422022-03-01132237246Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot StudyEmad Yaghoubi0Seyed Vahid Shariat1Vahid Rashedi2Atefeh Ghanbari Jolfaei3 Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran. School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran. Introduction: Delirium is a fatal but potentially reversible disorder of the central nervous system that imposes high costs on health systems. This study aims to evaluate the effect of intermittent theta-burst stimulation on the severity and course of delirium disorder. Methods: This is a double-blind, randomized, sham-controlled pilot study. The study participants were randomly allocated into the active (active intermittent theta-burst stimulation) and sham groups. The severity of delirium was assessed 15 minutes before the intervention and 15 minutes after that by the Neelon and Champagne (NEECHAM) confusion scale. Results: In the active group, total and subscale scores of NEECHAM significantly decreased after intervention (P<0.05). Although no statistical difference was found in the control group regarding the subscale scores of NEECHAM, the difference in the total scores before and after the sham intervention was statistically significant. Conclusion: Carrying one session of repetitive transcranial magnetic stimulation on the left dorsolateral prefrontal cortex can reduce the delirium severity in a short period, although it will not decrease the number of delirium cases three days after the intervention.http://bcn.iums.ac.ir/article-1-1503-en.htmldeliriumrepetitive transcranial magnetic stimulation (rtms)randomized controlled trial
spellingShingle Emad Yaghoubi
Seyed Vahid Shariat
Vahid Rashedi
Atefeh Ghanbari Jolfaei
Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study
Basic and Clinical Neuroscience
delirium
repetitive transcranial magnetic stimulation (rtms)
randomized controlled trial
title Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study
title_full Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study
title_fullStr Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study
title_full_unstemmed Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study
title_short Repetitive Transcranial Magnetic Stimulation in Delirium: A Double-blind, Randomized, Sham-controlled, Pilot Study
title_sort repetitive transcranial magnetic stimulation in delirium a double blind randomized sham controlled pilot study
topic delirium
repetitive transcranial magnetic stimulation (rtms)
randomized controlled trial
url http://bcn.iums.ac.ir/article-1-1503-en.html
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AT vahidrashedi repetitivetranscranialmagneticstimulationindeliriumadoubleblindrandomizedshamcontrolledpilotstudy
AT atefehghanbarijolfaei repetitivetranscranialmagneticstimulationindeliriumadoubleblindrandomizedshamcontrolledpilotstudy