ICU sedation, delirium & recovery

Differences in intensive care outcomes between older adults with and without dementia: A systematic review and meta-analysis

J Crit CarePublished Systematic review and meta-analysis of cohort studies

Authors' conclusion

Older adults with dementia admitted to ICUs experience similar ICU mortality but higher long-term mortality, more delirium, and lower odds of mechanical ventilation.

Study context

Population
Older adults admitted to the intensive care unit (ICU); cohort studies 2003–2023 from six countries
Participants
1,738,285 adults · 15 studies
Comparison
Older adults with vs without dementia
  • Dementian = 173,107
Outcome
ICU mortality
Methodological detailsrandom-effects
  • Random-effects

Pooled result

As reported in the abstract

  • No difference in ICU mortality
  • Adjusted analyses

Further pooled results

OutcomeOR (95% CI)
Deliriumn = 1 study4.80 (1.81–12.72)

Safety

OutcomeOR (95% CI)
Deliriumn = 14.80 (1.81–12.72)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Differences in intensive care outcomes between older adults with and without dementia: A systematic review and meta-analysis. J Crit Care. Published 1 April 2026. doi:10.1016/j.jcrc.2026.155553

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