Prof. David Meagher

Prof David Meagher - Member of Executive Management Committee
Professor of Psychiatry, Graduate Entry Medical School, University of Limerick and
Consultant Psychiatrist, Health Services Executive.
Contact:  061 315177

david.meagher@ul.ie

 

Appointed as Foundation Chair, Head of Teaching and Research in Psychiatry, University of Limerick School of Medicine, Limerick, Ireland (2009)
Consultant Psychiatrist, Midwestern Regional Hospital, Limerick
Vice-President, European Delirium Association
MB, BCh, BAO (UCD, 1988), DPM (1993), MRCPsych (1993), MSc (Neuroscience)(1996), MD (2001), MHSc (Clinical Teaching) (2009)

Research interests include the neuropsychiatry of delirium across clinical settings with particular emphasis on palliative care, consultation-liaison psychiatry and elderly medical populations, including research activity focusing on definition and nosology, improving detection and assessment, clinical (motor activity) subtyping, management and  prognostic indicators. Recent work has focused upon the use of computerized technology / electronics in the detection and monitoring of patients with acute cognitive failure/delirium.

Other research interests include:
(a) Mental health services research particularly implementation of evidence-based practices in real-world settings and multidisciplinary team practices in mental health service provision. 
(b) Medical education including determinants of the educational environment.

 

Publications

2017


Adamis, D., Meagher, D., Rooney, S., Mulligan, O. and McCarthy, G. (2017) 'A comparison of outcomes according to different diagnostic systems for delirium (DSM-5, DSM-IV, CAM, and DRS-R98)', Int Psychogeriatr, 2017/09/15, 1-6

Boettger, S., Nunez, D.G., Meyer, R., Richter, A., Schubert, M., Meagher, D. and Jenewein, J. (2017) 'Brief assessment of delirium subtypes: Psychometric evaluation of the Delirium Motor Subtype Scale (DMSS)-4 in the intensive care setting', Palliat Support Care, 2017/01/13, 1-9

Donoghue, L., Elias, T., Leonard, M., Exton, C., Dunne, C., Meagher, J., Adamis, D. and Meagher, D. (2017) 'Development of a novel computerised version of the month backwards test- a comparison of performance in hospitalised elderly patients and final year medical students', National Institute of Health Sciences, 7(4), 23

Fitzgerald, J., O'Regan, N., Adamis, D., Timmons, S., Dunne, C., Trzepacz, P. and Meagher, D.J. (2017) 'Concordance between the delirium motor subtyping scale (dmss) and the abbreviated version (dmss-4) over longitudinal assessment of elderly medical inpatients', National Institute of Health Sciences, 7(4), 22.

FitzGerald, J.M., O'Regan, N., Adamis, D., Timmons, S., Dunne, C.P., Trzepacz, P.T. and Meagher, D.J. (2017) 'Sleep-wake cycle disturbances in elderly acute general medical inpatients: Longitudinal relationship to delirium and dementia', Alzheimers Dement (Amst), 7, 61-68

Leonard, M., McInerney, S., MacFarland, J., Condon, C., Awan, F., O'Connor, M., Reynolds, P., Meaney, A.M., Adamis, D., Dunne, C., Cullen, W., Trzepacz, P. and Meagher, D.J. (2017) 'Comparison of cognitive and neuropsychiatric profiles in hospitalised elderly medical patients with delirium, dementia and comorbid delerium-dementia', National Institute of Health Sciences, 7(4), 21

Morandi, A., Davis, D., Bellelli, G., Arora, R. C., Caplan, G. A., Kamholz, B., Kolanowski, A., Fick, D. M., Kreisel, S., MacLullich, A., Meagher, D., Neufeld, K., Pandharipande, P. P., Richardson, S., Slooter, A. J., Taylor, J. P., Thomas, C., Tieges, Z., Teodorczuk, A., Voyer, P. and Rudolph, J. L. (2017) 'The Diagnosis of Delirium Superimposed on Dementia: An Emerging Challenge', J Am Med Dir Assoc, 18(1), 12-18.

Morandi, A., Di Santo, S.G., Cherubini, A., Mossello, E., Meagher, D., Mazzone, A., Bianchetti, A., Ferrrara, N., Ferrari, A., Musicco, M., Trabucchi, M. and Bellelli, G. (2017) 'Clinical Features Associated with Delirium Motor Subtypes in Older Inpatients: Results of a Multicenter Study', The American Journal of Geriatric Psychiatry

O'Reilly, M., Larkin, P., Conroy, M., Twomey, F., Lucey, M., Dunne, C. and Meagher, D.J. (2017) 'The impact of a novel tool for comprehensive assessment of palliative care (mpcat) on assessment outcome at 6 and 12 month follow up', National Institute of Health Sciences, 7(4), 24.

Scholtens, R.M., van Munster, B.C., Adamis, D., de Jonghe, A., Meagher, D.J. and de Rooij, S.E. (2017) 'Variability of Delirium Motor Subtype Scale-Defined Delirium Motor Subtypes in Elderly Adults with Hip Fracture: A Longitudinal Study', J Am Geriatr Soc, 65(2), e45-e50

Sepulveda, E., Leonard, M., Franco, J.G., Adamis, D., McCarthy, G., Dunne, C., Trzepacz, P.T., Gaviria, A.M., de Pablo, J., Vilella, E. and Meagher, D.J. (2017) 'Subsyndromal delirium compared with delirium, dementia, and subjects without delirium or dementia in elderly general hospital admissions and nursing home residents', Alzheimers Dement (Amst), 7, 1-10

Williams, J., Finn, K., Melvin, V., Meagher, D., McCarthy, G. and Adamis, D. (2017) 'The Association of Serum Levels of Brain-Derived Neurotrophic Factor with the Occurrence of and Recovery from Delirium in Older Medical Inpatients', BioMed Research International, 2017, 7.

Williams, O. A., O’Connell, H., Leonard, M., Awan, F., White, D., McKenna, F., Hannigan, A., Cullen, W., Exton, C., Enudi, W., Dunne, C., Adamis, D. and Meagher, D. (2017) 'Development of the four-item Letter and Shape Drawing test (LSD-4): A brief bedside test of visuospatial function', Psychiatry Research, 247, 317-322.

2016

Adamis, D., Meagher, D., O'Neill, D. and McCarthy, G. (2016) 'The utility of the clock drawing test in detection of delirium in elderly hospitalised patients', Aging Ment Health, 20(9), 981-6.

Adamis, D., Meagher, D., Murray, O., O'Neill, D., O'Mahony, E., Mulligan, O. and McCarthy, G. (2016) 'Evaluating attention in delirium: A comparison of bedside tests of attention', Geriatr Gerontol Int, 16(9), 1028-35.

Adamis, D., Meagher, D., Williams, J., Mulligan, O. and McCarthy, G. (2016) 'A systematic review and meta-analysis of the association between the apolipoprotein E genotype and delirium', Psychiatr Genet, 26(2), 53-9.

Adamis, D., Scholtens, R. M., de Jonghe, A., van Munster, B. C., de Rooij, S. E. and Meagher, D. J. (2016) 'Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium', Int Psychogeriatr, 2016/02/06, 1-8.

Leonard, M., McInerney, S., McFarland, J., Condon, C., Awan, F., O'Connor, M., Reynolds, P., Meaney, A. M., Adamis, D., Dunne, C., Cullen, W., Trzepacz, P. T. and Meagher, D. J. (2016) 'Comparison of cognitive and neuropsychiatric profiles in hospitalised elderly medical patients with delirium, dementia and comorbid delirium-dementia', BMJ Open, 6(3), e009212.

Leonard, M., O'Connell, H., Williams, O., Awan, F., Exton, C., O'Connor, M., Adamis, D., Dunne, C., Cullen, W. and

Meagher, D. J. (2016) 'Attention, vigilance and visuospatial function in hospitalized elderly medical patients: Relationship to neurocognitive diagnosis', J Psychosom Res, 90, 84-90.

Morandi, A., Han, J. H., Meagher, D., Vasilevskis, E., Cerejeira, J., Hasemann, W., MacLullich, A. M. J., Annoni, G., Trabucchi, M. and Bellelli, G. (2016) 'Detecting Delirium Superimposed on Dementia: Evaluation of the Diagnostic Performance of the Richmond Agitation and Sedation Scale', Journal of the American Medical Directors Association.

O'Regan, N. A., Maughan, K., Liddy, N., Fitzgerald, J., Adamis, D., Molloy, D. W., Meagher, D. and Timmons, S. (2016) 'Five short screening tests in the detection of prevalent delirium: diagnostic accuracy and performance in different neurocognitive subgroups', Int J Geriatr Psychiatry

Scholtens, R. M., van Munster, B. C., Adamis, D., de Jonghe, A., Meagher, D. J. and de Rooij, S. E. (2016) 'Variability of Delirium Motor Subtype Scale-Defined Delirium Motor Subtypes in Elderly Adults with Hip Fracture: A Longitudinal Study', J Am Geriatr Soc, 2016/12/13.

Sepulveda, E., Leonard, M., Franco, J. G., Adamis, D., McCarthy, G., Dunne, C., Trzepacz, P. T., Gaviria, A. M., de Pablo, J., Vilella, E. and Meagher, D. J. (2016) 'Subsyndromal delirium compared with delirium, dementia, and subjects without delirium or dementia in elderly general hospital admissions and nursing home residents', Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring

Trzepacz, P. T., Meagher, D. J. and Franco, J. G. (2016) 'Comparison of diagnostic classification systems for delirium with new research criteria that incorporate the three core domains', J Psychosom Res.

 

2015

Bellelli, G., Nobili, A., Annoni, G., Morandi, A., Djade, C. D., Meagher, D. J., Maclullich, A. M., Davis, D., Mazzone, A., Tettamanti, M. and Mannucci, P. M. (2015) 'Under-detection of delirium and impact of neurocognitive deficits on in-hospital mortality among acute geriatric and medical wards', Eur J Intern Med.

Donoghue, L., Elias, T., Leonard, M., Exton, C., Dunne, C., Meagher, J., Adamis, D. and Meagher, D. (2016) 'Development of a novel computerised version of the Month Backwards Test: A comparison of performance in hospitalised elderly patients and final year medical students', Computers in Biology and Medicine, 68, 1-8.

Fitzgerald, J., O'Regan, N., Adamis, D., Timmons, S., Dunne, C., Trzepacz, P. and Meagher, D. (2015) 'Concordance between the delirium motor subtyping scale (DMSS) and the abbreviated version (DMSS-4) over longitudinal assessment in elderly medical inpatients', Int Psychogeriatr, 1-7.

Lally, K., Nathan, V. Y., Dunne, S., McGrath, D., Cullen, W., Meagher, D., Coffey, J. C. and Dunne, C. (2015) 'Awareness of sexually transmitted infection and protection methods among university students in Ireland', Ir J Med Sci, 184(1), 135-42.

Meagher, J., Long, V., Leonard, M., Donoghue, L., O'Regan, N., Timmons, S., Exton, C., Cullen, W., Dunne, C., MacLullich, A. M. J. and Meagher, D. (2015) 'The months backwards test: a review of its rationale and use in clinical studies', World Journal of Psychiatry.

Morandi, A., Lucchi, E., Turco, R., Morghen, S., Guerini, F., Santi, R., Gentile, S., Meagher, D., Voyer, P., Fick, D., Schmitt, E. M., Inouye, S. K., Trabucchi, M. and Bellelli, G. (2015) 'Delirium superimposed on dementia: A quantitative and qualitative evaluation of patient experience', J Psychosom Res.

O'Sullivan, R., Meagher, D., Leonard, M., Watne, L. O., Hall, R. J., Maclullich, A. M., Trzepacz, P. and Adamis, D. (2015) 'A comparison of the revised Delirium Rating Scale (DRS-R98) and the Memorial Delirium Assessment Scale (MDAS) in a palliative care cohort with DSM-IV delirium', Palliat Support Care, 13(4), 937-44.


2014

Adamis, D., Meagher, D., Treloar, A., Dunne, C., Larvin, M., Martin, F. C. and Macdonald, A. J. (2014) 'Phenomenological and biological correlates of improved cognitive function in hospitalized elderly medical inpatients', Arch Gerontol Geriatr, 59(3), 593-8.

Henderson, C., Klimas, J., Dunne, C., Leddin, D., Meagher, D., O'Toole, T. and Cullen, W. (2014) 'Key performance indicators for mental health and substance use disorders: a literature review and discussion paper, Mental Health and Substance Use', Mental Health and Substance Use, 7(4), 407-419.

Meagher, D. J., Morandi, A., Inouye, S. K., Ely, W., Adamis, D., Maclullich, A. J., Rudolph, J. L., Neufeld, K., Leonard, M., Bellelli, G., Davis, D., Teodorczuk, A., Kreisel, S., Thomas, C., Hasemann, W., Timmons, S., O'Regan, N., Grover, S., Jabbar, F., Cullen, W., Dunne, C., Kamholz, B., Van Munster, B. C., De Rooij, S. E., De Jonghe, J. and Trzepacz, P. T. (2014) 'Concordance between DSM-IV and DSM-5 criteria for delirium diagnosis in a pooled database of 768 prospectively evaluated patients using the delirium rating scale-revised-98', BMC Med, 12, 164.

O'Hanlon, S., O'Regan, N., Maclullich, A. M., Cullen, W., Dunne, C., Exton, C. and Meagher, D. (2014) 'Improving delirium care through early intervention: from bench to bedside to boardroom', J Neurol Neurosurg Psychiatry, 85(2), 207-213.

 

2013

Fitzgerald, J. M., Adamis, D., Trzepacz, P. T., O'Regan, N., Timmons, S., Dunne, C. and Meagher, D. J. (2013) 'Delirium: a disturbance of circadian integrity?', Med Hypotheses, 81(4), 568-76.

Healy, D., Naqvi, S., Meagher, D., Cullen, W. and Dunne, C. (2013) 'Primary care support for youth mental health: a preliminary evidence base for Ireland's Mid-West', Ir J Med Sci, 182(2), 237-243.

Klimas, J., Anderson, R., Bourke, M., Bury, G., Field, C. A., Kaner, E., Keane, R., Keenan, E., Meagher, D., Murphy, B., O'Gorman, C. S., O'Toole, T. P., Saunders, J., Smyth, B. P., Dunne, C. and Cullen, W. (2013) 'Psychosocial interventions for alcohol use among problem drug users: protocol for a feasibility study in primary care', JMIR Res Protoc, 2(2), e26.

O'Regan, N. A., Law, T. W., Dunne, D., Mohamed, A., O'Brien, D., Marafi, H., Meagher, D., Clare, J. and Timmons, S. (2013) 'Delirium in older postoperative hip fracture patients', Hip Int, 23(4), 424-5.

 

2012

Hall, R. J., Meagher, D. J. and MacLullich, A. M. J. (2012) 'Delirium detection and monitoring outside the ICU', Best Practice & Research Clinical Anaesthesiology, 26(3), 367-383.