Delirium: A disorder of consciousness?

Eeles, Eamonn; Pandy, Shaun; Ray, Julian

doi:10.1016/j.mehy.2012.12.027

Cited by 11 publications

(13 citation statements)

References 25 publications

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“…Consciousness embodies all thoughts embraced whilst awake and aware. As previously argued, disturbance of consciousness is integral to delirium 31 . Not least, consciousness must be implicated because every realm of human thought or behaviour has been tarnished in some way during an episode of delirium.…”

Section: Evaluation Of Hypothesismentioning

confidence: 83%

Delirium in medical inpatients: Adverse outcomes

Renjel¹,

Pandy²,

Eeles³

2013

OA Medical Hypothesis

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IntroductionDespite advances in understanding delirium over the past 30 years, adverse outcomes persist. We aim to review the literature pertaining to adverse outcomes, and their causes, associated with delirium in medical inpatients. Hypothesis Despite extensive research in delirium to date, delirium patients continue to suffer adverse outcomes. We offer four hypotheses as to why poor outcomes continue to be associated with delirium and propose new areas of research. Evaluation of hypothesisDelirium has been associated with institutionalization, increased length of hospital stay, cognitive and functional decline and mortality. Less is known, or even conjectured, in relation to the cause(s) of poor outcomes. ConclusionIn the evidence gap, we have proposed a number of hypotheses that explore the attrition observed in delirium. These can be understood within the dynamic tension between frailty, emergent illness, triggers, unmet need and survival properties for patients at the limits of redundancy. Further research into the drivers behind poor outcomes is needed.

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Section: Evaluation Of Hypothesismentioning

confidence: 83%

Delirium in medical inpatients: Adverse outcomes

Renjel¹,

Pandy²,

Eeles³

2013

OA Medical Hypothesis

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“…Possible tests of sustained and selective attention were also proposed (moving target and choosing a specific coloured shape from a multicoloured assembly of shapes, respectively). Testing of awareness, defined as understanding of self and the environment , generated possible questions such as (on presentation of picture of a fireplace) ‘Is this cold?’ with a response of true and false. Leading questions were evenly distributed across the pool.…”

Section: Resultsmentioning

confidence: 99%

e‐Screening revolution: A novel approach to developing a delirium screening tool in the intensive care unit

Eeles

Gunn²,

Sutt³

et al. 2018

Australas J Ageing

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“…Furthermore, no available instrument measures what is axiomatic to delirium: disturbance of awareness or consciousness [4]. A recent paper detailed how the duality of consciousness can be qualified [5]. Contemplation is subserved through the default mode networks and reasoning conducted via task positive states.…”

Section: Introductionmentioning

confidence: 99%

“…Contemplation is subserved through the default mode networks and reasoning conducted via task positive states. Questions which test this fundamental characteristic of the conscious state were trialled for the first time in this study [5]. This novel instrument has been termed Simple Query for Easy Evaluation of Consciousness (SQeeC).…”

Section: Introductionmentioning

confidence: 99%