Indian research on acute organic brain syndrome: Delirium

Pinto, Charles

doi:10.4103/0019-5545.69226

Cited by 8 publications

(7 citation statements)

References 30 publications

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“…Only a few Indian studies have separately focused on delirium occurring in the geriatric patients (Grover et al 2009;Pinto 2010). Available studies on delirium in elderly had sample sizes ranging between 100 and 400, from hospital settings.…”

Section: Delirium In Elderlymentioning

confidence: 99%

Geriatric Psychiatry in India: Developments and Future Directions

Khandelwal

Pattanayak

2015

Developments in Psychiatry in India

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Section: Delirium In Elderlymentioning

confidence: 99%

Geriatric Psychiatry in India: Developments and Future Directions

Khandelwal

Pattanayak

2015

Developments in Psychiatry in India

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“…1 Delirium, altered mental status, acute confusional state, sun downing, encephalopathy, and acute organic brain syndrome are the same clinical conditions. 2 In geriatric patients, the prevalence of delirium at hospital admission is 18 to 35% and a new delirium develops in 11-14% of these patients 1 Professor, 2 Resident, Department of Medicine, Government Medical College, Kota, Rajasthan. Address for correspondence: Dr. Anuraj Singh; 991-Vivekanand Nagar, Kota, Rajasthan.…”

Section: Introductionmentioning

confidence: 99%

Delirium in Elderly General Medicine Inpatients: A Prospective Study

Sharda¹,

Singh²,

Jelia³

et al. 2018

JIAG

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Objective: To study all aspects of delirium including occurrence, risk factors, precipitating causes and outcome in tertiary care hospital catering geriatric medicine services. Methods: A prospective observational study was done among 100 cases of delirium recruited from 520 patients admitted in geriatric block of general medicine ward during a calendar year. Patients were screened for delirium by confusion assessment method. Prevalent delirium and incident delirium was calculated. A set of predisposing risk factors were sought on admission. The cause of delirium was ascertained after full evaluation of patients by taking history, doing physical examination including neurological examination and appropriate investigations. Outcomes were measured in terms of length of hospital stay and inpatient mortality. Results: Out of 520 patients admitted in Geriatric ward during the study period, 100 patients had delirium (study prevalence 19.23%) and out of these, 7 patients developed delirium during hospitalization (study incidence 1.34%). The most common precipitating causes of delirium was infections (41%), followed by stroke (17%) and electrolyte imbalance (11%). Among infections, UTI was the most common cause. The most common predisposing risk factors for delirium were infections (52%), sensory impairment (51%), immobility/ being bedridden (40%), incontinence (32%), hypoxia (29%), electrolyte disturbances (hyponatremia-22%), dehydration (21%), and poly pharmacy (15%). At the end of the study, mortality was 24% and 38 (38%) patients were recovered from the delirium. Conclusion: Delirium was found in 19.23% admitted geriatric patients and associated with considerable mortality (24%). The most common precipitating and predisposing causes of delirium was infection. After effective management, 38 (38%) patients recovered from delirium and were discharged in stable condition.

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“…Alcohol withdrawal delirium (Delirium Tremens, DT), is a severe complication which may be preceded or complicated by seizures [4]. Literature on Alcohol Withdrawal Delirium (AWD) in India is scarce as highlighted in a review and these groups of patients are not given importance in teaching programmes, research protocols and therapeutic strategies [5]. Being a medical emergency, pharmacological management is carried out [6].…”

Section: Introductionmentioning

confidence: 99%

Preliminary Results From A Pilot Study - Intensive Case Management To Prevent Relapse Among Persons With Alcohol Withdrawal Delirium Tremens

Arthur¹,

Pandian²,

Murthy³

2017

IJMH

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Introduction: Alcohol withdrawal Delirium Tremens is a serious medical emergency. If not addressed, it could lead to serious complications including death. Given its manifestations and frequent accompaniment by seizures, interventions have been pharmacological in nature. Relapse prevention studies addressing this population are very sparse. In the current study, we report the results of a pilot study on Intensive Case Management for relapse prevention in persons with Alcohol Withdrawal Delirium. Methodology: A total of 10 patients were selected using a consecutive sampling technique. 5 patients received Intensive Case Management as an adjunct to routine treatment while the other 5 cases received treatment as usual (TAU). The patients were assessed at baseline, at 1 month post intervention and at 3 months post-intervention respectively. Outcome measures such as addiction severity, motivation, self efficacy and quality of life were assessed at different time points. Results: The ICM group showed better outcomes than the TAU group. 4 patients in the ICM group were abstinent while compared to 1 in the TAU group at the end of the 3 rd month follow up. All the patients in the ICM group were engaged in the treatment and showed better follow rates as compared to the TAU group where at the end of the study period 3 patients were lost to follow up. The ICM group showed better outcomes on readiness to change, self efficacy and quality of life at the end of 3 months. Conclusion: Our findings suggest that patients who received Intensive Case Management were engaged in treatment with higher retention rates and better outcomes. The results of the pilot study suggest that ICM is feasible to deliver after pharmacological treatment and may have some beneficial outcomes. Further systematic studies are warranted to test this intervention with larger groups and for long-term effects.

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Indian research on acute organic brain syndrome: Delirium

Cited by 8 publications

References 30 publications

Geriatric Psychiatry in India: Developments and Future Directions

Geriatric Psychiatry in India: Developments and Future Directions

Delirium in Elderly General Medicine Inpatients: A Prospective Study

Preliminary Results From A Pilot Study - Intensive Case Management To Prevent Relapse Among Persons With Alcohol Withdrawal Delirium Tremens

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