Management of acute confusion in the elderly

Thurston, John

doi:10.1097/00063110-199706000-00009

Cited by 4 publications

(3 citation statements)

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“…Effective management often cannot be achieved with a quick assessment and diagnosis, but requires a more comprehensive work-up, thoughtful discharge planning, and referral to health and community support services. Frequent presenting issues or problems that ED staff need to be competent in managing include cognitive impairment (Hayes, 2000), delirium (Thurston, 1997;Kakuma et al, 2003), falls (Letvak and College, 2000), polypharmacy (Hayes, 2000), elder abuse (Fulmer et al, 2000) and trauma (Criddle, 2006).…”

Section: Introductionmentioning

confidence: 99%

Increasing the profile of the care of the older person in the ED: A contemporary nursing challenge

Shanley

Sutherland

Stott

et al. 2008

International Emergency Nursing

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Section: Introductionmentioning

confidence: 99%

Increasing the profile of the care of the older person in the ED: A contemporary nursing challenge

Shanley

Sutherland

Stott

et al. 2008

International Emergency Nursing

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“…Confusion is a common symptom encountered in clinical practice of medicine, especially in the elderly. It may be a feature of a variety of organic and psychiatric pathologies, including dementia, delirium and mood disorders (Bayne, 1978;Downing, Caprio, & Lyness, 2013;6 Riedel-Heller, Schork, Matschinger, & Angermeyer, 2000;Thurston, 1997). However, there is a deficiency in the literature regarding a precise definition of confusion.…”

Section: Introductionmentioning

confidence: 99%

Self-reported confusion is related to global and regional β-amyloid: data from the Women’s healthy ageing project

McCluskey

Yates

Villemagne

et al. 2017

Brain Imaging and Behavior

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Disease-modifying treatments for Alzheimer's disease (AD) may require implementation during early stages of β-amyloid accumulation, well before patients have objective cognitive decline. In this study we aimed to assess the clinical value of subjective cognitive impairment (SCI) by examining the cross-sectional relationship between β-amyloid load and SCI. Cerebral β-amyloid and SCI was assessed in a cohort of 112 cognitively normal subjects. Subjective cognition was evaluated using specific questions on memory and cognition and the MAC-Q. Participants had cerebral β-amyloid load measured with F-Florbetaben Positron Emission Tomography (PET). No associations were found between measures of subjective memory impairment and cerebral β-amyloid. However, by self-reported confusion was predictive of a higher global β-amyloid burden (p = 0.002), after controlling for confounders. Regional analysis revealed significant associations of confusion with β-amyloid in the prefrontal region (p = 0.004), posterior cingulate and precuneus cortices (p = 0.004) and the lateral temporal lobes (p = 0.001) after controlling for confounders. An in vivo biomarker for AD pathology was associated with SCI by self-reported confusion on cross-sectional analysis. Whilst there has been a large body of research on SMC, our results indicate more research is needed to explore symptoms of confusion.

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“…Le diagnostic différentiel de ces différents états est parfois difficile. Le mini-mental-status (MMS) peut être un instrument utile pour apprécier la dimension cognitive et identifier une démence [5]. Le but de cet aperçu est de fournir une aide pour reconnaître rapidement ce syndrome de manière compétente, surtout en période postopératoire, et pour engager les mesures pré-ventives et thérapeutiques adéquates.…”

Section: Introductionunclassified