Review: Delirium in the Elderly: A Comprehensive Review

Mittal, Vikrant; Muralee, Sunanda; Williamson, D. E.; McEnerney, Nicole; Thomas, Jennifer E.; Cash, Mary; Tampi, Rajesh R.

doi:10.1177/1533317510397331

Cited by 87 publications

(65 citation statements)

References 70 publications

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“…They are frequently undiagnosed because erroneously considered depressed or demented. 1 In the mixed form the patient shows features of both increased and decreased psychomotor activity. 7 Delirium can be further classified into persistent, if it is continuous, and night if it occurs mainly in the late afternoon or at night.…”

Section: Clinical Manifestationmentioning

confidence: 99%

“…1,4 Exogenous substances should be searched for suspected intoxication (drugs and narcotics). 4 Computed tomographic scan and electroencephalogram will also help us to exclude respectively organic brain disease and a metabolic encephalopathy.…”

Section: Diagnosismentioning

confidence: 99%

“…1 It must, therefore, maintain the cardiovascular stability, a normal thermal curve, adequate oxygenation, a normal water balance, normal blood sugar levels and adequate caloric intake.…”

Section: Treatmentmentioning

confidence: 99%

“…However to date the evidence based on the use of drugs in delirium is limited to a small number of studies (Table 3). 1 Benzodiazepines are contraindicated in the treatment of delirium except delirium resulting in withdrawal crisis.…”

Section: Treatmentmentioning

confidence: 99%

“…Currently, the term delirium is used to describe a cognitive disorder characterized by acute onset, a fluctuating course, an altered level of consciousness, and disturbances in orientation, memory, attention, thinking, perception and behavior. 1 We distinguish the term delirium which indicates the neuropsychiatric syndrome from delusion a type of serious mental illness called a psychosis.…”

Section: Introductionmentioning

confidence: 99%

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Delirium: the invisible syndrome

Gnerre¹,

Regina²,

Bozzano

et al. 2016

Ital J Med

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Delirium is a neuropsychiatric sindrome characterized by acute onset, a fluctuating course, an altered level of consciousness, disturbances in orientation, memory, attention, thinking, perception and behaviour. One third of patients aged 70 or older were admitted to the general medical service of an acute care hospital experience delirium. The development of delirium is associated with worse outcome increased a 10-fold risk for death and a 3-to 5-fold risk for nosocomial complications, prolonged length of stay, and greater need for nursing home placement after discharge. Therefore patients with delirium have higher morbidity and mortality rates, higher re-admission rates, and a greater risk of long term institutionalization care, thereby having a significant impact on both health and social care expenditure. The cost of delirium to the health-care system is then substantial. Despite its clinical importance and health-related costs, it often remains under-recognized and inadequately managed. Recent evidence suggests that a better understanding and knowledge of delirium among health care professionals can lead to early detection, the reduction of modifiable risk factors, and better management of the condition in the acute phase.

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Section: Clinical Manifestationmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

“…1 It must, therefore, maintain the cardiovascular stability, a normal thermal curve, adequate oxygenation, a normal water balance, normal blood sugar levels and adequate caloric intake.…”

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations