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Jan 10, 2022 · Delirium, defined as acute deterioration of cognitive function and attention, is a common mental disorder in geriatric patients, affecting up to 42% of those hospitalized [1]. Delirium determines dramatic consequences for geriatric patients: longer length of hospital stay, increased mortality, functional and cognitive deterioration, and ...
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Delirium is the most common acute disorder of cognitive...
- Early Assessment of Delirium in Elderly Patients After Hip Surgery
The incidence rates of delirium among all hospitalized...
- Pad
Lessons learned from this implementation study could provide...
- Vulnerability
Frailty and delirium, though seemingly distinct syndromes,...
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Feb 1, 2020 · Delirium is a neurological syndrome marked by an acute disturbance of consciousness with inattention and a change in cognition or perceptual disturbance that fluctuates over time. Delirium affects up to 80% of elderly patients and the risk of delirium increases consistently with increased age . Delirium is associated with a wide array of ...
- Kristina Stepanovic, Caroline L. Greene, James C. Jackson, Jo Ellen Wilson
- 2020
Jan 2, 2018 · Changes in mental state can be the most obvious indicator of serious underlying physical illness, especially in the elderly, where delirium is frequently the earliest sign of infection or ischaemic heart disease (Reference Wahlund and Bjorlin Wahlund & Bjorlin, 1999). The differential diagnosis of delirium is dominated by mental disorders, and accurate detection is further complicated by the ...
- David Meagher
- 2001
- Understanding Delirium Before It Happens
- Information During Episode
- Information Following The Event
Early research into delirium suggested that education about delirium, before delirium presents, reduces the associated distress . 64 patients undergoing cardiac surgery were assigned to educational intervention delivered by a researcher, who explains perceptual disturbances, and changes in cognition and concentration common in delirium, or to a con...
Giving information to patients with delirium can be problematic due to reduced concentration and cognitive function. In the absence of clear evidence that education during delirium reduces patient-related distress, the focus remains on post episode interventions. This relies on identifying who would benefit from an intervention, when this should be...
There is an established practice in ICU to compile abbreviated, de-jargonised clinical ‘diaries’ for patients to discuss at appointments following discharge. Jones et al. showed in a randomised control trial that discussing diaries at one month can reduce the incidence of new PTSD following ICU stay. However, systematic reviews of the evidence bas...
- Sophie T Williams, Jugdeep K Dhesi, Jugdeep K Dhesi, Judith S L Partridge, Judith S L Partridge
- 2020
Feb 9, 2021 · The aim of this paper is to consider the changes that occur in the brain during normal aging. It is assumed that these changes reduce the brain’s functional reserve, thus causing the fragility that may evolve into delirium more frequently in the elderly than in the young. In hospitalised subjects, the risk of delirium may increase from 3% in ...
- Orso Bugiani
- 2021
Mar 15, 2022 · Delirium, an acute change in arousal, attention, and other aspects of cognition, affects more than one in five older inpatients, causes distress for patients and carers, and is associated with in-hospital complications, functional decline, and mortality.1 Delirium is costly for society, and evidence-based preventive measures should be implemented in routine clinical practice.2 Research has ...
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Delirium is a complex neuropsychiatric syndrome that results due to one or more structural or physiological abnormalities affecting the brain directly or indirectly. It can be called a state of potentially reversible “Acute Brain failure” precipitated by various causes, in vulnerable individuals. [1] It has a high prevalence, especially ...
