Delirium: Difference between revisions
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==Subsyndromal delirium == | ==Subsyndromal delirium == | ||
Subsyndromal delirium may cause morbidity among hospitalized individuals.<ref name="pmid12757560">{{cite journal |author=Cole M, McCusker J, Dendukuri N, Han L |title=The prognostic significance of subsyndromal delirium in elderly medical inpatients |journal=J Am Geriatr Soc |volume=51 |issue=6 |pages=754–60 |year=2003 |month=June |pmid=12757560 |doi= |url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0002-8614&date=2003&volume=51&issue=6&spage=754 |issn=}}</ref> | Subsyndromal delirium may cause morbidity among hospitalized individuals.<ref name="pmid12757560">{{cite journal |author=Cole M, McCusker J, Dendukuri N, Han L |title=The prognostic significance of subsyndromal delirium in elderly medical inpatients |journal=J Am Geriatr Soc |volume=51 |issue=6 |pages=754–60 |year=2003 |month=June |pmid=12757560 |doi= |url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0002-8614&date=2003&volume=51&issue=6&spage=754 |issn=}}</ref> | ||
==Diagnosis== | |||
The confusion assessment method (CAM), which is an algorithm with nine criteria based on the [[Diagnostic and Statistical Manual of Mental Disorders]] can help diagnose.<ref name="pmid2240918">{{cite journal |author=Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI |title=Clarifying confusion: the confusion assessment method. A new method for detection of delirium |journal=Ann. Intern. Med. |volume=113 |issue=12 |pages=941–8 |year=1990 |month=December |pmid=2240918 |doi= |url= |issn=}}</ref> | |||
==Treatment== | ==Treatment== | ||
Revision as of 14:51, 7 January 2009
In medicine, delirium is a "disorder characterized by confusion; inattentiveness; disorientation; illusions; hallucinations; agitation; and in some instances autonomic nervous system overactivity )."[1][2]
According to the Diagnostic and Statistical Manual of Mental Disorders, delirium is "reduced ability to think or concentrate, restlessness, anxiety, irritability, drowsiness, hypersensitivity to stimuli, nightmares."[3]
Subsyndromal delirium
Subsyndromal delirium may cause morbidity among hospitalized individuals.[3]
Diagnosis
The confusion assessment method (CAM), which is an algorithm with nine criteria based on the Diagnostic and Statistical Manual of Mental Disorders can help diagnose.[4]
Treatment
Antipsychotic agents can improve deliriuim.[5]
Benzodiazepams may worsen delirium.[6]
References
- ↑ Anonymous (2024), Delirium (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Breitbart, William; Yesne Alici (2008-12-24). "Agitation and Delirium at the End of Life: "We Couldn't Manage Him"". JAMA 300 (24): 2898-2910. DOI:10.1001/jama.2008.885. Retrieved on 2009-01-07. Research Blogging.
- ↑ 3.0 3.1 Cole M, McCusker J, Dendukuri N, Han L (June 2003). "The prognostic significance of subsyndromal delirium in elderly medical inpatients". J Am Geriatr Soc 51 (6): 754–60. PMID 12757560. [e]
- ↑ Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI (December 1990). "Clarifying confusion: the confusion assessment method. A new method for detection of delirium". Ann. Intern. Med. 113 (12): 941–8. PMID 2240918. [e]
- ↑ Lonergan E, Britton AM, Luxenberg J, Wyller T (2007). "Antipsychotics for delirium". Cochrane Database Syst Rev (2): CD005594. DOI:10.1002/14651858.CD005594.pub2. PMID 17443602. Research Blogging.
- ↑ Breitbart W, Marotta R, Platt MM, et al (February 1996). "A double-blind trial of haloperidol, chlorpromazine, and lorazepam in the treatment of delirium in hospitalized AIDS patients". Am J Psychiatry 153 (2): 231–7. PMID 8561204. [e]