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[Diagnostic instruments of delirium]
1Service de médecine interne générale, Département de médecine interne, réhabilitation et gériatrie HUG, Genève. aileen-margaret.kharat@hcuge.ch
Revue Medicale Suisse
|February 19, 2013
Summary
Delirium is a common yet underdiagnosed condition in hospitalized patients, leading to significant mortality. The Confusion Assessment Method (CAM) and its intensive care adaptation (CAM-ICU) are effective bedside tools for early detection and management.
Area of Science:
- Critical Care Medicine
- Geriatric Medicine
- Neuroscience
Context:
- Delirium is a prevalent and serious condition in hospitalized individuals.
- Underdiagnosis of delirium contributes to high morbidity and mortality rates.
- Timely diagnosis and intervention are crucial for patient outcomes.
Purpose:
- To highlight the significance of delirium as a medical problem in hospitals.
- To emphasize the need for early detection and treatment strategies.
- To introduce the Confusion Assessment Method (CAM) as a validated diagnostic tool.
Summary:
- The Confusion Assessment Method (CAM) is presented as a highly effective and rapid bedside diagnostic instrument for delirium.
- A specialized version, CAM-ICU, has been developed and validated for use in intensive care settings.
- These tools aid in overcoming the challenge of underdiagnosis.
Impact:
- Facilitates earlier identification of delirium in diverse hospital settings.
- Supports prompt initiation of treatment, potentially reducing patient mortality.
- Improves clinical management by providing a reliable diagnostic method.
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