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Delirium.

Belinda Setters1, Laurence M Solberg2

  • 1Department of Internal Medicine, Robley Rex VAMC, University of Louisville, 800 Zorn Avenue, 6 West - GEC #627, Louisville, KY 40206, USA; Inpatient Geriatrics, Department of Family & Geriatric Medicine, Robley Rex VAMC, University of Louisville, 800 Zorn Avenue, 6 West - GEC #627, Louisville, KY 40206, USA.

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Summary

Delirium, a common geriatric syndrome affecting attention and consciousness, is often missed. Primary care providers need to recognize this condition due to its association with dementia and aging.

Keywords:
Acute mental status changeConfusionDeliriumElderlyEncephalopathy

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Area of Science:

  • Geriatric Medicine
  • Neuropsychiatry
  • Primary Care

Background:

  • Delirium is a frequent geriatric syndrome involving acute changes in attention and consciousness.
  • Often underdiagnosed, it is typically associated with hospital settings but presents acutely and subacutely.
  • Associated with significant morbidity, mortality, dementia, and the aging process.

Purpose of the Study:

  • To highlight the importance of delirium recognition in primary care.
  • To emphasize the need for primary care providers to manage delirium in an aging population.

Main Methods:

  • Literature review and synthesis of current understanding of delirium.
  • Focus on the clinical presentation, associations, and implications for primary care.

Main Results:

  • Delirium is a common geriatric syndrome with significant health impacts.
  • Its recognition and management are crucial, extending beyond hospital settings.

Conclusions:

  • Primary care providers play a vital role in identifying and managing delirium.
  • Increased familiarity with delirium is essential for caring for the growing elderly population.