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Related Concept Videos

Dementia01:30

Dementia

580
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
580

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Delirium and Dementia.

Jin H Han1, Joe Suyama2

  • 1Department of Emergency Medicine, Center for Quality Aging, Vanderbilt University Medical Center, 311 Oxford House, Nashville, TN 37232, USA.

Clinics in Geriatric Medicine
|July 23, 2018
PubMed
Summary
This summary is machine-generated.

Delirium and dementia affect over a third of older emergency department patients, impacting care and outcomes. Early screening, diagnosis, and management are crucial for improving patient safety.

Keywords:
DeliriumDementiaEmergency departmentManagementScreening

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Area of Science:

  • Geriatric Medicine
  • Emergency Medicine
  • Neuroscience

Background:

  • Delirium and dementia are prevalent in older adults presenting to emergency departments.
  • These cognitive conditions significantly impact patient safety, clinical care, and outcomes.

Purpose of the Study:

  • To describe the epidemiology of delirium and dementia in the emergency department (ED) setting.
  • To discuss the effects of these conditions on clinical care and patient outcomes.
  • To outline strategies for screening, diagnosis, and management within the ED.

Main Methods:

  • Review of epidemiological data on delirium and dementia in older ED patients.
  • Analysis of the impact of these conditions on clinical care processes.
  • Discussion of diagnostic and management approaches in the ED environment.

Main Results:

  • Approximately 35-37% of older emergency department patients experience delirium or dementia.
  • These conditions pose significant challenges to safe and appropriate clinical care.
  • Effective screening, diagnosis, and management are essential for mitigating negative effects.

Conclusions:

  • Delirium and dementia are common and impactful conditions in older emergency department patients.
  • Implementing systematic screening and management protocols is vital for improving patient outcomes.
  • Further research into optimized ED-based cognitive impairment interventions is warranted.