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Related Experiment Videos

[Delirium: occurrence, diagnosis and therapy]

B P Radanov1, C Bassetti

  • 1Psychiatrische Universitätspoliklinik, Bern.

Praxis
|November 14, 1995
PubMed
Summary

Delirium, an acute confusional state, is common in hospitals, especially in older adults with dementia or severe illness. Underrecognition of delirium can lead to complications and increased mortality.

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Area of Science:

  • Geriatric Medicine
  • Neurology
  • Internal Medicine

Context:

  • Delirium is a common acute confusional state in general hospital settings.
  • Prevalence increases with age, cognitive deficits (dementia), and severe somatic illness.
  • Symptoms are uniform across etiological causes but often underrecognized.

Purpose:

  • To summarize current data on the prevalence, symptomatology, etiology, and pathogenesis of delirium.
  • To discuss syndromes with similar symptoms and recommend appropriate treatments.

Summary:

  • Delirium presents uniformly across various causes but is frequently missed in clinical practice.
  • Risk factors include advanced age, pre-existing cognitive impairment, and significant medical comorbidities.
  • Underdiagnosis contributes to adverse outcomes, including higher mortality rates.

Impact:

  • Highlights the critical need for improved delirium recognition and management in hospitals.
  • Provides a comprehensive overview for clinicians managing elderly patients with acute confusional states.
  • Aims to reduce complications and mortality associated with underrecognized delirium.

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