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Delirium in elderly patients: evaluation and management
T A Rummans1, J M Evans, L E Krahn
1Department of Psychiatry and Psychology, Mayo Clinic Rochester, Minnesota, USA.
Mayo Clinic Proceedings
|October 1, 1995
Summary
Delirium, an altered mental state, is more common in elderly patients due to aging and multiple health issues. Prompt recognition and treatment of underlying causes are crucial for managing delirium in older adults.
Area of Science:
- Geriatrics
- Internal Medicine
- Neurology
Background:
- Delirium is an acute confusional state more prevalent in elderly individuals.
- Aging-related physiological changes and comorbidities increase susceptibility.
Purpose of the Study:
- To provide primary care providers with a review of delirium evaluation and management in elderly patients.
- To outline diagnostic approaches and therapeutic strategies for delirium in older adults.
Main Methods:
- Summarized clinical features, course, and pathophysiology of delirium.
- Reviewed predisposing factors, common causes, and differential diagnoses.
- Discussed patient management approaches and treatment strategies.
Main Results:
- Elderly patients experience delirium more frequently due to aging and polypharmacy.
- Common causes include medication changes, substance withdrawal, infections, and acute medical events.
- Management involves identifying/treating causes, nonpharmacologic interventions, and pharmacologic symptom control.
Conclusions:
- Delirium is a common and serious condition in the elderly.
- Failure to recognize and treat delirium can lead to severe consequences.