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Delirium

British Journal of Hospital Medicine, 2005
Delirium is the most common neurobehavioural problem encountered in general hospitals, yet is notoriously under-recognized. It is characterized by a disturbance of consciousness and change in cognition that cannot be accounted for by a prior history of dementia. This article reviews the pathophysiology, diagnosis and treatment of delirium.
Sarah, Bigham, Hannah R, Cock
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Delirium [PDF]

Nature Reviews Disease Primers, 2020
Delirium, a syndrome characterized by an acute change in attention, awareness and cognition, is caused by a medical condition that cannot be better explained by a pre-existing neurocognitive disorder. Multiple predisposing factors (for example, pre-existing cognitive impairment) and precipitating factors (for example, urinary tract infection) for ...
Wilson, Jo Ellen, Mart, Matthew F., Cunningham, Colm, Shehabi, Yahya, Girard, Timothy D., MacLullich, Alasdair M. J., Slooter, Arjen J. C., Ely, E. Wesley   +7 more
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Delirium in hip fracture patients admitted from home during the COVID-19 pandemic is associated with higher mortality, longer total length of stay, need for post-acute inpatient rehabilitation, and readmission to acute services: the IMPACT Delirium study

Bone & Joint Open, 2023
Aims: Delirium is associated with adverse outcomes following hip fracture, but the prevalence and significance of delirium for the prognosis and ongoing rehabilitation needs of patients admitted from home is less well studied.
Rose S. Penfold, Andrew J. Hall, Atul Anand, Nick D. Clement, Andrew D. Duckworth, Alasdair M. J. MacLullich   +5 more
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Association between components of the delirium syndrome and outcomes in hospitalised adults: a systematic review and meta-analysis

BMC Geriatrics, 2021
Background Delirium is a heterogeneous syndrome with inattention as the core feature. There is considerable variation in the presence and degree of other symptom domains such as altered arousal, psychotic features and global cognitive dysfunction ...
Zoë Tieges, Terence Quinn, Lorn MacKenzie, Daniel Davis, Graciela Muniz-Terrera, Alasdair M. J. MacLullich, Susan D. Shenkin   +6 more
doaj   +1 more source

Assessing recovery from delirium: an international survey of healthcare professionals involved in delirium care [PDF]

, 2022
Background: A crucial part of delirium care is determining if the delirium episode has resolved. Yet, there is no clear evidence or consensus on which assessments clinicians should use to assess for delirium recovery.
MacLullich, A.M., Davis, Daniel, Sandeman, Daisy, Evans, J.J., Noble, Erin, MacLullich, Alasdair M., Tieges, Zoe, Sandeman, D., Tieges, Z., Tieges, Zoe; id_orcid, Evans, Jonathan J., Evans, Jon, Shenkin, Susan Deborah; id_orcid, Muniz-Terrera, G., Terrera, GM, Shenkin, Susan D., Davis, D., McCartney, H., McCartney, Haruno, Noble, E., Shenkin, S.D., Muniz-Terrera, Graciela, MacLullich, Alasdair M J   +22 more
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Use of Automated Infrared Pupillometry to Predict Delirium in the Intensive Care Unit: A Prospective Observational Study

SAGE Open Nursing, 2022
Introduction Delirium is an acute state of brain dysfunction prevalent among critically ill patients. Disturbances in the sympathetic neurons, including cholinergic neurons, have been reported to cause delirium by upsetting the balance of ...
Saiko Okamoto RN, MSN, Mihoko Ishizawa RN, PhD, Satoki Inoue MD, PhD, Hideaki Sakuramoto RN, PhD   +3 more
doaj   +1 more source

The frequency and quality of delirium documentation in discharge summaries

BMC Geriatrics, 2021
Background The National Institute for Health and Care Excellence recommends documenting all delirium episodes in the discharge summary using the term “delirium”. Previous studies demonstrate poor delirium documentation rates in discharge summaries and no
Victoria L Chuen, Adrian C.H Chan, Jin Ma, Shabbir M.H Alibhai, Vicky Chau   +4 more
doaj   +1 more source

Low Heart Rate Variability Predicts Stroke and Other Complications in the First Six Postoperative Months After a Hip Fracture Operation

Frontiers in Cardiovascular Medicine, 2021
Background: One-year mortality after hip fractures is underestimated and is reported as 25%. An improved risk stratifying could contribute to a better follow up of these patients. Heart Rate Variability (HRV) is an easy point-of-care investigation and is
Gernot Ernst, Gernot Ernst, Leiv Otto Watne, Leiv Otto Watne, Frede Frihagen, Frede Frihagen, Frede Frihagen, Torgeier Bruun Wyller, Torgeier Bruun Wyller, Andreas Dominik, Morten Rostrup, Morten Rostrup   +11 more
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Reporting Essentials for DElirium bioMarker Studies (REDEEMS): Explanation and Elaboration

, 2022
Despite many studies of potential delirium biomarkers, delirium pathophysiology remains unclear. Evidence shows that the quality of reporting delirium biomarker studies is sub-optimal.
Oh, Esther S., Vasunilashorn, Sarinnapha M.,, Colm Cunningham, Steiner, Luzius A., Sanders, Robert D., Vasunilashorn, Sarinnapha M., Cunningham, Colm,, Hosie, Annemarie, Olofsson, Birgitta, Adamis, Dimitrios, Leiv Otto Watne, Olofsson, Birgitta,, Esther S Oh, Wang, Sophia,, Steiner, Luzius A.,, Birgitta Olofsson, Annemarie Hosie, Oh, Esther S.,, Amgarth-Duff, Ingrid,, Girard, Timothy D.,, Dimitrios Adamis, Cunningham, Colm, Adamis, Dimitrios,, Amgarth-Duff, Ingrid, Gideon A. Caplan, Ingrid Amgarth-Duff, Meera Agar, Watne, Leiv Otto, Lindroth, Heidi,, Sarinnapha M Vasunilashorn, Wang, Sophia, Agar, Meera,, Robert D Sanders, Timothy D Girard, Luzius A Steiner, Lindroth, Heidi, Heidi Lindroth, Caplan, Gideon A.,, Agar, Meera, Sanders, Robert D.,, Watne, Leiv Otto,, Hosie, Annemarie,, Sophia Wang, Caplan, Gideon A., Girard, Timothy D.   +44 more
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Delirium [PDF]

Journal of Neurology, Neurosurgery & Psychiatry, 2004
Delirium is a common cause of mortality and morbidity in older people in hospital, and indicates severe illness in younger patients. Identification of risk factors, education of professional carers, and a systematic approach to management can improve the outcome of the syndrome. Physicians should be aware that delirium sufferers often have an awareness
A, Burns, A, Gallagley, J, Byrne
openaire   +2 more sources