Delirium: Difference between revisions

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In [[medicine]], '''delirium''' is a "disorder characterized by [[confusion]]; inattentiveness; disorientation; illusions; [[hallucination]]s; agitation; and in some instances [[autonomic nervous system]] overactivity )."<ref>{{MeSH}}</ref>
In [[medicine]], '''delirium''' is a "disorder characterized by [[confusion]]; inattentiveness; disorientation; illusions; [[hallucination]]s; agitation; and in some instances [[autonomic nervous system]] overactivity )."<ref>{{MeSH}}</ref><ref>{{Cite journal
| doi = 10.1001/jama.2008.885
| volume = 300
| issue = 24
| pages = 2898-2910
| last = Breitbart
| first = William
| coauthors = Yesne Alici
| title = Agitation and Delirium at the End of Life: "We Couldn't Manage Him"
| journal = JAMA
| accessdate = 2009-01-07
| date = 2008-12-24
| url = http://jama.ama-assn.org/cgi/content/abstract/300/24/2898
}}</ref>


According to the [[Diagnostic and Statistical Manual of Mental Disorders]], delirium is "reduced ability to think or concentrate, restlessness, anxiety, irritability,  drowsiness, hypersensitivity to stimuli, nightmares."<ref name="pmid12757560">{{cite journal |author=Cole M, McCusker J, Dendukuri N, Han L |title=The prognostic significance of subsyndromal delirium in elderly medical inpatients |journal=J Am Geriatr Soc |volume=51 |issue=6 |pages=754–60 |year=2003 |month=June |pmid=12757560 |doi= |url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0002-8614&date=2003&volume=51&issue=6&spage=754 |issn=}}</ref>
According to the [[Diagnostic and Statistical Manual of Mental Disorders]], delirium is "reduced ability to think or concentrate, restlessness, anxiety, irritability,  drowsiness, hypersensitivity to stimuli, nightmares."<ref name="pmid12757560">{{cite journal |author=Cole M, McCusker J, Dendukuri N, Han L |title=The prognostic significance of subsyndromal delirium in elderly medical inpatients |journal=J Am Geriatr Soc |volume=51 |issue=6 |pages=754–60 |year=2003 |month=June |pmid=12757560 |doi= |url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0002-8614&date=2003&volume=51&issue=6&spage=754 |issn=}}</ref>

Revision as of 22:06, 6 January 2009

In medicine, delirium is a "disorder characterized by confusion; inattentiveness; disorientation; illusions; hallucinations; agitation; and in some instances autonomic nervous system overactivity )."[1][2]

According to the Diagnostic and Statistical Manual of Mental Disorders, delirium is "reduced ability to think or concentrate, restlessness, anxiety, irritability, drowsiness, hypersensitivity to stimuli, nightmares."[3]

Subsyndromal delirium

Subsyndromal delirium may cause morbidity among hospitalized individuals.[3]

Treatment

Antipsychotic agents can improve deliriuim.[4]

Benzodiazepams may worsen delirium.[5]

References

  1. Anonymous (2024), Delirium (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Breitbart, William; Yesne Alici (2008-12-24). "Agitation and Delirium at the End of Life: "We Couldn't Manage Him"". JAMA 300 (24): 2898-2910. DOI:10.1001/jama.2008.885. Retrieved on 2009-01-07. Research Blogging.
  3. 3.0 3.1 Cole M, McCusker J, Dendukuri N, Han L (June 2003). "The prognostic significance of subsyndromal delirium in elderly medical inpatients". J Am Geriatr Soc 51 (6): 754–60. PMID 12757560[e]
  4. Lonergan E, Britton AM, Luxenberg J, Wyller T (2007). "Antipsychotics for delirium". Cochrane Database Syst Rev (2): CD005594. DOI:10.1002/14651858.CD005594.pub2. PMID 17443602. Research Blogging.
  5. Breitbart W, Marotta R, Platt MM, et al (February 1996). "A double-blind trial of haloperidol, chlorpromazine, and lorazepam in the treatment of delirium in hospitalized AIDS patients". Am J Psychiatry 153 (2): 231–7. PMID 8561204[e]