2014, Number 2
<< Back Next >>
Revista Habanera de Ciencias Médicas 2014; 13 (2)
Delirium behavior in the elder. Policlínico
Sotolongo AO, Domínguez SSP
Language: Spanish
References: 31
Page: 187-195
PDF size: 79.64 Kb.
ABSTRACT
Introduction: the Acute confusion syndrome or
Delirium is an organic cerebral syndrome with multi causal aetiology characterized fluctuating disorder of
consciousness, attention, perception, thinking and memory, with increment or reduction of psychomotor activity and a cycle dream-wakefulness.
Objective: to characterize the elder with
delirium according to age, gender and clinical manifestation as well as identify the main original causes.
Material and Methods: a descriptive trial including patient with 60 year old and elder attended to the Internal Medicine outpatient consult showing clinical manifestation of
Delirium from January to December 2012. Information was obtained from the appointment list as well as the forms previously designed. The study´s Universe was 894 patients and the sample included 43 patients. Variables
studied were: age, sex, clinical manifestation, lab test and causes that provoking
Delirium. From the Excel 2007 calculation sheet were determined the frequency by sex of the studied variables.
Results: there is an increasing number of
Delirium associated to the age factor mainly represented by female, the main referred clinical symptom were related to the motor activity, memory disorder, language, hallucination and obnubilation.
Conclusion: the diagnosis of this entity is clinical and it is prove by complementary test.
REFERENCES
Jovel A, Felthous A, Bhattacharyya A. J Forensic Sci. Delirium Due to intoxication from the Novel Synthetic Tryptamine 5-Me-O-DALT. 2013; 4001-4029.
American PsychiatricAssociation. Manual diagnóstico y estadístico de los trastornos mentales (4ta ed.). Madrid: Masson; 1995.
Álvarez Sintes, R. Temas de Medicina General Integral. Principales afecciones del individuo en los contextos familiar y social. 2001; cap. 31, p. 895-936, v. II.
Aldemir M, Ozen S, Kara IH, Sir A, Bac B. Predisposing factors for delirium in the surgical intensive care unit. Crit Care. 2001; 5:265-270.
El Manual Merck. 11na edición. 2007; sec. 15, 16, cap. 213, p. 1990-2006, t. VII.
Arunotayanun W, Dalley JW, Huang XP, Setola V, Treble R, Iversen L, Roth BL, Gibbons S. An analysis of the synthetic AMT and 5-MeO-DALT: emerging Novel Psychoactive Drugs. 2013; 3411-18.
Johnson MH. Assessing confused patients. J Neurol Neurosurg Psychiatry. 2001 ; 71 :7-12.
Shimizu E, Watanabe H, Kojima T, Hagiwara H, Fujisaki M, Miyatake R, Hashimoto K, Iyo M. Prog Neuro psycho pharmacol Biol Psychiatry. 2007 Jan 30; 31(1):288-91.
Llibre, J. Diagnost and statiscal manual of mental disorders. 4ta edición. Washington, DC: American psychiatric association; 1994, p. 129-133.
Zaal IJ, Slooter AJ. Light levels of sedation and DSM-5 criteria for delirium. Intensive Care Med. 2013; 2435-85.
Inouye SK, Bogardus ST, Charpentier PA.A multicomponent intervention to prevent delirium in hospitalised older patients. N Engl J Med. 1999; 340: 669-76.
Turck CJ, Frazee E, Kram B, Daley MJ, Day SA, Horner D, Lesch C, Mercer JM, Plewa AM, Herout P; Critical Care Pharmacotherapy Literature Update Group. Major publications in the critical care pharmacotherapy literature.2012; .2146-65.
Winawer N. Postoperative delirium.Med Clin North Am. 2001; 85: 1229-39.
Strote J. Excited delirium as a potentially dangerous diagnosis. Emerg Med. J. 2013; 1136-56.
Joshua R, Shua-Haim MD. Delirium in the elderly. Clin Geriatr. Washington: 1997; 317-323.
Lu YY, Hsueh JH, Wei IH, Huang CC. Delirium Caused by a Drug-Drug Interaction Between Bupropion and Risperidone. 2013; 2434-67.
Grover S, Ghormode D, Ghosh A, Avasthi A, Chakrabarti S, Mattoo SK, Malhotra S.J. Postgrad Med. Risk factors for delirium and inpatient mortality with delirium. 2013; 59(4):263-70.
Kazmierski J, Banys A, Latek J, Bourke J, Jaszewski R. Raised IL-2 and TNF-a concentrations are associated with postoperative delirium in patients undergoing coronary-artery bypass graft surgery. 2013; 17:1-11.
Tune LE. Anticholinergic effects of medication in elderly patients. J Clin Psychiatry 2001; 62: 11-4.
Cachón-Pérez JM, Álvarez-López C, Palacios-Ceña D. Non-pharmacological steps for the treatment of acute confusional syndrome in the intensive care unit. Enferm Intensiva. 2013; 1130-99.
Bostwick JM. The many faces of confusion. Timing and collateral history often hold the key to diagnosis. Post grad Med. 2000; 108: 60-2, 65-6, 71-2.
Marcantonio E, Flacker J, Michaels M, Resnick N. Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc 2000; 48: 618 - 24.
Casay D, Defazio JV. Delirium. Quick recognition, careful evaluation, and appropriate treatment. Postgrad Med 1996:100 (1): 24 – 8.
Lipowski ZI. Delirium: acute confusional states. New York: oxford University Press, 1990.
Ely EW, Inouye SK, Bernard GR, Gordon S. Delirium in mechanically ventilated patients.Validity and reliability of the confusion assessment method for the intensive care unit. JAMA 2001;286: 2703-10.
Jia Y, Jin G, Guo S, Gu B, Jin Z, Gao X, Li Z. Langenbecks Arch Surg. Fast-track surgery decreases the incidence of postoperative delirium and other complications in elderly patients with colorectal carcinoma. 2013; 33: 31-40.
Casarett DJ, Inouye SK. Diagnosis and management of delirium near the end of life. Ann Intern Med 2001; 135: 32-40.
Thomas P. The diagnostic approach to the patient presenting with cognitive impairment. Geriatry SOC 1995; 7 (4): 33-6.
Dubois MJ, Bergeron N, Dumont M, Dial S. Delirium in an intensive care unit: a study of risk factors. Intensive Care Med. 2001; 27: 1297-304.
Soler PA, Gascón J. Recomendaciones terapéuticas en los trastornos mentales. Barcelona: Masson; 1999.
Chan D, Brennan NJ. Delirium: making the diagnosis, improving the prognosis. Geriatrics 1999; 54: 28-42.