Delirium detection and monitoring outside the ICU
Delirium affects many patients in hospital settings but is under-detected and associated with a range of adverse health-care outcomes, including institutionalisation and elevated mortality. Detection is essential because it leads to identification and management of precipitants and assessment and ma...
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| Published in | Best practice & research. Clinical anaesthesiology Vol. 26; no. 3; pp. 367 - 383 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.09.2012
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Delirium affects many patients in hospital settings but is under-detected and associated with a range of adverse health-care outcomes, including institutionalisation and elevated mortality. Detection is essential because it leads to identification and management of precipitants and assessment and management of distress caused by hallucinations and delusions. Moreover, delirium may affect communication and, thus, assessment of pain. This is important because inadequate analgesia may cause agitation and prolong the delirium. Here, we provide an overview of the main features of delirium. Informal and formal methods of assessment of the features are covered. We describe some of the main rating scales used in delirium screening and severity grading. Incorporating formal and systematic screening and assessment into everyday clinical practice can substantially improve delirium diagnosis and treatment. |
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| AbstractList | Delirium affects many patients in hospital settings but is under-detected and associated with a range of adverse health-care outcomes, including institutionalisation and elevated mortality. Detection is essential because it leads to identification and management of precipitants and assessment and management of distress caused by hallucinations and delusions. Moreover, delirium may affect communication and, thus, assessment of pain. This is important because inadequate analgesia may cause agitation and prolong the delirium. Here, we provide an overview of the main features of delirium. Informal and formal methods of assessment of the features are covered. We describe some of the main rating scales used in delirium screening and severity grading. Incorporating formal and systematic screening and assessment into everyday clinical practice can substantially improve delirium diagnosis and treatment. |
| Author | Hall, Roanna J. Meagher, David J. MacLullich, Alasdair M.J. |
| Author_xml | – sequence: 1 givenname: Roanna J. surname: Hall fullname: Hall, Roanna J. email: roanna.hall@ed.ac.uk organization: Edinburgh Delirium Research Group, Geriatric Medicine, Division of Health Sciences, School of Clinical Sciences, University of Edinburgh, Edinburgh, Scotland, United Kingdom – sequence: 2 givenname: David J. surname: Meagher fullname: Meagher, David J. organization: Department of Psychiatry, University Hospital Limerick, Limerick, Ireland – sequence: 3 givenname: Alasdair M.J. surname: MacLullich fullname: MacLullich, Alasdair M.J. organization: Edinburgh Delirium Research Group, Geriatric Medicine, Division of Health Sciences, School of Clinical Sciences, University of Edinburgh, Edinburgh, Scotland, United Kingdom |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23040287$$D View this record in MEDLINE/PubMed |
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| Keywords | dementia attention detection cognition delirium surgery |
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| SubjectTerms | Anesthesia & Perioperative Care attention cognition Communication delirium Delirium - diagnosis Delirium - etiology Delirium - physiopathology Delusions - diagnosis Delusions - etiology dementia detection Hallucinations - diagnosis Hallucinations - etiology Hospitalization Humans Mass Screening - methods Outcome Assessment, Health Care Pain Management - methods Pain Measurement - methods Psychiatric Status Rating Scales Severity of Illness Index surgery |
| Title | Delirium detection and monitoring outside the ICU |
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