El deliriumuna revisión orientada a la práctica clínica

  1. Alonso Ganuza, Zuria
  2. González Torres, Miguel Ángel
  3. Gaviria, Moisés
Zeitschrift:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Datum der Publikation: 2012

Ausgabe: 32

Nummer: 114

Seiten: 247-259

Art: Artikel

DOI: 10.4321/S0211-57352012000200003 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Revista de la Asociación Española de Neuropsiquiatría

Ziele für nachhaltige Entwicklung

Zusammenfassung

Delirium is a clinic syndrome that affects a significant percentage of hospitalized patients. Despite its high incidence, often it isn´t recognised, that involves major negative consequences for patients and professionals and can be also prevented. An inadequate treatment carries an inmediate worsening of the patient´s state and is also very harmful in the long term for the patient´s health and quality of life, as more expensive for the sanitary system. To identify its causes, to avoid iatrogenic complications, to vouch for a correct hydratation and nutrition, to avoid the functional impairment, and to educate the patient and his family are some of the main tasks of the handling of delirium. The aim of this paper is to point out what is considered essential for the recognition and treatment of this syndrome.

Bibliographische Referenzen

  • (1) American Psychiatric Association: Practice guideline for the treatment of patients with delirium, in American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders 2004.
  • (2) Sieber, F. Postoperative delirium in the elderly surgical patient. Anesthesiology Clinic. 2009;27:451-464
  • (3) Maldondado, JR. Pathoetiological Model of Delirium: a Comprehensive understanding of the neurobiology of delirium and an evidence-based approach to prevention and treatment. Critical Care Clinics.2008;24:789-856. 2008.
  • (4) Tune LE, Egeli S. Acetylcholine and delirium. Dement Geriatr Cogn Disord. 1999;10:342-4.
  • (5) Mussi C, Ferari R, Ascari S, Salvioli G. Importance of serum anticolinergic activity in the assessment of elderly patients with delirium. J Geriatr Psychiatry Neurol. 2002;15:12-5.
  • (6) Cerejeira, J, Firmino, H, Vaz-Serra, A, Mukactova-Ladinska, EB. The neuroinflammatory hypothesis of delirium. Acta Neuropathology. 2010; 119: 737-754.
  • (7) Young J, Inouye SK. Delirium in older people. BMJ. 2007;334:842-6.
  • (8) Elle, M, Cole, MG, Primeau FJ, Bellavance F. Delirium risk factors in elderly hospitalized patients. Journal of General Internal Medicine. 1998;13:204-212.
  • (9) Inouye SK. Delirium in older persons. N Engl J Med. 2006;354:1157-65.
  • (10) Lipowski Z J. Acute Confusional States. 2nd ed. New York: Oxford University Press, 1990.
  • (11) Yang F, Marcantonio ER, Inouye SK, Kiely DK, Rudolph JL, Fearing M, and Jones M. Phenomenological subtypes of delirium in older persons: Patterns, Prevalence, and Prognosis. Psychosomatics. 2009; 50: 248-254.
  • (12) Santana Santos F, Wahlund LO, Varli F, Tadeu Velasco I, Eriksdotter Jönhagen M: Incidence, clinical features and subtypes of delirium in elderly patients treated for hip fractures. Dement Geriatr Cogn Disor. 200;20:231-237
  • (13) American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). 4th ed. Washington, DC: American Psychiatric Association; 2000
  • (14) Inouye SK, van Dyck CH, Alessi CA, et al: Clarifying confusion: The confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990;113:941–948
  • (15) Wong, CL, Holroyd-Leduc, J, Simel, DL, et. Al. Does this patient have delirium?: Value of bedside instruments. JAMA. 2010;304(7):779-786
  • (16) Kaplan & Sadock. Sinopsis de Psiquiatría. Wolters Kluwer. 2009
  • (17) Maclullich AMJ, Beaglehole A, Hall RA, Meagher DJ. Delirium and long-term cognitive impairment. International Review of Psychiatry. 2009;21(1):30-42.
  • (18) Inouye SK, Zhang Y, Jones RN, Kiely DK, Yang F, Marcantonio ER. Risk factors for delirium at discharge. Arch Intern Med. 2007;167:1406-13.
  • (19) Inouye SK, Bogardus ST, Baker DI, Summers LL, CooneyLM. The Hospital elder life program: A model of care to prevent cognitive and functional decline in older hospitalised patients. J Am Geriatr Soc. 2000;48:1697-706.
  • (20) A multicomponent intervention strategy to prevent delirium in hospitalized older patients. New Engl J Med. 1999; 340:669-676
  • (21) Maldonado, JR. Delirium in the acute care setting: Characteristics, diagnosis and treatment. Critical Care Clinics. 2008; 24(4) 657-722.
  • (22) Lonergan E, Britton AM, Luxenberg J. Antipsychotics for delirium. Cochrane Database of Systematic Reviews. 2007, Issue 2.
  • (23) Devlin, JW et al. Efficacy and safety of quetiapine in critically ill patients with delirium: A prospective, mutlicenter, randomized, double-blind, placebod-controlled pilot study. Critical Care Medicine 2010 38 (2) 419-427.
  • (24) Kim, SW, Yoo, JA, Lee, SY, Kim, SY, Bae, KY, Yang, SJ, Kim, JM, Shin, IS, Yoon, JS. Risperidone vesus olanzapine for the treatment of delirium. Human Psychopharmacology. 2010; (25) 298-302
  • (25) Larson, KA et al. Administration of olanzapine to prevent postoperative delirium in eldery joint-replacement Patients: A Randomized, Controlled Trial. Psychosomatics 51:5, 2009 409-418
  • (26) Meagher DJ. Delirium: optimising management. Clinical review. BMJ 2001; 322: 144-149.
  • (27) Lonergan E, Luxenberg J, Areosa Sastre A. Benzodiazepines for delirium. Cochrane Database of Systematic Reviews 2009, Issue 4.
Fuente de los datos: Dialnet