期刊
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY
卷 26, 期 3, 页码 367-383出版社
ELSEVIER
DOI: 10.1016/j.bpa.2012.07.002
关键词
delirium; dementia; cognition; attention; detection; surgery
资金
- Research into Ageing
- British Geriatrics Society
- Medical Research Council
- Health Research Board
- BBSRC
- EPSRC
- ESRC
- HRB
- MRC
- MRC [G0700704] Funding Source: UKRI
Delirium affects many patients in hospital settings but is underdetected 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. (C) 2012 Elsevier Ltd. All rights reserved.
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