Delirium in Palliative Medicine: A Review

被引:34
作者
LeGrand, Susan B. [1 ]
机构
[1] Cleveland Clin, Harry R Horvitz Ctr Palliat Med, Sect Palliat Med & Support Oncol, Dept Solid Tumor Oncol,Taussig Canc Inst, Cleveland, OH 44195 USA
关键词
Delirium; palliative medicine; antipsychotic; NONCONVULSIVE STATUS EPILEPTICUS; CONFUSION ASSESSMENT METHOD; TERMINALLY-ILL PATIENTS; DOUBLE-BLIND TRIAL; ADVANCED CANCER; HYPOACTIVE DELIRIUM; ATYPICAL ANTIPSYCHOTICS; PROGNOSTIC-SIGNIFICANCE; PREDICTIVE MODEL; ASSESSMENT SCALE;
D O I
10.1016/j.jpainsymman.2011.10.013
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Delirium is a devastating complication of general medical and surgical populations but of particular importance in palliative medicine. It is a clinical syndrome that is often not recognized and, therefore, not treated appropriately. The presence of delirium is a predictor of increased morbidity and mortality, longer hospitalization, and more likely discharge to a nursing facility. This article reviews the pathophysiology, etiology, diagnosis, and treatment of delirium in the palliative medicine population. J Pain Symptom Manage 2012;44:583-594. (C) 2012 U. S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:583 / 594
页数:12
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