Delirium Assessment in Critically Ill Older Adults Considerations During the COVID-19 Pandemic

被引：26

作者：

Duggan, Maria C. ^{[1
,2
]}

Van, Julie ^{[3
,4
]}

Ely, Eugene Wesley ^{[2
,3
,4
]}

机构：

[1] Vanderbilt Univ, Sch Med, Div Geriatr Med, Nashville, TN 37212 USA

[2] Tennessee Valley Healthcare Syst, Geriatr Res Educ & Clin Ctr GRECC, Dept Vet Affairs, 1310 24th Ave South, Nashville, TN 37212 USA

[3] Vanderbilt Univ, Sch Med, Div Allergy Pulm & Crit Care Med, Nashville, TN 37212 USA

[4] Vanderbilt Univ, Med Ctr, Ctr Hlth Serv Res HSR, 2525 West End Ave,Suite 450, Nashville, TN 37203 USA

来源：

CRITICAL CARE CLINICS | 2021年 / 37卷 / 01期

关键词：

Delirium; Screening; Assessment; Critical care; Intensive care unit; Older adults; Geriatrics; Pandemic; CONFUSION ASSESSMENT METHOD; INTENSIVE-CARE UNIT; MECHANICALLY VENTILATED PATIENTS; TERM COGNITIVE IMPAIRMENT; AGITATION-SEDATION SCALE; SUBSYNDROMAL DELIRIUM; ABCDEF BUNDLE; NEUROPSYCHIATRIC SYMPTOMS; DEMENTIA; ICU;

D O I：

10.1016/j.ccc.2020.08.009

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The COVID-19 pandemic has raised many challenges in managing critically ill older adults with attention to delirium prevention and management. To spare this vulnerable population of older adults from poor outcomes associated with delirium, early recognition of delirium is critical. Despite the health care system limitations during this pandemic and the difficult clinical challenges, delirium screening and management remains an evidence-based cornerstone of critical care.

引用

页码：175 / 190

页数：16

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