Delirium: Where do we stand?

被引：6
作者：
Pae C.-U. [1 ,2 ]
Marks D.M.
Han C.
Patkar A.A.
Masand P.
机构：
[1] Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul 137701, 505 Banpo-Don, Seocho-Gu
[2] Department of Psychiatry and Behavioral Medicine, Duke University Medical Center, Durham, NC 27705
来源：
Current Psychiatry Reports | 2008年 / 10卷 / 3期
关键词：
Haloperidol; Risperidone; Olanzapine; Quetiapine; Aripiprazole;
D O I：
10.1007/s11920-008-0040-3
中图分类号：
学科分类号：
摘要：
Clinicians are likely to encounter delirium frequently, particularly in inpatient and intensive care settings. However, delirium is underrecognized and undertreated because of its heterogeneous and fluctuating presentation and due to the limitations in resources and training in contemporary clinical settings. Translation of current knowledge about delirium into clinical practice may improve patient care and benefit public health economics. Hence, this review comprehensively discusses the phenomenology and pathophysiology of delirium and its presenting features, risk factors, differential diagnoses, assessment, prognosis, and treatment with antipsychotics; the goal is to facilitate better prevention, recognition, and treatment of delirium. Available research is reviewed, limitations of the research are discussed, and future directions for further delirium research are identified. Copyright © 2008 by Current Medicine Group LLC.
引用
收藏
页码：240 / 248
页数：8
相关论文
共 78 条
[1]  
Diagnostic and Statistical Manual of Mental Disorders, (1994)
[2]  
Ely E.W., Shintani A., Truman B., Et al., Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit, JAMA, 291, pp. 1753-1762, (2004)
[3]  
Pandharipande P., Jackson J., Ely E.W., Delirium: Acute cognitive dysfunction in the critically ill, Curr Opin Crit Care, 11, pp. 360-368, (2005)
[4]  
Franco K., Litaker D., Locala J., Bronson D., The cost of delirium in the surgical patient, Psychosomatics, 42, pp. 68-73, (2001)
[5]  
Iseli R.K., Brand C., Telford M., LoGiudice D., Delirium in elderly general medical inpatients: A prospective study, Intern Med J, 37, pp. 806-811, (2007)
[6]  
Taber N., Howard R., Prevention, diagnosis and treatment of delirium: Staff educational approaches, Expert Rev Neurother, 6, pp. 741-751, (2006)
[7]  
Pun B.T., Ely E.W., The importance of diagnosing and managing ICU delirium, Chest, 132, pp. 624-636, (2007)
[8]  
Ely E.W., Stephens R.K., Jackson J.C., Et al., Current opinions regarding the importance, diagnosis, and management of delirium in the intensive care unit: A survey of 912 healthcare professionals, Crit Care Med, 32, pp. 106-112, (2004)
[9]  
Gleason O.C., Delirium, Am Fam Physician, 67, pp. 1027-1034, (2003)
[10]  
Van Rompaey B., Schuurmans M.J., Shortridge-Baggett L.M., Et al., Risk factors for intensive care delirium: A systematic review, Intensive Crit Care Nurs, 24, pp. 98-107, (2008)
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