Delirium in the elderly: Current problems with increasing geriatric age

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Delirium in the elderly: Current problems with increasing geriatric age.

Delirium is an acute disorder of attention and cognition seen relatively commonly in people aged 65 yr or older. The prevalence is estimated to be between 11 and 42 per cent for elderly patients on medical wards. The prevalence is also high in nursing homes and long term care (LTC) facilities. The consequences of delirium could be significant such as an increase in mortality in the hospital, lo...

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Delirium in the elderly.

noted. Delirium is especially common in nursing homes after brief hospital admissions because the average length of duration of the delirium is 21 days, while the average hospital length of stay at most general medical hospitals is approximately five days. Therefore, many patients are being discharged to nursing homes while still delirious. In one study, 72% of 214 patients in nursing homes who...

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Delirium in the Elderly

1. Explain theories of the pathogenesis of delirium. 2. Assess patient risk factors for delirium. 3. Analyze patient drug regimens to determine the likelihood that delirium or delirium-like symptoms are drug related. 4. Adjust a patient’s drugs to prevent delirium. 5. Prepare a patient care plan that includes patient-specific pharmacologic and nonpharmacologic methods to prevent delirium. 6. Co...

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Comprehensive geriatric care reduces acute perioperative delirium in elderly patients with hip fractures

BACKGROUND The aim of the current meta-analysis was to assess the treatment effect of comprehensive geriatric care in reducing acute perioperative delirium in older patients with hip fractures, compared with the effect of a routine orthopedic treatment protocol. METHODS We conducted a search of multiple databases to identify randomized controlled trials (RCTs) and quasi-RCTs comparing compreh...

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Postoperative delirium is common in the elderly in the postoperative period. It can result in increased morbidity, delayed functional recovery, and prolonged hospital stay. In surgical patients, factors such as age, alcohol abuse, low baseline cognition, severe metabolic derangement, hypoxia, hypotension, and type of surgery appear to contribute to postoperative delirium. Anesthetics, notably a...

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ژورنال

عنوان ژورنال: Indian Journal of Medical Research

سال: 2015

ISSN: 0971-5916

DOI: 10.4103/0971-5916.174546