Missed diagnosis-persistent delirium

Persistent Delirium Associated With Poor Outcomes Persistent Delirium Predicts Greater Mortality

Background: Delirium is a geriatric syndrome characterized by acute decline in memory and attention. It is known that hospitalized patients with delirium have higher rates of mortality, morbidity, and loss of independence. The cost of delirium is $100 billion per year. Patients admitted to post-acute care (PAC) with delirium have higher mortality than those with no delirium. This study was limi...

Missed Diagnosis of Syrinx

STUDY DESIGN Prospective, randomized, controlled human study. PURPOSE We checked the proportion of missed syrinx diagnoses among the examinees of the Korean military conscription. OVERVIEW OF LITERATURE A syrinx is a fluid-filled cavity within the spinal cord or brain stem and causes various neurological symptoms. A syrinx could easily be diagnosed by magnetic resonance image (MRI), but mis...

A missed diagnosis.

Features of subsyndromal and persistent delirium.

BACKGROUND Longitudinal studies of delirium phenomenology are lacking. AIMS We studied features that characterise subsyndromal delirium and persistent delirium over time. METHOD Twice-weekly evaluations of 100 adults with DSM-IV delirium using the Delirium Rating Scale-Revised-98 (DRS-R98) and Cognitive Test for Delirium (CTD). The generalised estimating equation method identified symptom p...

Persistent delirium in older hospital patients.

PURPOSE OF REVIEW There are two contradictory views on the prognosis of delirium in older hospital patients. On one hand, the Diagnostic and Statistical Manual, 4th Text Revision (DSM-IV-TR), describes delirium as a transient cognitive disorder, the majority of affected individuals having a full recovery. On the other hand, longitudinal studies of delirium in this population report that the out...