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...

OBJECTIVE Elevation of S100B has been shown after various neurologic diseases with cognitive dysfunction. The aim of this study was to compare the serum level of S100B of patients with and without delirium and investigate the possible associations with different subtypes of delirium. METHODS Acutely admitted medical patients aged 65 years or more were included from 2005 through 2008. Delirium...

conclusions given the results of the study, it can be concluded that electronic training had a more effective role in training the nurses regarding the awareness of delirium and can be recommended as a helpful training method in retraining courses targeting the nurses. patients and methods the present study was a pretest-posttest clinical trial on two groups conducted in the hospitals affiliate...

Background Our hospital identified delirium care as a quality improvement target. Baseline characterization of our delirium care and deficits was needed to guide improvement efforts. Methods Two inpatient units were selected: 1) A general internal medicine unit with a focus on geriatrics, and 2) a surgical unit. Retrospective chart audits were conducted for all patients over age 50 admitted d...

The prognostic significance of delirium in hospitalized elderly has not yet been fully clarified. Objectives The present study was designed to evaluate the relationship between prevalent delirium (PrD), incident delirium (InD) and final outcome. Methods A historical cohort of 261 patients was selected. delirium was diagnosed using the Confusion Assessment Method. Results The total frequen...

BACKGROUND AND PURPOSE Delirium is common after hip fracture. Previous work has shown that a simple delirium risk factor tool, the Delirium Elderly At Risk instrument (DEAR), has a high inter-rater reliability in this population. Little research has looked at the ability of risk factor screening tools to identify patients at high risk of pre-operative delirium. This study investigates the abili...

Delirium is a common disorder that can affect up to 50% of elderly patients in an acute hospital but some studies quote affected by delirium are 3.5 times more likely develop dementia over five years following postoperative delirium; others relative risk 10.5 times. Here, the authors investigate rate people who initially present with delirium, and factors for developing post-delirium, which off...

OBJECTIVE To identify scales that can establish a quantitative assessment of delirium symptoms in critically ill patients through a systematic review. METHODS Studies that evaluated delirium stratification scales in patients hospitalized in intensive care units were selected in a search performed in the MedLine database. Validation studies of these scales and their target patient populations ...

Introduction Delirium is common in Intensive Care Unit (ICU) patients and associated with poor outcome. Therefore delirium prevention is imperative. Interventions targeting several delirium risk factors represent a promising strategy for prevention. In preparation for a stepped wedge randomized controlled trial to study the effect of a multicomponent intervention program on ICU delirium, we dev...

Factors initiating senile delirium were examined in 129 elderly inpatients (65 years or older). Sixty-eight patients were males and 61 females, with a mean age of 76.3 years. Delirium developed in most cases on the first two days of admission in the hospital, and the admission appeared to be a key factor precipitating delirium in about 30% of the patients. Delirium resolved or improved in 80% o...