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Etiology and Management of Delirium

 

作者: Norman Kaplan,   Biff Palmer,   Vivyenne Roche,  

 

期刊: The American Journal of the Medical Sciences  (OVID Available online 2003)
卷期: Volume 325, issue 1  

页码: 20-30

 

ISSN:0002-9629

 

年代: 2003

 

出版商: OVID

 

关键词: Delirium;Management;Etiology

 

数据来源: OVID

 

摘要:

Delirium has been recognized for the last 3 millennia and is the most common complication found in hospitalized patients aged 65 and older in the United States. However, critical basic science and clinical research did not progress until the DSM III criteria clearly defined delirium 20 years ago. The term delirium then replaced many nonspecific entities, such as acute confusion state, acute brain syndrome, metabolic encephalopathy, and toxic psychosis. This review discusses the epidemiology, risk factors, interventions, causes, management, and outcomes of delirium. The pathophysiology of delirium has the potential to radically alter our management of delirium and is a controversial area of research.

 

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