• Am. J. Med. Sci. · Jan 2003

    Review

    Southwestern Internal Medicine Conference. Etiology and management of delirium.

    • Vivyenne Roche.
    • University of Texas Southwestern Medical Center, The Mildred Wyatt and Ivor P. Wold Center for Geriatric Care, Department of Internal Medicine, Dallas, Texas 75390-8889, USA. vivyenne.roche@utsouthwestern.edu
    • Am. J. Med. Sci. 2003 Jan 1;325(1):20-30.

    AbstractDelirium 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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