• Revista médica de Chile · Sep 2003

    Review

    [Delirium: the clinical confusion].

    • Matías González, Joan de Pablo, and Manuel Valdés.
    • Sección de Psiquiatría de Enlace del Instituto Clínic de Psiquiatría y Psicología, Hospital Clinic Universitari de Barcelona.
    • Rev Med Chil. 2003 Sep 1;131(9):1051-60.

    AbstractDelirium or acute confusional state is a condition that lies within the boundaries of psychiatry and other medical specialties. It is defined as a syndrome characterized by a fluctuating cognitive impairment of acute onset. The pathogenesis is multifactorial and it frequently appears in elderly patients admitted to general hospitals. Delirium carries a high mortality and it prolongs hospital stay. Its diagnosis if often overlooked and the treatment is inadequate or belated. This article discusses the most efficient procedures to diagnose and treat delirium. The review was based on a systematic search in the literature using the key words delirium, acute mental syndrome, acute confusional state and organic mental syndrome. Articles were selected according to their relevance and methodological accuracy.

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