General hospital psychiatry
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Gen Hosp Psychiatry · Nov 2012
Randomized Controlled Trial Multicenter Study Comparative StudyBenzodiazepine loading versus symptom-triggered treatment of alcohol withdrawal: a prospective, randomized clinical trial.
The objectives were to compare the efficacy of a benzodiazepine loading versus a symptom-triggered protocol in the management of alcohol withdrawal. ⋯ This study did not reveal clear evidence of a clinical advantage for choosing either treatment method.
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Gen Hosp Psychiatry · Nov 2012
Incidence, prevalence, risk factor and outcome of delirium in intensive care unit: a study from India.
To evaluate the incidence, prevalence, risk factors and outcome of delirium in the respiratory intensive care unit of a tertiary care hospital. ⋯ Delirium is highly prevalent in the ICU setting and delirium is associated with longer ICU stay and higher mortality.
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Gen Hosp Psychiatry · Nov 2012
Case ReportsExcited delirium following use of synthetic cathinones (bath salts).
Synthetic analogs of the cathinone molecule have seen increasing recreational use as substitutes for cocaine, 3,4-methylenedioxymethamphetamine (ecstasy) and methamphetamine. Repeated use of these drugs is associated with a paranoid hallucinatory delirium. ⋯ These patients frequently suffer from dehydration, skeletal muscle damage and renal failure that may lead to multiorgan failure and death. Management of these individuals requires careful consideration of the consequences of interventions commonly implemented in medical settings to control dangerous aggressive behavior.
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Gen Hosp Psychiatry · Nov 2012
Symptom profile of delirium in children and adolescent--does it differ from adults and elderly?
The objective was to evaluate the phenomenology, etiology and outcome of delirium in children and adolescents (8-18 years of age) seen in a consultation-liaison psychiatric service in India. Additionally, an attempt was made to compare the phenomenology with adult and elderly patients with delirium. ⋯ In general, phenomenology, of delirium in children and adolescents (age 8-18 years) is similar to that seen in adults and elderly patients.
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Gen Hosp Psychiatry · Nov 2012
Prescribed opioid difficulties, depression and opioid dose among chronic opioid therapy patients.
Chronic opioid therapy has increased dramatically, as have complications related to prescription opioids. Little is known about the problems and concerns attributed to opioids by patients receiving different opioid doses. ⋯ Higher opioid doses were associated with somewhat higher pain severity and higher levels of patient-reported opioid-related psychosocial problems, control concerns and depression. These findings may result from patient selection for high-dose therapy or problems caused by higher-dose opioids.