Delirium in the elderly: Current problems with increasing geriatric age.

Détails

Ressource 1Télécharger: BIB_1E6538017A41.P001.pdf (382.28 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_1E6538017A41
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Delirium in the elderly: Current problems with increasing geriatric age.
Périodique
The Indian journal of medical research
Auteur(s)
Kukreja D., Günther U., Popp J.
ISSN
0971-5916 (Print)
ISSN-L
0971-5916
Statut éditorial
Publié
Date de publication
12/2015
Peer-reviewed
Oui
Volume
142
Numéro
6
Pages
655-662
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish, WOS : review
Publication types: Journal Article ; Review

Résumé
Delirium is an acute disorder of attention and cognition seen relatively commonly in people aged 65 yr or older. The prevalence is estimated to be between 11 and 42 per cent for elderly patients on medical wards. The prevalence is also high in nursing homes and long term care (LTC) facilities. The consequences of delirium could be significant such as an increase in mortality in the hospital, long-term cognitive decline, loss of autonomy and increased risk to be institutionalized. Despite being a common condition, it remains under-recognised, poorly understood and not adequately managed. Advanced age and dementia are the most important risk factors. Pain, dehydration, infections, stroke and metabolic disturbances, and surgery are the most common triggering factors. Delirium is preventable in a large proportion of cases and therefore, it is also important from a public health perspective for interventions to reduce further complications and the substantial costs associated with these. Since the aetiology is, in most cases, multifactorial, it is important to consider a multi-component approach to management, both pharmacological and non-pharmacological. Detection and treatment of triggering causes must have high priority in case of delirium. The aim of this review is to highlight the importance of delirium in the elderly population, given the increasing numbers of ageing people as well as increasing geriatric age.

Mots-clé
Aged, Delirium/epidemiology, Delirium/physiopathology, Delirium/prevention & control, Humans, Prevalence, Risk Assessment
Pubmed
Open Access
Oui
Création de la notice
05/02/2016 11:15
Dernière modification de la notice
20/08/2019 13:54
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