Titre du document / Document title

The dilemma of delirium : clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients

Auteur(s) / Author(s)

INOUYE S. K. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Yale univ. school medicine, dep. internal medicine, New Haven CT, ETATS-UNIS

Résumé / Abstract

Delirium, with occurrence rates from 14% to 56%, associated mortality rates from 10% to 65%, and excess annual health care expenditures from $1 to $2 billion, poses a common and serious problem for hospitalized elderly patients. Delirium is often unrecognized or misdiagnosed by physicians caring for elderly patients. Cognitive testing is rarely done as part of the admission evaluation of elderly hospitalized patients. Specific diagnosis has been difficult, since diagnostic criteria and instruments are still being developed. The etiology of delirium is complex and multifactorial, and both predisposing (host vulnerability) and precipitating factors must be considered.The recommended approach to the evaluation of delirium is empiric, in the absence of objective efficacy data

Revue / Journal Title

The American journal of medicine   ISSN 0002-9343   CODEN AJMEAZ 

Source / Source

1994, vol. 97, n^o3, pp. 278-288 (98 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1946) (Revue)

Mots-clés anglais / English Keywords

Delusion ; Hospitalization ; Diagnosis ; Evaluation ; Elderly ; Human ;

Mots-clés français / French Keywords

Délire ; Hospitalisation ; Diagnostic ; Evaluation ; Vieillard ; Homme ;

Mots-clés espagnols / Spanish Keywords

Delirio ; Hospitalización ; Diagnóstico ; Evaluación ; Anciano ; Hombre ;

Localisation / Location

INIST-CNRS, Cote INIST : 4562, 35400004175858.0100