Delirium can have many causes – for example, drugs, infection, electrolyte imbalance, and not being able to move around (immobilization). More disappointing is the realisation that delirium can be avoided in many cases (up to one third) and the lack of awareness is leading to a large amount of morbidity and mortality and a burden on NHS costs. Delirium can present as an overactive type of delirium or an underactive type. The terms 'prevalent delirium' and 'incident delirium' are sometimes seen in the literature. Drugs that promote central anticholinergic activity are the most common culprits. Postoperative delirium also increases the individual’s risk of developing other complications whilst in hospital, including falls and aspiration pneumonia (Robinson & Eiseman 2008). If a person is confused, they may: not be able to think or speak clearly or quickly; not know where they are (feel disorientated) struggle to pay attention or remember things This leaflet has been produced by the Department of Medicine for the Elderly at Hull University Teaching Hospitals NHS Trust to give you general information about delirium.
Delirium increases the chances that someone will need to go into a care home for the first time. The terms 'prevalent delirium' and 'incident delirium' are sometimes seen in the literature. Post-operative delirium in older adults Delirium is a condition of acute cerebral dysfunction and maybe seen in the early postoperative period or in the ICU patient. Delirium is linked to a more rapid worsening of a person’s mental abilities and function. Designed by Alasdair MacLullich (Edinburgh Delirium Research Group, University of Edinburgh), Tracy Ryan and Helen Cash (NHS Lothian).
Afonso, Scurlock, Reich et al (2010) post-op delirium in cardiac surgery pts – inc’d age and inc’d length of surgery independently associated with post-op delirium SCTS 6 th National Adult Cardiac Surgical Database Report 2008: 1.Increase in mean age for most categories of surgery, Pts >75yrs account for more than 20% of all cardiac Sx Das Delir ist eine vorübergehende Störung des Gehirns.
4AT: rapid assessment test for delirium. It occurs frequently in elderly patients and the diagnosis is missed as hypoactivity occurs in the majority of patients, but in some patients, it is hyperactivity and needs immediate intervention. 1.7 Information and support. More disappointing is the realisation that delirium can be avoided in many cases (up to one third) and the lack of awareness is leading to a large amount of morbidity and mortality and a burden on NHS costs. 1.6.6 For people in whom delirium does not resolve: Re-evaluate for underlying causes. Operationen sind massive Eingriffe in den menschlichen Körper. Commonly used medications in the postoperative period which cause delirium include: cimetidine, corticosteroids, diphenhydramine, belladonna, promethazine, warfarin, narcotics, benzodiazepines, and antiparkinsonian drugs ( Demeure and Fain 2006 ).