Display Settings:

Format

Send to:

Choose Destination

Delirium

MedGen UID:
41445
Concept ID:
C0011206
Mental or Behavioral Dysfunction
Synonyms: ABS - Acute brain syndrome; Acute brain syndrome; Delirious; delirium
SNOMED CT: Delirious (419567006); ABS - Acute brain syndrome (2776000); Acute brain syndrome (2776000); Delirium (2776000)
 

Definition

Delirium is a condition that features rapidly changing mental states. It causes confusion and changes in behavior. Besides falling in and out of consciousness, there may be problems with: -Attention and awareness. -Thinking and memory. -Emotion. -Muscle control. -Sleeping and waking. Causes of delirium include medications, poisoning, serious illnesses or infections, and severe pain. It can also be part of some mental illnesses or dementia. Delirium and dementia have similar symptoms, so it can be hard to tell them apart. They can also occur together. Delirium starts suddenly and can cause hallucinations. The symptoms may get better or worse, and can last for hours or weeks. On the other hand, dementia develops slowly and does not cause hallucinations. The symptoms are stable, and may last for months or years. . Delirium tremens is a serious type of alcohol withdrawal syndrome. It usually happens to people who stop drinking after years of alcohol abuse. People with delirium often, though not always, make a full recovery after their underlying illness is treated.  [from MedlinePlus]

Recent clinical studies

Etiology

American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
J Am Geriatr Soc 2015 Jan;63(1):142-50. Epub 2014 Dec 12 doi: 10.1111/jgs.13281. [Epub ahead of print] PMID: 25495432
Hsieh SJ, Soto GJ, Hope AA, Ponea A, Gong MN
Am J Respir Crit Care Med 2015 Jan 1;191(1):71-8. doi: 10.1164/rccm.201409-1690OC. PMID: 25393331Free PMC Article
Smith PJ, Rivelli SK, Waters AM, Hoyle A, Durheim MT, Reynolds JM, Flowers M, Davis RD, Palmer SM, Mathew JP, Blumenthal JA
J Crit Care 2015 Feb;30(1):126-9. Epub 2014 Sep 22 doi: 10.1016/j.jcrc.2014.09.010. [Epub ahead of print] PMID: 25307975Free PMC Article
Gore RL, Vardy ER, O'Brien JT
J Neurol Neurosurg Psychiatry 2015 Jan;86(1):50-9. Epub 2014 May 23 doi: 10.1136/jnnp-2013-306389. [Epub ahead of print] PMID: 24860139
McCusker J, Cole MG, Voyer P, Monette J, Champoux N, Ciampi A, Vu M, Belzile E
J Am Geriatr Soc 2014 Dec;62(12):2296-302. Epub 2014 Dec 8 doi: 10.1111/jgs.13159. [Epub ahead of print] PMID: 25482152

Diagnosis

American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
J Am Geriatr Soc 2015 Jan;63(1):142-50. Epub 2014 Dec 12 doi: 10.1111/jgs.13281. [Epub ahead of print] PMID: 25495432
Hsieh SJ, Soto GJ, Hope AA, Ponea A, Gong MN
Am J Respir Crit Care Med 2015 Jan 1;191(1):71-8. doi: 10.1164/rccm.201409-1690OC. PMID: 25393331Free PMC Article
Smith PJ, Rivelli SK, Waters AM, Hoyle A, Durheim MT, Reynolds JM, Flowers M, Davis RD, Palmer SM, Mathew JP, Blumenthal JA
J Crit Care 2015 Feb;30(1):126-9. Epub 2014 Sep 22 doi: 10.1016/j.jcrc.2014.09.010. [Epub ahead of print] PMID: 25307975Free PMC Article
Gore RL, Vardy ER, O'Brien JT
J Neurol Neurosurg Psychiatry 2015 Jan;86(1):50-9. Epub 2014 May 23 doi: 10.1136/jnnp-2013-306389. [Epub ahead of print] PMID: 24860139
McCusker J, Cole MG, Voyer P, Monette J, Champoux N, Ciampi A, Vu M, Belzile E
J Am Geriatr Soc 2014 Dec;62(12):2296-302. Epub 2014 Dec 8 doi: 10.1111/jgs.13159. [Epub ahead of print] PMID: 25482152

Therapy

Hsieh SJ, Soto GJ, Hope AA, Ponea A, Gong MN
Am J Respir Crit Care Med 2015 Jan 1;191(1):71-8. doi: 10.1164/rccm.201409-1690OC. PMID: 25393331Free PMC Article
Smith PJ, Rivelli SK, Waters AM, Hoyle A, Durheim MT, Reynolds JM, Flowers M, Davis RD, Palmer SM, Mathew JP, Blumenthal JA
J Crit Care 2015 Feb;30(1):126-9. Epub 2014 Sep 22 doi: 10.1016/j.jcrc.2014.09.010. [Epub ahead of print] PMID: 25307975Free PMC Article
van der Kooi AW, Zaal IJ, Klijn FA, Koek HL, Meijer RC, Leijten FS, Slooter AJ
Chest 2015 Jan;147(1):94-101. doi: 10.1378/chest.13-3050. PMID: 25166725
McCusker J, Cole MG, Voyer P, Monette J, Champoux N, Ciampi A, Vu M, Belzile E
J Am Geriatr Soc 2014 Dec;62(12):2296-302. Epub 2014 Dec 8 doi: 10.1111/jgs.13159. [Epub ahead of print] PMID: 25482152
Hori D, Brown C, Ono M, Rappold T, Sieber F, Gottschalk A, Neufeld KJ, Gottesman R, Adachi H, Hogue CW
Br J Anaesth 2014 Dec;113(6):1009-17. Epub 2014 Sep 25 doi: 10.1093/bja/aeu319. [Epub ahead of print] PMID: 25256545Free PMC Article

Prognosis

Hsieh SJ, Soto GJ, Hope AA, Ponea A, Gong MN
Am J Respir Crit Care Med 2015 Jan 1;191(1):71-8. doi: 10.1164/rccm.201409-1690OC. PMID: 25393331Free PMC Article
Smith PJ, Rivelli SK, Waters AM, Hoyle A, Durheim MT, Reynolds JM, Flowers M, Davis RD, Palmer SM, Mathew JP, Blumenthal JA
J Crit Care 2015 Feb;30(1):126-9. Epub 2014 Sep 22 doi: 10.1016/j.jcrc.2014.09.010. [Epub ahead of print] PMID: 25307975Free PMC Article
McCusker J, Cole MG, Voyer P, Monette J, Champoux N, Ciampi A, Vu M, Belzile E
J Am Geriatr Soc 2014 Dec;62(12):2296-302. Epub 2014 Dec 8 doi: 10.1111/jgs.13159. [Epub ahead of print] PMID: 25482152
Abraham CM, Obremskey WT, Song Y, Jackson JC, Ely EW, Archer KR
Arch Phys Med Rehabil 2014 Dec;95(12):2382-9. Epub 2014 Aug 29 doi: 10.1016/j.apmr.2014.08.005. [Epub ahead of print] PMID: 25175161
Cape E, Hall RJ, van Munster BC, de Vries A, Howie SE, Pearson A, Middleton SD, Gillies F, Armstrong IR, White TO, Cunningham C, de Rooij SE, MacLullich AM
J Psychosom Res 2014 Sep;77(3):219-25. Epub 2014 Jul 4 doi: 10.1016/j.jpsychores.2014.06.014. [Epub ahead of print] PMID: 25124807Free PMC Article

Clinical prediction guides

Hsieh SJ, Soto GJ, Hope AA, Ponea A, Gong MN
Am J Respir Crit Care Med 2015 Jan 1;191(1):71-8. doi: 10.1164/rccm.201409-1690OC. PMID: 25393331Free PMC Article
Smith PJ, Rivelli SK, Waters AM, Hoyle A, Durheim MT, Reynolds JM, Flowers M, Davis RD, Palmer SM, Mathew JP, Blumenthal JA
J Crit Care 2015 Feb;30(1):126-9. Epub 2014 Sep 22 doi: 10.1016/j.jcrc.2014.09.010. [Epub ahead of print] PMID: 25307975Free PMC Article
McCusker J, Cole MG, Voyer P, Monette J, Champoux N, Ciampi A, Vu M, Belzile E
J Am Geriatr Soc 2014 Dec;62(12):2296-302. Epub 2014 Dec 8 doi: 10.1111/jgs.13159. [Epub ahead of print] PMID: 25482152
Hori D, Brown C, Ono M, Rappold T, Sieber F, Gottschalk A, Neufeld KJ, Gottesman R, Adachi H, Hogue CW
Br J Anaesth 2014 Dec;113(6):1009-17. Epub 2014 Sep 25 doi: 10.1093/bja/aeu319. [Epub ahead of print] PMID: 25256545Free PMC Article
Abraham CM, Obremskey WT, Song Y, Jackson JC, Ely EW, Archer KR
Arch Phys Med Rehabil 2014 Dec;95(12):2382-9. Epub 2014 Aug 29 doi: 10.1016/j.apmr.2014.08.005. [Epub ahead of print] PMID: 25175161

Recent systematic reviews

American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
J Am Geriatr Soc 2015 Jan;63(1):142-50. Epub 2014 Dec 12 doi: 10.1111/jgs.13281. [Epub ahead of print] PMID: 25495432
Gore RL, Vardy ER, O'Brien JT
J Neurol Neurosurg Psychiatry 2015 Jan;86(1):50-9. Epub 2014 May 23 doi: 10.1136/jnnp-2013-306389. [Epub ahead of print] PMID: 24860139
Montes DM
J Oral Maxillofac Surg 2014 Dec;72(12):2591-600. Epub 2014 Jul 30 doi: 10.1016/j.joms.2014.07.025. [Epub ahead of print] PMID: 25315305
Abraham CM, Obremskey WT, Song Y, Jackson JC, Ely EW, Archer KR
Arch Phys Med Rehabil 2014 Dec;95(12):2382-9. Epub 2014 Aug 29 doi: 10.1016/j.apmr.2014.08.005. [Epub ahead of print] PMID: 25175161
Weinhouse GL
Curr Opin Anaesthesiol 2014 Aug;27(4):403-8. doi: 10.1097/ACO.0000000000000093. PMID: 24824827

Supplemental Content

Table of contents

    Outreach and support

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...