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Intern Emerg Med. 2018 Jan;13(1):113-121. doi: 10.1007/s11739-017-1705-x. Epub 2017 Jul 24.

Italian intersociety consensus on prevention, diagnosis, and treatment of delirium in hospitalized older persons.

Author information

1
AIP (Associazione Italiana di Psicogeriatria), Pavia, Italy.
2
AcEMC (Academy of Emergency Medicine and Care), Pavia, Italy.
3
AGE (Associazione Geriatri Extraospedalieri), Naples, Italy.
4
EUGMS (European Union Geriatric Medicine Society), Venice Lido, Italy.
5
FADOI (Federazione delle Associazioni dei Dirigenti Ospedalieri Internisti), Rome, Italy.
6
SIAARTI (Società Italiana di Anestesia, Analgesia Rianimazione e Terapia Intensiva), Rome, Italy.
7
SIGG (Società Italiana di Geriatria e Gerontologia), Florence, Italy.
8
SIGOT (Società Italiana di Geriatria Ospedale e Territorio), Rome, Italy.
9
SIMEU (Società Italiana di Medicina di Emergenza e Urgenza), Milan, Italy.
10
SIMI (Società Italiana di Medicina Interna), Rome, Italy. pamodesti@unifi.it.
11
Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze, Largo Brambilla 3, 50134, Florence, Italy. pamodesti@unifi.it.
12
SITOX (Società Italiana di Tossicologia), Bologna, Italy.
13
CNI-SPDC (Coordinamento Nazionale Servizi Psichiatrici di Diagnosi e Cura), Bergamo, Italy.
14
WSES (World Society of Emergency Surgery), Bologna, Italy.
15
SIMI (Società Italiana di Medicina Interna), Rome, Italy.

Abstract

Delirium is a severe neuropsychiatric syndrome characterized by inattention and global cognitive dysfunction in the setting of an acute medical illness, medical complication, drug intoxication, or drug withdrawal. The most important risk factors are advanced age and dementia, whereas pain, dehydration, infections, stroke, metabolic disturbances, and surgery are the most common triggering factors. Although delirium is a common clinical syndrome in different settings of care (acute care hospitals, inpatient rehabilitation facilities, nursing homes, and hospices), it often remains under-recognized, poorly understood, and inadequately managed. There exists a clear need for improved understanding to overcome cultural stereotypes, and for the development and dissemination of a comprehensive model of implementation of general good practice points. A network of Italian national scientific societies was thus convened (1) to develop a collaborative multidisciplinary initiative report on delirium in elderly hospitalized patients, (2) to focus the attention of health care personnel on prevention, diagnosis, and therapy of patients suffering from delirium, and (3) to make the health services research community and policy-makers more aware of the potential risks of this condition providing a reference for training activities and data collection.

KEYWORDS:

Clinical management; Cognitive decline; Consensus; Delirium

PMID:
28741278
DOI:
10.1007/s11739-017-1705-x
[Indexed for MEDLINE]

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