Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Year : 2018 | Month : June | Volume : 12 | Issue : 6 | Page : OE01 - OE04

A Review of Clinical Evaluation and Management of Delirium

Bhupendra Shah, Bijay Bartuala

1. Assistant Professor, Department of Internal Medicine, BP Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal. 2. Assistant Professor, Department of Internal Medicine, BP Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal.

Correspondence Address :
Dr. Bhupendra Shah,
Assistant Professor, Department of Internal Medicine, BP Koirala Institute of Health Sciences, Ghopa, Dharan-56700, Nepal.
E-mail: bhupendra.shah@bpkihs.edu

Abstract

Delirium is a syndrome characterised by the acute onset, fluctuating course of disturbed consciousness and cognitive impairment. It is an important medical condition with poor outcomes. Delirium is still under-recognised problem in intensive care unit. This is our endeavor to review the diagnosis and management of delirium based on the published literature. Two reviewer independently searched Electronic databases MEDLINE/PubMed, Google Scholar, Cochrane library and Scopemed with Mesh (Medical Subject Headings) terms “delirium”, “diagnosis”, and “management” from earliest possible date to January 31st, 2018. Articles in any language especially those published in recent years were given preference. Delirium is categorised into hypoactive, hyperactive and mixed type. The Confusional assessment method is an effective, easy and user-friendly tool to diagnose delirium. The non-pharmacological management like reorientation, mobilisation, and termination of the reversible cause is the initial step of delirium management. Haloperidol is a drug choice for delirium; however, newer antipsychotics are showing promising results.

Keywords

Antipsychotic, Diagnostic tool, Outcomes, Pathophysiology, Risk factors

How to cite this article :

Bhupendra Shah, Bijay Bartuala. A REVIEW OF CLINICAL EVALUATION AND MANAGEMENT OF DELIRIUM. Journal of Clinical and Diagnostic Research [serial online] 2018 June [cited: 2018 Jun 24 ]; 12:OE01-OE04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=June&volume=12&issue=6&page=OE01-OE04&id=11664

DOI and Others

DOI: 10.7860/JCDR/2018/35356.11664

Date of Submission: Dec 28, 2017
Date of Peer Review: Feb 13, 2018
Date of Acceptance: Apr 13, 2018
Date of Publishing: Jun 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: NONE.

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