A Review of Clinical Evaluation and Management of DeliriumCorrespondence Address :
Dr. Bhupendra Shah,
Assistant Professor, Department of Internal Medicine, BP Koirala Institute of Health Sciences, Ghopa, Dharan-56700, Nepal.
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.
Antipsychotic, Diagnostic tool, Outcomes, Pathophysiology, Risk factors
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 Sep 19 ]; 12:OE01-OE04. Available from
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.
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2016: 132.37
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase & EMbiology
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)