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Understanding delirium trajectory and its importance in care provision for older people

Published online by Cambridge University Press:  21 December 2016

Guk-Hee Suh*
Affiliation:
Department of Psychiatry, Hallym University College of Medicine, Dongtan Sacred Heart Hospital, Hwaseong-si, South Korea
Lina Gega*
Affiliation:
Mental Health and Addiction Research Group (MHARG), Department of Health Sciences & Hull York Medical School, University of York, Heslington, York, UK
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Extract

Delirium significantly increases morbidity and mortality in older people, especially those affected by other organic disorders, notably dementia (Siddiqi et al., 2006; Davis et al., 2012; Martins and Fernandes, 2012). Both delirium and dementia are characterized by cognitive decline through disintegration of brain functions, i.e. a “brain failure.” Delirium has been described as an acute brain failure, in contrast to dementia being a chronic brain failure (Berrios, 1981). If we consider any other organ failure, for example that of kidneys, delirium superimposed on dementia resembles acute renal exacerbation superimposed on chronic renal failure. The timely recognition and treatment of acute renal failure can reverse its damaging effects, whereas chronic renal failure necessitates long-term and invasive or costly interventions (i.e. dialysis, kidney transplantation). Similarly, recognizing delirium and providing timely interventions can improve its symptoms to recover brain functions, delay cognitive decline, and alleviate distress and disability.

Type
Commentary paper of the month
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Berrios, G. E. (1981). Delirium and confusion in the 19th century: a conceptual history. British Journal of Psychiatry, 139, 439449.Google Scholar
Ciampi, A., Bai, C., Dyachenko, A., McCusker, J., Cole, M. G. and Belzile, E. (2016). Longitudinal patterns of delirium severity scores in long-term care settings. International Psychogeriatrics: doi:10.1017/S104161021600137X.Google Scholar
Cole, M. G., Ciampi, A., Belzile, E. and Zhong, L. (2009). Persistent delirium in older hospital patients: a systematic review of frequency and prognosis. Age & Ageing, 38, 1926.Google Scholar
Cole, M. G. and Primeau, F. J. (1993). Prognosis of delirium in elderly hospital patients. CMAJ: Canadian Medical Association Journal, 149, 4146.Google ScholarPubMed
Davis, D. H. et al. (2012). Delirium is a strong risk factor for dementia in the oldest-old: a population-based cohort study. Brain, 135(Pt 9), 28092816.CrossRefGoogle Scholar
Martins, S. and Fernandes, L. (2012). Delirium in elderly people: a review. Frontiers in Neurology, 3, 101. http://doi.org/10.3389/fneur.2012.00101.CrossRefGoogle ScholarPubMed
Siddiqi, N., House, A. O. and Holmes, J. D. (2006). Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age and Ageing, 35, 350364.Google Scholar
Suh, G. H. (2015). It is time to take action to reform long-term care insurance. IPA Bulletin, 32, 1011.Google Scholar
Sylvestre, M. P., McCusker, J., Cole, M., Regeasse, A., Belzile, E. and Abrahamowicz, M. (2006). Classification of patterns of delirium severity scores over time in an elderly population. International Psychogeriatrics, 18, 667680.CrossRefGoogle Scholar