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Delirium and Dementia: Diagnostic Criteria and Fatality Rates
Abstract
Summary: Medically ill patients diagnosed at index admission as delirious, i.e., suffering cognitive decline and an altered state of consciousness, had higher fatality rates than demented, cognitively intact or depressed patients. At a one-year follow-up the death rate of those who had been delirious was still higher than that of demented patients. Delirious patients were more likely to have a diffusely slow EEG, tachycardia and hyperthermia and lower mean systolic and diastolic blood pressure. These results validate the distinction between delirium and dementia and the importance of alteration of consciousness as a defining characteristic of delirium.
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Citations
Cited by
Clarifying Confusion: The Confusion Assessment Method: A New Method for Detection of Delirium
Inouye, S. K., van Dyck, C. H., Alessi, C. A., Balkin, S., Siegal, A. P., & Horwitz, R. I. (1990) · Annals of Internal Medicine · doi:10.7326/0003-4819-113-12-941 · Cited by 5,250
Delirium as a Predictor of Mortality in Mechanically Ventilated Patients in the Intensive Care Unit
Ely, E. W. (2004) · JAMA · doi:10.1001/jama.291.14.1753 · Cited by 3,073
Delirium (Acute Confusional States)
Lipowski, Z. J. (1987) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1987.03400130103041 · Cited by 788
Inouye, S. K. (1994) · The American Journal of Medicine · doi:10.1016/0002-9343(94)90011-6 · Cited by 593
The impact of delirium on the survival of mechanically ventilated patients*
Lin, S.-M., Liu, C.-Y., Wang, C.-H., Lin, H.-C., Huang, C.-D., Huang, P.-Y., Fang, Y.-F., Shieh, M.-H., & Kuo, H.-P. (2004) · Critical Care Medicine · doi:10.1097/01.ccm.0000145587.16421.bb · Cited by 451
Metadata
- Authors
- Rabins, P. V.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1982-02
- Volume
- 140
- Issue
- 2
- Pages
- 149-153
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2032836255
- Cited by
- 224
- References
- 0
- FWCI
- 14.51
- Type
- journal article
- Language
- en
- Open access
- closed
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.