Delirium risk factors: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 6: | Line 6: | ||
Delirium is caused by variety of causes but likelihood of having delirium depends on various risk factors. | Delirium is caused by variety of causes but likelihood of having delirium depends on various risk factors. | ||
==Risk Factors== | ==Risk Factors== | ||
Common risk factors associated with [[delirium]] include: | |||
*[[Older]] age | |||
* [[Dementia]] | |||
*[[Hypertension]] | |||
* [[Emergency]] [[surgery]] or [[trauma]] before [[ICU]] admission | |||
* Acute [[Physiology]] and Chronic [[Health]] Evaluation II ([[APACHE]]-II) score | |||
* [[Mechanical ventilation]] | |||
* [[Metabolic acidosis]] | |||
* [[Delirium]] on the prior day | |||
* [[Coma]] | |||
===Modifiable Risk Factors=== | ===Modifiable Risk Factors=== | ||
*Sensory impairment (hearing or vision) | *Sensory impairment (hearing or vision) | ||
| Line 25: | Line 37: | ||
*Gender: Male over females | *Gender: Male over females | ||
*Renal or hepatic pathology<ref>{{Cite web | last = | first = | title = Delirium in elderly adults: diagnosis, prevention and treatment | url = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065676/ | publisher = | date = | accessdate = }}</ref> | *Renal or hepatic pathology<ref>{{Cite web | last = | first = | title = Delirium in elderly adults: diagnosis, prevention and treatment | url = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065676/ | publisher = | date = | accessdate = }}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 14:34, 3 April 2021
|
Delirium Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Delirium On the Web |
|
American Roentgen Ray Society Images of Delirium |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2]; Vishal Khurana, M.B.B.S., M.D. [3]
Overview
Delirium is caused by variety of causes but likelihood of having delirium depends on various risk factors.
Risk Factors
Common risk factors associated with delirium include:
- Older age
- Dementia
- Hypertension
- Emergency surgery or trauma before ICU admission
- Acute Physiology and Chronic Health Evaluation II (APACHE-II) score
- Mechanical ventilation
- Metabolic acidosis
- Delirium on the prior day
- Coma
Modifiable Risk Factors
- Sensory impairment (hearing or vision)
- Immobilization (catheters or restraints)
- Offending drugs (for example, sedative hypnotics, narcotics, anticholinergic drugs, corticosteroid, polypharmacy, withdrawal of alcohol or other drugs)
- Acute neurological pathology (for example, acute stroke [usually right parietal], intracranial hemorrhage, meningitis, encephalitis)
- Intercurrent illness (for example, infections, iatrogenic complications, severe acute illness, anemia, dehydration, poor nutritional status, fracture or trauma, HIV infection)
- Metabolic impairment
- Surgery
- Stressful surroundings (for example, admission to an intensive care unit)
- Pain
- Emotional stress
- Lack of sleep
Non-Modifiable Risk Factors
- Cognitive impairment
- Older age (>65 years)
- History of delirium, stroke, neurological disease, falls or gait disorder
- Associating multiple medical aliments
- Gender: Male over females
- Renal or hepatic pathology[1]