Delirium classification: Difference between revisions
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==Types of Delirium== | ==Types of Delirium== | ||
DSM V specifies delirium on various virtues, | DSM V specifies delirium on various virtues, | ||
Based on eitiology: | |||
: '''Substance intoxication delirium''': diagnosis of substance intoxication delirium is made rather than substance intoxication, when the symptoms in Criteria A and C predominate and are severe enough to require clinical attention. | *: '''Substance intoxication delirium''': diagnosis of substance intoxication delirium is made rather than substance intoxication, when the symptoms in Criteria A and C predominate and are severe enough to require clinical attention. | ||
*: '''Substance withdrawal delirium''': diagnosis of substance withdrawal delirium is made rather than substance withdrawal, when the symptoms in Criteria A and C predominate and are severe enough to require clinical attention | |||
: '''Substance withdrawal delirium''': diagnosis of substance withdrawal delirium is made rather than substance withdrawal, when the symptoms in Criteria A and C predominate and are severe enough to require clinical attention | Based on duration: | ||
*: '''Acute''': Duration is restricted to a few hours to says | |||
*: '''Persistent''': when delirium lasts for weeks or months. | |||
Based on severity: | |||
: '''Acute''': Duration is restricted to a few hours to says | *: '''Hyperactive''': An increased psychomotor activity which may cooccue with incresed mood lability, agitation, and/or non cooperative attitude towards medical treatment. | ||
*: '''Hypoactive''': A hypoactive level of psychomotor activity which may exist along with increased sluggishness, lethargy or stupour. | |||
: '''Persistent''': when delirium lasts for weeks or months. | *: '''Mixed level of activity''': A normal level of psychomotor activity, individuals with rapidly fluctuating activity are also included in this category.<ref>{{Cite web | last = | first = | title = http://www.dsm5.org/Pages/Default.aspx | url = http://www.dsm5.org/Pages/Default.aspx | publisher = | date = | accessdate = 16 February 2014 }}</ref><ref name="www.ncbi.nlm.nih.gov">{{Cite web | last = | first = | title = Delirium in elderly people. [Lancet. 2013] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/23992774 | publisher = | date = | accessdate =}}</ref> | ||
: '''Hyperactive''': An increased psychomotor activity which may cooccue with incresed mood lability, agitation, and/or non cooperative attitude towards medical treatment. | |||
: '''Hypoactive''': A hypoactive level of psychomotor activity which may exist along with increased sluggishness, lethargy or stupour. | |||
: '''Mixed level of activity''': A normal level of psychomotor activity, individuals with rapidly fluctuating activity are also included in this category.<ref>{{Cite web | last = | first = | title = http://www.dsm5.org/Pages/Default.aspx | url = http://www.dsm5.org/Pages/Default.aspx | publisher = | date = | accessdate = 16 February 2014 }}</ref><ref name="www.ncbi.nlm.nih.gov">{{Cite web | last = | first = | title = Delirium in elderly people. [Lancet. 2013] - PubMed - NCBI | url = http://www.ncbi.nlm.nih.gov/pubmed/23992774 | publisher = | date = | accessdate =}}</ref> | |||
: <font color="#777777"></font> | : <font color="#777777"></font> | ||
Some authours have described fourth type of delirium, called as '''Subsyndromal delirium''' (an incomplete form of delirium)<ref name="www.bmj.com">{{Cite web | last = | first = | title = Delirium in older people | BMJ | url =http://www.bmj.com/content/334/7598/842 | publisher = | date = | accessdate =}}</ref> | Some authours have described fourth type of delirium, called as '''Subsyndromal delirium''' (an incomplete form of delirium)<ref name="www.bmj.com">{{Cite web | last = | first = | title = Delirium in older people | BMJ | url =http://www.bmj.com/content/334/7598/842 | publisher = | date = | accessdate =}}</ref> | ||
Phenomenological findings of different | Phenomenological findings of different materials subtypes of delirium reveal that purely hypoactive (somnolent) or hyperactive (agitated) patients appear to bemonority of cases, with more than 50% of patients experiencing a mixed profile during the course of their illness.<ref>Koponen et al 1989</ref><ref>Liptzin and Levkoff 1992</ref><ref>Maegher et al 1996</ref> | ||
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Revision as of 01:59, 17 February 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vishal Khurana, M.B.B.S., M.D. [2] ; Pratik Bahekar, MBBS [3]
Overview
Types of Delirium
DSM V specifies delirium on various virtues, Based on eitiology:
- Substance intoxication delirium: diagnosis of substance intoxication delirium is made rather than substance intoxication, when the symptoms in Criteria A and C predominate and are severe enough to require clinical attention.
- Substance withdrawal delirium: diagnosis of substance withdrawal delirium is made rather than substance withdrawal, when the symptoms in Criteria A and C predominate and are severe enough to require clinical attention
Based on duration:
- Acute: Duration is restricted to a few hours to says
- Persistent: when delirium lasts for weeks or months.
Based on severity:
- Hyperactive: An increased psychomotor activity which may cooccue with incresed mood lability, agitation, and/or non cooperative attitude towards medical treatment.
- Hypoactive: A hypoactive level of psychomotor activity which may exist along with increased sluggishness, lethargy or stupour.
- Mixed level of activity: A normal level of psychomotor activity, individuals with rapidly fluctuating activity are also included in this category.[1][2]
Some authours have described fourth type of delirium, called as Subsyndromal delirium (an incomplete form of delirium)[3]
Phenomenological findings of different materials subtypes of delirium reveal that purely hypoactive (somnolent) or hyperactive (agitated) patients appear to bemonority of cases, with more than 50% of patients experiencing a mixed profile during the course of their illness.[4][5][6]
References
- ↑ "http://www.dsm5.org/Pages/Default.aspx". Retrieved 16 February 2014. External link in
|title=(help) - ↑ "Delirium in elderly people. [Lancet. 2013] - PubMed - NCBI".
- ↑ "Delirium in older people". Text " BMJ " ignored (help)
- ↑ Koponen et al 1989
- ↑ Liptzin and Levkoff 1992
- ↑ Maegher et al 1996