Delirium classification: Difference between revisions
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Based on etiology: | Based on etiology: | ||
* '''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. | ||
* '''Delirium caused by another medical condition''': When delirium is caused by another medical condition. | * '''Delirium caused by another medical condition''': When delirium is caused by another medical condition. | ||
* '''Delirium caused by multiple etiologies''': Delirium is a consequence of multiple causes e.g. medical condition plus substance intoxication or side effect of medications | * '''Delirium caused by multiple etiologies''': Delirium is a consequence of multiple causes e.g. medical condition plus substance intoxication or side effect of medications. | ||
Based on duration: | Based on duration: | ||
* '''Acute''': Duration is restricted to a few hours to days | * '''Acute''': Duration is restricted to a few hours to days. | ||
* '''Persistent''': when delirium lasts for weeks or months. | * '''Persistent''': when delirium lasts for weeks or months. | ||
Based on severity: | Based on severity: | ||
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* '''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> | * '''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 authors 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 authors 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> | ||
==References== | ==References== | ||
Revision as of 17:14, 21 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
Delirium is classified on the basis of etiology, duration and severity.
Types of Delirium
DSM V specifies delirium on various virtues,
Based on etiology:
- 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.
- Delirium caused by another medical condition: When delirium is caused by another medical condition.
- Delirium caused by multiple etiologies: Delirium is a consequence of multiple causes e.g. medical condition plus substance intoxication or side effect of medications.
Based on duration:
- Acute: Duration is restricted to a few hours to days.
- Persistent: when delirium lasts for weeks or months.
Based on severity:
- Hyperactive: An increased psychomotor activity which may co-occur with increased 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 stupor.
- Mixed level of activity: A normal level of psychomotor activity, individuals with rapidly fluctuating activity are also included in this category.[1][2]
Some authors have described fourth type of delirium, called as Subsyndromal delirium (an incomplete form of delirium).[3]
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)