Delirium risk factors: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Delirium}} | {{Delirium}} | ||
{{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com] | {{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com], {{PB}} | ||
==Overview== | ==Overview== | ||
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*Sensory impairment (hearing or vision) | *Sensory impairment (hearing or vision) | ||
*Immobilization (catheters or restraints) | *Immobilization (catheters or restraints) | ||
*Offending drugs (for example, sedative hypnotics, narcotics, anticholinergic drugs, | *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, | *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) | *Intercurrent illness (for example, infections, iatrogenic complications, severe acute illness, [[anemia]], [[dehydration]], poor nutritional status, fracture or trauma, [[HIV]] infection) | ||
*Metabolic impairment | *Metabolic impairment | ||
*Surgery | *[[Surgery]] | ||
*Stressful surroundings (for example, admission to an intensive care unit) | *Stressful surroundings (for example, admission to an intensive care unit) | ||
*Pain | *Pain | ||
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*Cognitive impairment | *Cognitive impairment | ||
*Older age (>65 years) | *Older age (>65 years) | ||
*History of delirium, stroke, neurological disease, falls or gait disorder | *History of delirium, [[stroke]], neurological disease, falls or gait disorder | ||
*Associating multiple medical aliments | *Associating multiple medical aliments | ||
*Gender: Male over females | *Gender: Male over females | ||
Revision as of 02:50, 26 March 2014
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Delirium Microchapters |
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Diagnosis |
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Treatment |
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Delirium On the Web |
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American Roentgen Ray Society Images of Delirium |
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 caused by variety of causes but likelihood of having delirium depends on various risk factors.
Risk Factors
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]