+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Delirium (acute confusional states)



Delirium (acute confusional states)



JAMA 258(13): 1789-1792



Delirium (acute confusional states), a common and often overlooked psychiatric disorder, can occur at any age, but elderly persons are especially prone to develop it. In later life, it is often a conspicuous feature of systemic or cerebral disease and drug (notably anticholinergic) toxicity, and it may constitute a grave prognostic sign. Its development in a hospitalized patient may interfere with his or her management, disrupt ward routine, and cause medicolegal complications as a result of patient injury. Acute onset of a fluctuating level of awareness, accompanied by sleep-wake cycle disruption, lethargy or agitation, and nocturnal worsening of symptoms, are diagnostic. Early recognition of delirium and treatment of its underlying cause are essential.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 028054991

Download citation: RISBibTeXText

PMID: 3625989

DOI: 10.1001/jama.1987.03400130103041


Related references

States of agitation & postoperative confusional states; confusional states & confusional-oneiric states, delirium tremens, acute azotemic delirium, Korsakoff's & Gayet-Vernicke's syndromes. RevueInternationaldesServicesdeSantedesArmeesdeTerre,deMeretdel'Air32(2-3):111Passim, 1959

Acute delusions: confusional & confusional-oneiric states, delirium tremens, acute azotemic delusions, Korsakoff & Gayet-Vernicke syndromes. Revue Medicale de Nancy 84: 485-493, 1959

Acute confusional states delirium. Dinan, T G (Ed ) Principles And Practice Of Biological Psychiatry, Vol 2 X+332p Portland Press Ltd : Colchester, England, Uk; Farrand Press: London, England, Uk Illus 135-158, 1990

The recognition and treatment of delirium and acute confusional states. Caribbean Medical Journal 12(5): 153-166, 1950

Acute confusional states (delirium) in the hospitalized elderly. Annual Review of Gerontology and Geriatrics 6: 1-26, 1986

Delirium/acute confusional states: evaluation devices in nursing. International Psychogeriatrics 3(2): 301-308, 1991

Transient cognitive disorders (delirium, acute confusional states) in the elderly. American Journal of Psychiatry 140(11): 1426-1436, 1983

Delirium states of the third age. Delirium associated with sensory, thymic, confusional and demential disorders. L'Encephale 62(1): 20-55, 1973

Language function in delirium: a comparison of single word processing in acute confusional states and probable Alzheimer's disease. Brain and Language 46(4): 592-606, 1994

Delirium and confusional states. Australian Family Physician 29(11): 1063-1065, 2000

Confrontation technique applied to delirium and confusional states. Illinois Medical Journal 137(1): 71, 1970

Viadril in the treatment of delirium tremens and states of confusional excitement in alcoholics. Rassegna di Neuropsichiatria e Scienze Affini 13: 256-272, 1959

Delirium: acute confusional state. Maryland Medical Journal 45(9): 770-772, 1996

Incidents in the course of tofranil treatment: confusional-oneiric states of which one was of the pseudo-delirium tremens type. Annales Medico-Psychologiques 118(1): 310-314, 1960

Acute confusional state and acute agitated delirium. Occurrence after infarction in the right middle cerebral artery territory. Archives of Neurology 44(11): 1139-1143, 1987