Prevalence of delirium among outpatients with dementia

@article{Hasegawa2013PrevalenceOD,
  title={Prevalence of delirium among outpatients with dementia},
  author={Noriko Hasegawa and Mamoru Hashimoto and Seiji Yuuki and Kazuki Honda and Yusuke Yatabe and Kunio Araki and Manabu Ikeda},
  journal={International Psychogeriatrics},
  year={2013},
  volume={25},
  pages={1877 - 1883}
}
ABSTRACT Background: Delirium and dementia are highly interrelated. However, few comprehensive epidemiological studies have examined this altered state of consciousness superimposed on dementia. We investigated the frequency of delirium in patients with dementia, its prevalence in patients with each dementia type, and its association with cerebrovascular disease (CVD) in patients with neurodegenerative dementias. Methods: We studied 261 consecutive outpatients in the memory clinic of a… 
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32 Citations
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32 Citations

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Citation Type

Detecting delirium in elderly outpatients with cognitive impairment
TLDR
D detection of delirium and distinction from dementia in older outpatients was feasible but required detailed caregiver information about the presence, onset, and course of symptoms.
The Diagnosis of Delirium Superimposed on Dementia: An Emerging Challenge.
Prevalence and management of delirium in community dwelling older people with dementia referred to a memory clinic
TLDR
The study supports the need to further investigate the feasibility and efficacy of the hospital at home models for the prevention and management of delirium in a high-risk population.
Comparison of cognitive and neuropsychiatric profiles in hospitalised elderly medical patients with delirium, dementia and comorbid delirium–dementia
TLDR
The neurocognitive profile of delirium is similar with or without comorbid dementia and differs from dementia withoutdelirium, and simple tests of attention and vigilance can help to distinguish betweenDelirium and other presentations.
A nationwide study on delirium in psychiatric patients from 1995 to 2011
TLDR
A possible underdiagnosis of delirium in psychiatric hospitals and should be investigated further, asdelirium is a serious state and identifying the syndrome is important for sufficient treatment.
Potentially Inappropriate Medication in Patients Admitted with Diagnosis of Delirium Superimposed on Dementia
TLDR
Preliminary evidence indicated that reduction of the delirogenic burden score of the medication is more appropriate to dimish this risk than reduction of PIM prescriptions.
Delirium Superimposed on Dementia
TLDR
Prevention and treatment of DSD is similar to delirium without dementia, but it is much more important to develop primary and secondary prevention; therefore, keeping close contact with the patient; providing adequate vision, hearing, nutrition, hydration, and sleep; informing the caregivers aboutDelirium to recognize early symptoms; mobilizing the patient as early as possible; and managing the pain are strongly recommended.
Hyperactive and hypoactive psychomotor subtypes of delirium in demented and nondemented elderly patients with hip fractures: systematic review and meta-analysis
TLDR
The review demonstrates the high prevalence of DSD and highlights the differences in motor subtypes ofdelirium between delirium with and without dementia, but there is concern about these results given the high risk of bias.
Delirium superimposed on dementia: a survey of delirium specialists shows a lack of consensus in clinical practice and research studies
TLDR
The largest survey of DSD practice to date demonstrates that despite good levels of confidence in recognizing DSD, there exists a lack of consensus concerning assessment and diagnosis globally and suggest the need for the development of more research leading to precise diagnostic criteria and comprehensive guidelines.
Delirium Superimposed on Dementia and Mild Cognitive Impairment
TLDR
The main focus of treatment and management of delirium should be on prevention, which can be achieved through assessing patients for predisposing and precipitating factors, and if a patient does developDelirium, a reassessment of precipitate factors is the first step in treatment, and then nonpharmacologic or pharmacologic treatment can be considered.
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