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What prompts patients to present with delirium?

Gibb, K; Krywonos, A; Shah, R; Jha, A; Davis, D; (2021) What prompts patients to present with delirium? European Geriatric Medicine 10.1007/s41999-020-00443-7. (In press). Green open access

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Abstract

PURPOSE: To explore the recognition, response and understanding of delirium in families and carers of hospitalised patients. METHODS: All adults with delirium admitted to an acute medical unit were included. Delirium was diagnosed by a specialist geriatrician. The responder who sought medical advice for each patient was interviewed using a delirium recognition questionnaire. Vital status was ascertained at four months. RESULTS: Sixty patients were included (mean age 85, SD 6.8 years). Reported symptoms included drowsiness and lack of responsiveness, though these were less commonly recognised as being due to delirium. 76% received medical advice within 24 h, although two responders took > 1 week. One-third of responders had never heard of delirium. Delirium knowledge among responders was variable. CONCLUSION: Overall awareness and knowledge of delirium was poor. Community delirium education and public health initiatives may improve rapidity of recognition, delirium assessment, and potentially health outcomes.

Type: Article
Title: What prompts patients to present with delirium?
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s41999-020-00443-7
Publisher version: https://doi.org/10.1007/s41999-020-00443-7
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Awareness, Delirium, Recognition, Response
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine > MRC Unit for Lifelong Hlth and Ageing
URI: https://discovery.ucl.ac.uk/id/eprint/10121714
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