Delirium in the Intensive Care Unit: Occurrence and Clinical Course in Older Patients

OBJECTIVES: To describe the occurrence of delirium in a cohort of older medical intensive care unit (ICU) patients and its short‐term duration in the hospital and to determine the association between preexisting dementia and the occurrence of delirium.

[1]  M. Pisani,et al.  Screening for Preexisting Cognitive Impairment in Older Intensive Care Unit Patients: Use of Proxy Assessment , 2003, Journal of the American Geriatrics Society.

[2]  G. Bernard,et al.  Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). , 2001, JAMA.

[3]  G. Bernard,et al.  The impact of delirium in the intensive care unit on hospital length of stay , 2001, Intensive Care Medicine.

[4]  J. Unützer,et al.  Prevalence, detection and treatment of anxiety, depression, and delirium in the adult critical care unit. , 2001, Psychosomatics.

[5]  Y. Skrobik,et al.  Delirium in an intensive care unit: a study of risk factors , 2001, Intensive Care Medicine.

[6]  Tullmann Df Assessment of delirium: another step forward. , 2001 .

[7]  Theodore Speroff,et al.  Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) , 2001, Critical care medicine.

[8]  D. Tullmann Assessment of delirium: another step forward. , 2001, Critical care medicine.

[9]  S. Inouye,et al.  Delirium in the Intensive Care Unit: An Under-Recognized Syndrome of Organ Dysfunction , 2001, Seminars in respiratory and critical care medicine.

[10]  D C Angus,et al.  Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? , 2000, JAMA.

[11]  T R Holford,et al.  A multicomponent intervention to prevent delirium in hospitalized older patients. , 1999, The New England journal of medicine.

[12]  J. Zhang,et al.  What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. , 1998, JAMA.

[13]  S. O’Keeffe,et al.  The Prognostic Significance of Delirium in Older Hospital Patients , 1997, Journal of the American Geriatrics Society.

[14]  S. Endo,et al.  Delirium in critical care unit patients admitted through an emergency room. , 1995, General hospital psychiatry.

[15]  S. Inouye,et al.  Delirium in Hospitalized Older Persons: Outcomes and Predictors , 1994, Journal of the American Geriatrics Society.

[16]  C. Clark,et al.  The Consortium to Establish a Registry for Alzheimer's Disease (CERAD) , 1994, Neurology.

[17]  Anthony F Jorm A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): development and cross-validation , 1994, Psychological Medicine.

[18]  S K Inouye,et al.  A Predictive Model for Delirium in Hospitalized Elderly Medical Patients Based on Admission Characteristics , 1993, Annals of Internal Medicine.

[19]  M R Pinsky,et al.  Long-term outcome of critically ill elderly patients requiring intensive care. , 1993, JAMA.

[20]  L. Lipsitz,et al.  Risk factors for delirium in hospitalized elderly. , 1992, JAMA.

[21]  P D Cleary,et al.  Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. , 1992, Archives of internal medicine.

[22]  D M Linton,et al.  Severity of disease classification system. , 1991, Critical care medicine.

[23]  S K Inouye,et al.  Clarifying confusion: the confusion assessment method. A new method for detection of delirium. , 1990, Annals of internal medicine.

[24]  W. Kapoor,et al.  A prospective study of delirium in hospitalized elderly. , 1990, JAMA.

[25]  J. Morris,et al.  The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assesment of Alzheimer's disease , 1989, Neurology.

[26]  M. Vanderlinden A study of risk factors , 1989 .

[27]  R. Mohs,et al.  Consortium to establish a registry for Alzheimer's disease (CERAD) clinical and neuropsychological assessment of Alzheimer's disease. , 2002, Psychopharmacology bulletin.

[28]  C. Mackenzie,et al.  A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. , 1987, Journal of chronic diseases.

[29]  E. Draper,et al.  APACHE II: A severity of disease classification system , 1985, Critical care medicine.

[30]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[31]  L M Wilson,et al.  Intensive Care Delirium: The Effect of Outside Deprivation in a Windowless Unit , 1972 .

[32]  M. Lawton,et al.  Assessment of older people: self-maintaining and instrumental activities of daily living. , 1969, The Gerontologist.

[33]  M. Roth,et al.  The Association Between Quantitative Measures of Dementia and of Senile Change in the Cerebral Grey Matter of Elderly Subjects , 1968, British Journal of Psychiatry.

[34]  S. Katz,et al.  STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. , 1963, JAMA.

[35]  D. Wechsler Manual for the Wechsler Adult Intelligence Scale. , 1955 .