Prognosis of delirium | Evidence-Based Mental Health

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The overall course of inhospital delirium was surprisingly chronic. Moreover, if delirious at discharge, one in three patients were dead within 12 months ... Skiptomaincontent YouarehereHome Archive Volume20, Issue2 Prognosisofdelirium Emailalerts ArticleText Articlemenu ArticleText Articleinfo CitationTools Share RapidResponses Articlemetrics Alerts PDF Evidence-basedcaseconference Prognosisofdelirium http://orcid.org/0000-0003-2159-3776ToshiAFurukawaKyotoUniversityGraduateSchoolofMedicine/SchoolofPublicHealth,Kyoto,Japan;[email protected] http://dx.doi.org/10.1136/eb-2017-102638 StatisticsfromAltmetric.com ClinicalcasePatient:awomanaged77yearsPresentillnessThepatienthadtypeIIdiabetessinceher50swhichhadbeenfairlywellcontrolledandalsosufferedfromanoldmyocardialinfarction,buthadbeenabletolivealoneinherapartment,managingthehouseholdonherown.Shecaughtacommoncoldseveraldaysago,whichworsenedthenextfewdays,andthepatientwasfebrile,unabletoeatordrink.Thedaughterlivingintheneighbourhoodtookhertothehospital,whereshewasdiagnosedwithseverepneumoniaanddehydrationandwashospitalised.Inthegeneralmedicineward,however,shedevelopeddeliriumthenightshewasadmitted.PresentstatusAtnight,shewasagitatedandclaimedthatshehadtogotoworkandthatherhusband(deceased)wasintheroom.Shewasoftensomnolentduringtheday,althoughshedidhavesomerelativelyclearmoments.Shewasabletocommunicateatthosemoments,butherattentionwasshortandherspeechwasoftenincoherent. CourseofillnessDehydrationandpneumoniarespondedwelltomedicaltreatmentsbutchronicheartfailurepersisted.Asaconsultant…ViewFullText FootnotesCompetinginterestsTAFhasreceivedlecturefeesfromEliLilly,Janssen,Meiji,MSD,Otsuka,PfizerandTanabe-Mitsubishi,andconsultancyfeesfromSekisuiChemicals.HehasreceivedroyaltiesfromIgaku-ShoinandNihonBunkaKagaku-shapublishers.HehasreceivedresearchsupportfromMochidaandTanabe-Mitsubishi.ProvenanceandpeerreviewCommissioned;externallypeerreviewed. RequestPermissions IfyouwishtoreuseanyorallofthisarticlepleaseusethelinkbelowwhichwilltakeyoutotheCopyrightClearanceCenter’sRightsLinkservice.Youwillbeabletogetaquickpriceandinstantpermissiontoreusethecontentinmanydifferentways. Copyrightinformation: PublishedbytheBMJPublishingGroupLimited.Forpermissiontouse(wherenotalreadygrantedunderalicence)pleasegotohttp://www.bmj.com/company/products-services/rights-and-licensing/ ReadthefulltextordownloadthePDF: Subscribe(£96) Login LoginviaInstitutionLoginviaOpenAthens Loginusingyourusernameandpassword ForpersonalaccountsORmanagersofinstitutionalaccounts Username* Password* Forgotyourlogindetails?Registeranewaccount?Forgotyourusernameorpassword? ReadthefulltextordownloadthePDF: Subscribe(£96) Login LoginviaInstitutionLoginviaOpenAthens Loginusingyourusernameandpassword ForpersonalaccountsORmanagersofinstitutionalaccounts Username* Password* Forgotyourlogindetails?Registeranewaccount?Forgotyourusernameorpassword?



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