Delirium

Source: www.ncbi.nlm.nih.gov --- 1 day ago
Related Articles A questionnaire to determine nurses' knowledge of Delirium and its risk factors. Contemp Nurse. 2008 May;29(1):23-31 Authors: Hare M, Wynaden D, McGowan S, Landsborough I, Speed G Abstract Delirium is a frequent complication of hospital admission, especially among the elderly. It can have serious consequences in terms of morbidity, mortality and decreased quality of life. Nevertheless, an extensive literature review found that it is poorly recognised and poorly managed by medical and nursing staff. Although some researchers have found that education programs for nurses can improve outcomes for patients with Delirium, no research assessing nurses' knowledge was found. The objective of this research was to determine nurses' level of knowledge regarding Delirium and its risk factors. A questionnaire survey sent to nurses at a teaching hospital found that nurse's knowledge of Delirium was generally inadequate, although one ward which had had in-service education attained better results. It is recommended that cognitive assessment in general and Delirium in particular be incorporated into nursing education. Improved education could potentially lead to improved health outcomes and considerable cost savings. PMID: 18844539 [PubMed - in process] ...

Source: www.moreover.com --- 18 days ago
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Source: www.ncbi.nlm.nih.gov --- 26 days ago
Related Articles Probable risk factors for postoperative Delirium in patients undergoing spinal surgery. Eur Spine J. 2008 Sep 16; Authors: Gao R, Yang ZZ, Li M, Shi ZC, Fu Q Postoperative Delirium and its risk factors had been widely reported in several kinds of surgeries; however, there is only one known article relative to postoperative Delirium in spinal surgery. We retrospectively examined the incidence of postoperative Delirium and the probable risk factors in patients undergoing spinal surgery in our hospital, with the same aged non-Delirium patients as controls, over a 6-month period. Studies about postoperative Delirium were reviewed and referenced for variable factors collecting in our study. T tests, chi (2) test and logistic regression analysis were performed to evaluate the various factors related to postoperative Delirium. A total of 18 patients (3.3%), all of them were aged 54 years or older, had postoperative Delirium after surgery. Patients without postoperative Delirium aged 54 years or older served as the control group. The percentage of patients older than 65 years (P = 0.003), with comorbid diseases such as diabetes mellitus (P = 0.042) or central nervous system disorders (P = 0.013), with a surgical history (P = 0.028) in Delirium group was larger than the control group. The absolute number of medications being taken before the operation in the Delirium patients was also more than the control group (P = 0.000). Th ...

Source: www.ncbi.nlm.nih.gov --- 27 days ago
Related Articles Low tryptophan levels are associated with postoperative Delirium in the elderly. Am J Surg. 2008 Sep 11; Authors: Robinson TN, Raeburn CD, Angles EM, Moss M BACKGROUND: Postoperative Delirium is a common complication in geriatric patients. Tryptophan is an amino acid precursor to the mood-stabilizing neurotransmitters serotonin and melatonin. We hypothesized that tryptophan levels are lower in elderly subjects who develop postoperative Delirium. METHODS: A prospective observational study was performed. Subjects older than 50 years undergoing surgery with an anticipated postoperative intensive care unit admission were recruited. Postoperative Delirium assessment occurred daily using the Confusion Assessment Method-intensive care unit. Peripheral serum tryptophan levels were measured 2 days after surgery. RESULTS: Forty-nine subjects (46 men) were enrolled, with an average age of 64 +/- 7 years. The incidence of Delirium was 43% (21 of 49). The average duration of Delirium was 2.9 +/- 3.0 days. Tryptophan levels were lower in the subjects who developed Delirium (29.9 +/- 13.3 vs 48.5 +/- 19.8 mug/mL; P = .001). CONCLUSIONS: Lower levels of tryptophan postoperatively were associated with the development of Delirium in the elderly. PMID: 18789427 [PubMed - as supplied by publisher] ...

Source: www.moreover.com --- 21 days ago
MONDAY, Sept. 22 (HealthDay News) -- People who are taking cholesterol-lowering statin drugs -- which include Crestor, Lipitor, Pravachol and Zocor -- are more likely to suffer Delirium after surgery, a Canadian study indicates. ...

Source: www.ncbi.nlm.nih.gov --- 41 days ago
Related Articles How Acute is Delirium in Nursing Homes: An Observational Study From Wesley Woods at Emory. Am J Geriatr Psychiatry. 2008 Sep;16(9):786 Authors: Tune LE PMID: 18757772 [PubMed - as supplied by publisher] ...

Source: www.ncbi.nlm.nih.gov --- 39 days ago
Related Articles Severe Delirium of Uncertain Origin in a German Psychiatric Unit - Caused by Gamma-Butyrolactone Withdrawal. Pharmacopsychiatry. 2008 Sep;41(5):200-201 Authors: Hohl-Radke F, Voß M, Staedt J PMID: 18763223 [PubMed - as supplied by publisher] ...

Source: www.ncbi.nlm.nih.gov --- 29 days ago
Related Articles Severe anticholinergic drug-induced Delirium in a young adult after renal transplantation. Transpl Int. 2008 Sep 9; Authors: Götz AK, Reinhold SW, Szecsey A, Banas B, Krämer BK PMID: 18786150 [PubMed - as supplied by publisher] ...

Source: www.ncbi.nlm.nih.gov --- 19 days ago
Related Articles Delirium after elective surgery among elderly patients taking statins. CMAJ. 2008 Sep 23;179(7):645-652 Authors: Redelmeier DA, Thiruchelvam D, Daneman N BACKGROUND: Postoperative Delirium after elective surgery is frequent and potentially serious. We sought to determine whether the use of statin medications was associated with a higher risk of postoperative Delirium than other medications that do not alter microvascular autoregulation. METHODS: We conducted a retrospective cohort analysis of 284 158 consecutive patients in Ontario aged 65 years and older who were admitted for elective surgery. We identified exposure to statins from outpatient pharmacy records before admission. We identified Delirium by examining hospital records after surgery. RESULTS: About 7% (n = 19 501) of the patients were taking statins. Overall, 3195 patients experienced postoperative Delirium; the rate was significantly higher among patients taking statins (14 per 1000) than among those not taking statins (11 per 1000) (odds ratio [OR] 1.30, 95% confidence interval [CI] 1.15-1.47, p < 0.001). The increased risk of postoperative Delirium persisted after we adjusted for multiple demographic, medical and surgical factors (OR 1.28, 95% CI 1.12-1.46) and exceeded the increased risk of Delirium associated with prolonging surgery by 30 minutes (OR 1.20, 95% CI 1.19-1.21). The relative risk associated with statin use was somewhat higher among patient ...

Source: www.ncbi.nlm.nih.gov --- 19 days ago
Related Articles Statins and postoperative Delirium. CMAJ. 2008 Sep 23;179(7):627-8 Authors: Marcantonio ER PMID: 18809885 [PubMed - in process] ...

Source: www.research.utoronto.ca --- 19 days ago
The use of statins is associated with a 28% increased risk of postoperative Delirium in elderly patients, found University of Toronto professor Dr. Donald Redelmeier and colleagues in a retrospective cohort analysis involving more than 280 000 patients. continue … ...

Source: www.medicalnewstoday.com --- 19 days ago
The use of statins is associated with a 28% increased risk of postoperative Delirium in elderly patients, found University of Toronto professor Dr. Donald Redelmeier and colleagues in a retrospective cohort analysis involving more than 280 000 patients. ...

Source: www.villagevoice.com --- 42 days ago
Vacation , Deb Olin Unferth's dreamy, surreal debut novel, reads like an extended hallucination or out-of-body experience, as unsettling as it is compelling. The fragmented narrative is an intricate cross-hatch of character and misprision: A man named Meyers stalks his wife, whom he suspect... ...

Source: www.variety.com --- 12 days ago
Legit Reviews: It's easy to see what drew Enda Walsh to Fyodor Dostoevsky's novel, "The Brothers Karamazov," which the Irish playwright has adapted in collaboration with London-based ensemble Theater O. ...

Source: www.dota-league.com --- 10 days ago
EsGc|Domi will rock anther cast today with Delirium Gaming vs. Serious GamingStream is LIVE:213.133.103.165:1338/listen.pls... ...

Source: www.dota-league.com --- 31 days ago
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Source: www.postchronicle.com --- 19 days ago
University of Toronto Professor Donald Redelmeier and colleagues conducted a retrospective cohort analysis involving more than 280,000 patients. ... ...

Source: www.dota-league.com --- 25 days ago
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Source: www.medpagetoday.com --- 21 days ago
TORONTO (MedPage Today) -- Older patients who take statins regularly, particularly those past 70, have an increased risk of Delirium following elective surgery, researchers here reported. ...

Source: www.onlytorrents.com --- 21 days ago
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