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Does this critically ill patient with delirium require any drug treatment?

  • Jorge I. F. Salluh
  • Nicola Latronico
What's New in Intensive Care

Delirium is a severe and frequent condition that occurs in 20–40% of patients admitted to the intensive care unit (ICU), with higher rates of 60–80% described in mechanically ventilated patients. The accumulated evidence in the past decades demonstrates that delirium is clearly associated with hospital mortality, lengths of stay, duration of mechanical ventilation and costs [1, 2]. Moreover, the presence of delirium and its duration and severity are risk factors for long-term cognitive impairment in patients surviving critical illness [1]. Although agitated (hyperactive) delirium attracts the intensivist's attention and frequently requires interventions to prevent self-harm and control the symptoms, the hypoactive and mixed forms are extremely common and frequently associated with poor outcomes. However, to correctly diagnose patients with delirium regardless of its presentation form, it is mandatory to use valid and reproducible screening tools such as the Confusion Assessment Method...

Notes

Funding

Dr. Salluh is supported in part by an individual research grant from CNPq and FAPERJ.

Compliance with ethical standards

Conflicts of interest

All authors declare that they have no conflict of interest.

Supplementary material

134_2018_5310_MOESM1_ESM.docx (29 kb)
Supplementary material 1 (DOCX 28 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.D’Or Institute for Research and EducationRio de JaneiroBrazil
  2. 2.Programa de Pós-Graduação em Clinica médicaUniversidade Federal do Rio de JaneiroRio de JaneiroBrazil
  3. 3.Department of Medical and Surgical Specialties, Radiological Sciences and Public HealthUniversity of BresciaBresciaItaly
  4. 4.Department of Anesthesia, Critical Care and EmergencySpedali Civili University HospitalBresciaItaly

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