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Italian intersociety consensus on prevention, diagnosis, and treatment of delirium in hospitalized older persons

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Abstract

Delirium is a severe neuropsychiatric syndrome characterized by inattention and global cognitive dysfunction in the setting of an acute medical illness, medical complication, drug intoxication, or drug withdrawal. The most important risk factors are advanced age and dementia, whereas pain, dehydration, infections, stroke, metabolic disturbances, and surgery are the most common triggering factors. Although delirium is a common clinical syndrome in different settings of care (acute care hospitals, inpatient rehabilitation facilities, nursing homes, and hospices), it often remains under-recognized, poorly understood, and inadequately managed. There exists a clear need for improved understanding to overcome cultural stereotypes, and for the development and dissemination of a comprehensive model of implementation of general good practice points. A network of Italian national scientific societies was thus convened (1) to develop a collaborative multidisciplinary initiative report on delirium in elderly hospitalized patients, (2) to focus the attention of health care personnel on prevention, diagnosis, and therapy of patients suffering from delirium, and (3) to make the health services research community and policy-makers more aware of the potential risks of this condition providing a reference for training activities and data collection.

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Authors and Affiliations

  1. AIP (Associazione Italiana di Psicogeriatria), Pavia, Italy

    Giuseppe Bellelli, Alessandro Morandi & Marco Trabucchi

  2. AcEMC (Academy of Emergency Medicine and Care), Pavia, Italy

    Guido Caironi, Daniele Coen, Carlo Fraticelli, Ciro Paolillo, Carolina Prevaldi, Angela Riccardi & Gianfranco Cervellin

  3. AGE (Associazione Geriatri Extraospedalieri), Naples, Italy

    Corrado Carabellese & Salvatore Putignano

  4. EUGMS (European Union Geriatric Medicine Society), Venice Lido, Italy

    Stefania Maggi & Antonio Cherubini

  5. FADOI (Federazione delle Associazioni dei Dirigenti Ospedalieri Internisti), Rome, Italy

    Paola Gnerre & Andrea Fontanella

  6. SIAARTI (Società Italiana di Anestesia, Analgesia Rianimazione e Terapia Intensiva), Rome, Italy

    Nicola Latronico, Concezione Tommasino & Antonio Corcione

  7. SIGG (Società Italiana di Geriatria e Gerontologia), Florence, Italy

    Giovanni Ricevuti & Nicola Ferrara

  8. SIGOT (Società Italiana di Geriatria Ospedale e Territorio), Rome, Italy

    Francesco De Filippi & Alberto Ferrari

  9. SIMEU (Società Italiana di Medicina di Emergenza e Urgenza), Milan, Italy

    Mario Guarino & Maria Pia Ruggieri

  10. SIMI (Società Italiana di Medicina Interna), Rome, Italy

    Pietro Amedeo Modesti & Francesco Perticone

  11. SITOX (Società Italiana di Tossicologia), Bologna, Italy

    Carlo Locatelli & Patrizia Hrelia

  12. CNI-SPDC (Coordinamento Nazionale Servizi Psichiatrici di Diagnosi e Cura), Bergamo, Italy

    Marco Otto Toscano & Emi Bondi

  13. WSES (World Society of Emergency Surgery), Bologna, Italy

    Antonio Tarasconi & Luca Ansaloni

  14. Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze, Largo Brambilla 3, 50134, Florence, Italy

    Pietro Amedeo Modesti

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  1. Giuseppe Bellelli
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  2. Alessandro Morandi
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Corresponding author

Correspondence to Pietro Amedeo Modesti.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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This article is being published jointly in European Geriatric Medicine and Internal and Emergency Medicine.

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Bellelli, G., Morandi, A., Trabucchi, M. et al. Italian intersociety consensus on prevention, diagnosis, and treatment of delirium in hospitalized older persons. Intern Emerg Med 13, 113–121 (2018). https://doi.org/10.1007/s11739-017-1705-x

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