Peculiarities of the acute confusional syndrome in the elderly
Keywords:
confusion, elderly, mental state tests and insanity, mental health.Abstract
The acute confusional syndrome is a frequent clinical feature of acute diseases or drug toxicity in elderly, with high morbidity and mortality. This originates due to functional disability and is characterized by an acute and fluctuating change in the mental state, with inattentiveness and altered conscience levels during less than 3 months, although it can be prolonged for longer time. It is considered a medical emergency of demonstrable and potentially reversible organic cause, with an essentially clinical diagnosis. In this investigation it is described how the acute confusion is manifested in elderly, which are the predisposing and triggering factors in its emergence and which treatment can be adequate if the clinical pattern and its causal factors are diagnosed in an appropriate way.
Downloads
References
2. Alonso Ganuza Z, González Torres MA, Gaviria M. El delirium. Una revisión orientada a la práctica clínica. Rev Asoc Esp Neuropsiq. 2012 [citado 14 Dic 2017]; 32(114): 247-59. Disponible en: http://revistaaen.es/index.php/aen/article/viewFile/16330/16176
3. Cole MG. Delirium in elderly patients. Am J Geriatr Psychiatry. 2004; 12(1): 7-21.
4. Martínez Velilla N, Petidier-Torregrosa R, Casas Herrero A. Delirium en el paciente anciano: actualización en prevención, diagnóstico y tratamiento. Med CLin (Barc). 2012; 138(2): 78-84.
5. Martínez Velilla N, Franco JG. Delirium subsindrómico en pacientes ancianos: revisión sistemática. Rev Esp Geriatr Gerontol. 2013; 48(3): 122-9.
6. Marcantonio E. Confusión aguda. En: Beers MH, Berkow R. Manual Merck de Geriatría Clínica. 2 ed. Madrid: Harcourt; 2001. p. 350- 6.
7. Inouye SK, Westendorp RGJ, Saczynski JS. Delirium in elderly people. Lancet. 2014; 383(9920): 911-22.
8. Veiga Fernández F, Cruz Jentoft A. Etiología y fisiopatología del delirium. Rev Esp Geriatr Gerontol. 2008; 43(Supl. 3): 4-12.
9. Nicolás Antonio D. Confusión aguda. En: Rocabruno Mederos JC. Tratado de Gerontología y Geriatría Clínica. La Habana: Editorial Científico-Técnica; 1999. p. 452-4.
10. Cid Sanz M. Confusión aguda. En: Guillén F, Salgado Alba A, Ruiperez I. Manual de Geriatría. 3 ed. Madrid: Elsevier Masson; 2007. p. 566-8.
11. Martins S, Fernandes L. Delirium in elderly people: a review. Front Neurol. 2012; 3: 101.
12. Hoyl M. Trinidad. Síndrome confusional agudo en Geriatría [citado 14 Dic 2017]. Disponible en: http://www.elgotero.com/Arcrivos%20PDF/S%C3%ADndrome%20Confusional%20Agudo%20en%20Geriatr%C3%ADa.pdf
13. Menéndez J. Evaluación y manejo del estado confusional agudo. La Habana: CITED; 2015.
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.