2013: Updates in Delirium

摘要

Delirium is a frequent condition in the acute care setting and poses ongoing patient and societal burdens.We performed a review of the literature to inform practicing hospitalists, neurologists, and neurohospitalists about advances in delirium research in the prior year. We reviewed internal medicine, neurology, critical care, geriatric, and psychiatric literature from 2013 and selected manuscripts that were assessed to advance our understanding of measurement, epidemiology, outcomes, and treatment of delirium. Within this brief report, we highlight the pain, agitation, and delirium guidelines and stress their importance in light of recent research that links delirium with long-term impairments in cognitions and function. We conclude with research updates in the pharmacologic and nonpharmacologic treatment of delirium.