Factors affecting hallucinations in patients with delirium

Abstract Delirium develops through a multifactorial process and include multiple subtypes with different pathological factors. To refine the treatment and care for delirium, a more detailed examination of these subtypes is needed. Therefore, this study aimed to explore the factors affecting delirium...

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Autores principales: Masako Tachibana, Toshiya Inada, Masaru Ichida, Norio Ozaki
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/6ab050c7c0444c0fb0917f6902e604e0
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spelling oai:doaj.org-article:6ab050c7c0444c0fb0917f6902e604e02021-12-02T17:14:29ZFactors affecting hallucinations in patients with delirium10.1038/s41598-021-92578-12045-2322https://doaj.org/article/6ab050c7c0444c0fb0917f6902e604e02021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92578-1https://doaj.org/toc/2045-2322Abstract Delirium develops through a multifactorial process and include multiple subtypes with different pathological factors. To refine the treatment and care for delirium, a more detailed examination of these subtypes is needed. Therefore, this study aimed to explore the factors affecting delirium in cases in which hallucinations are conspicuous. In total, 602 delirium cases referred to the psychiatry department at a general hospital between May 2015 and August 2020 were enrolled. The Delirium Rating Scale-revised-98 was used to assess perceptual disturbances and hallucinations in patients with delirium. Multiple regression analysis was applied to determine whether individual factors were associated with the hallucinations. A total of 156 patients with delirium (25.9%) experienced hallucinations, with visual hallucinations being the most common subtype. Alcohol drinking (p < 0.0005), benzodiazepine withdrawal (p = 0.004), and the use of angiotensin II receptor blockers (p = 0.007) or dopamine receptor agonists (p = 0.014) were found to be significantly associated with hallucinations in patients with delirium. The four factors detected in this study could all be reversible contributing factors derived from the use of or withdrawal from exogenous substances.Masako TachibanaToshiya InadaMasaru IchidaNorio OzakiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Masako Tachibana
Toshiya Inada
Masaru Ichida
Norio Ozaki
Factors affecting hallucinations in patients with delirium
description Abstract Delirium develops through a multifactorial process and include multiple subtypes with different pathological factors. To refine the treatment and care for delirium, a more detailed examination of these subtypes is needed. Therefore, this study aimed to explore the factors affecting delirium in cases in which hallucinations are conspicuous. In total, 602 delirium cases referred to the psychiatry department at a general hospital between May 2015 and August 2020 were enrolled. The Delirium Rating Scale-revised-98 was used to assess perceptual disturbances and hallucinations in patients with delirium. Multiple regression analysis was applied to determine whether individual factors were associated with the hallucinations. A total of 156 patients with delirium (25.9%) experienced hallucinations, with visual hallucinations being the most common subtype. Alcohol drinking (p < 0.0005), benzodiazepine withdrawal (p = 0.004), and the use of angiotensin II receptor blockers (p = 0.007) or dopamine receptor agonists (p = 0.014) were found to be significantly associated with hallucinations in patients with delirium. The four factors detected in this study could all be reversible contributing factors derived from the use of or withdrawal from exogenous substances.
format article
author Masako Tachibana
Toshiya Inada
Masaru Ichida
Norio Ozaki
author_facet Masako Tachibana
Toshiya Inada
Masaru Ichida
Norio Ozaki
author_sort Masako Tachibana
title Factors affecting hallucinations in patients with delirium
title_short Factors affecting hallucinations in patients with delirium
title_full Factors affecting hallucinations in patients with delirium
title_fullStr Factors affecting hallucinations in patients with delirium
title_full_unstemmed Factors affecting hallucinations in patients with delirium
title_sort factors affecting hallucinations in patients with delirium
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/6ab050c7c0444c0fb0917f6902e604e0
work_keys_str_mv AT masakotachibana factorsaffectinghallucinationsinpatientswithdelirium
AT toshiyainada factorsaffectinghallucinationsinpatientswithdelirium
AT masaruichida factorsaffectinghallucinationsinpatientswithdelirium
AT norioozaki factorsaffectinghallucinationsinpatientswithdelirium
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