Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery

Paul Jay Regal Regal Elderly Medicine, Kanwal Medical Centre, Kanwal, NSW, Australia Purpose: There is agreement in the medical literature that delirium is of sudden or rapid onset. Although the speed of recovery cannot be used for initial diagnosis, recovery speed provides a test of diagnostic cr...

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Autor principal:	Regal PJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Delirium dementia cognitive decline Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f2dc3e1e5f5544e4baccb91d945265ce
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spelling	oai:doaj.org-article:f2dc3e1e5f5544e4baccb91d945265ce2021-12-02T02:34:47ZDelirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery1178-1998https://doaj.org/article/f2dc3e1e5f5544e4baccb91d945265ce2017-02-01T00:00:00Zhttps://www.dovepress.com/delirium-in-405-articles-of-medical-non-surgical-or-icu-inpatients-unp-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Paul Jay Regal Regal Elderly Medicine, Kanwal Medical Centre, Kanwal, NSW, Australia Purpose: There is agreement in the medical literature that delirium is of sudden or rapid onset. Although the speed of recovery cannot be used for initial diagnosis, recovery speed provides a test of diagnostic criteria. The aim of this study was to determine whether articles on delirium among medical inpatients proved sudden onset and rapid recovery.Methods: The literature was searched for studies with at least 50 patients on medical or geriatric wards. Excluded were postoperative, critical care, and nursing home studies. Speed of onset was extracted as either the interval between symptom onset and diagnosis or between hospital admission and diagnosis of incident delirium. Mean or median days to recovery from delirium and the scale used to measure recovery were identified.Results: Four-hundred and five articles were analyzed with 789,709 patients. The median article had 220 patients. Onset could only be extracted in 11 articles (2.7%): mean onset was 3.09±2.38 days. Median onset was 3.0 days, which conforms to Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Only 56 of 405 articles (13.8%) reported timing of recovery but mean or median recovery was available in 25 of 405 (6.2%): 6.56±4.80 days.Conclusion: Medical delirium articles have failed to establish rapid onset and rapid recovery. Keywords: delirium, dementia, cognitive declineRegal PJDove Medical PressarticleDeliriumdementiacognitive declineGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 377-380 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Delirium dementia cognitive decline Geriatrics RC952-954.6
spellingShingle	Delirium dementia cognitive decline Geriatrics RC952-954.6 Regal PJ Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery
description	Paul Jay Regal Regal Elderly Medicine, Kanwal Medical Centre, Kanwal, NSW, Australia Purpose: There is agreement in the medical literature that delirium is of sudden or rapid onset. Although the speed of recovery cannot be used for initial diagnosis, recovery speed provides a test of diagnostic criteria. The aim of this study was to determine whether articles on delirium among medical inpatients proved sudden onset and rapid recovery.Methods: The literature was searched for studies with at least 50 patients on medical or geriatric wards. Excluded were postoperative, critical care, and nursing home studies. Speed of onset was extracted as either the interval between symptom onset and diagnosis or between hospital admission and diagnosis of incident delirium. Mean or median days to recovery from delirium and the scale used to measure recovery were identified.Results: Four-hundred and five articles were analyzed with 789,709 patients. The median article had 220 patients. Onset could only be extracted in 11 articles (2.7%): mean onset was 3.09±2.38 days. Median onset was 3.0 days, which conforms to Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Only 56 of 405 articles (13.8%) reported timing of recovery but mean or median recovery was available in 25 of 405 (6.2%): 6.56±4.80 days.Conclusion: Medical delirium articles have failed to establish rapid onset and rapid recovery. Keywords: delirium, dementia, cognitive decline
format	article
author	Regal PJ
author_facet	Regal PJ
author_sort	Regal PJ
title	Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery
title_short	Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery
title_full	Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery
title_fullStr	Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery
title_full_unstemmed	Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery
title_sort	delirium, in 405 articles of medical (non-surgical or icu) inpatients: unproven speed of onset and recovery
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/f2dc3e1e5f5544e4baccb91d945265ce
work_keys_str_mv	AT regalpj deliriumin405articlesofmedicalnonsurgicaloricuinpatientsunprovenspeedofonsetandrecovery
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Delirium, in 405 articles of medical (non-surgical or ICU) inpatients: unproven speed of onset and recovery

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