Delirium en el adulto mayor

Artola, Carolina Blanco; Solórzano, Natasha Gómez; Chaves, Andrés Arce

doi:10.31434/rms.v5i3.391

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…It was evidenced in the results that maintaining electrolytes, pH, bicarbonate, and hematocrits are necessary variables to measure during the patient’s clinical signs and symptoms. This agrees with that explained by Artola et al, ( 25 who reported that early detection of dehydration signs, states of oliguria added to maintaining a hydric balance lead to early identification of hydro-electrolyte alterations and, with this, permit unifying correct treatment actions by the interdisciplinary team.…”

Section: Discussionsupporting

confidence: 92%

Validation of Nursing Outcome Indicators in Patients with Postsurgical Delirium

Melguizo Herrera,

Manrique Anaya,

Torres Contreras

et al. 2023

Invest. Educ. Enferm.

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Objective. To validate the content of the indicators proposed from the Nursing Outcome Classification in a care plan for delirium management in older adults. Methods. Content validity study, conducted under the expert judgment technique. The procedure was developed in five moments: organization of indicators that respond to the nursing outcome classification for delirium management, support with literature of the indicators that responds to the result, selection of experts, establishment of agreements, and discussion. Quality criteria evaluated: pertinence and relevance, the Content Validity Coefficient and average scores assigned by the experts were calculated. Results. The study had the participation of 14 experts. The indicators, according to criteria of pertinence and relevance evaluated by experts showed a global average content index value of 0.93; 97.05% (66) of the indicators had Content Validity Coefficient > 0.75. Conclusion. The quantitative findings of the indicator validation process showed high relevance and pertinence index, which favors their being applied to measure care changes in patients with delirium.

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Section: Discussionsupporting

confidence: 92%

Validation of Nursing Outcome Indicators in Patients with Postsurgical Delirium

Melguizo Herrera,

Manrique Anaya,

Torres Contreras

et al. 2023

Invest. Educ. Enferm.

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“…If the physician has the result of the 4AT scale screening when the physician performs the assessment, he has more information and could perform a faster assessment and therefore prescribe a treatment in less time, which would mean that the nursing professional could administer the treatment earlier. The literature states that early detection enables prompt diagnosis and treatment, and this is associated with shorter and less severe episodes of delirium ( 34 ). The mean length of hospital stay following the ED episode was shorter in participants screened with the 4AT scale than in patients who did not undergo screening (6.9 SD 8.9 days vs. 13.3 SD 44.0 days).…”

Section: Discussionmentioning

confidence: 99%

The 4AT scale for rapid detection of delirium in emergency department triage

Soler-Sanchis,

Martínez-Arnau,

Sánchez-Frutos

et al. 2024

Front. Med.

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AimsTo assess the diagnostic accuracy and time impact of the 4AT scale in emergency department triage.MethodsA Prospective diagnostic accuracy study was carried out. People aged ≥65 years presenting to the emergency department from 1 November 2021 to 30 June 2022 were included. Nurses opportunistically screened eligible patients using the 4AT scale during triage according to the Manchester Triage System Francesc de Borja Hospital emergency department, Gandía (Spain). Accuracy was compared with medical diagnosis of delirium. Time (seconds) spent in triage with and without screening was assessed.ResultsThe study included 370 patients (55.1% men, mean age 81.8 years), of whom 58.4% (n = 216) were screened. A final diagnosis of delirium was made in 41.4% of those screened. The most frequently used presentational flow charts and discriminators were ‘behaving strangely’ (15%) and ‘rapid onset’ (33.3%). The highest accuracy was obtained for a score of 3 points or more (sensitivity 85.1%; specificity 66.9%; positive predictive value 52.8%; negative predictive value 71.7%). No significant differences were found in the time spent in triage according to the performance of screening.ConclusionA score of 3 points or more on the 4AT scale enables rapid detection of delirium in emergency department triage, without consuming more time than conventional triage.

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“…Esta reducción puede incrementar la probabilidad de desarrollar enfermedades y complicaciones (Cárdenas et al, 2021;Kalra & Sharma, 2018). Entre ellas se encuentra el delirio, el cual es la complicación más común presente en mayores de 65 años (Blanco et al, 2020). De igual manera, la diabetes representa una proporción significativa dentro de este grupo (Kalra & Sharma, 2018).…”

Section: Persona Mayorunclassified

Delirio y Diabetes tipo 2: Revisión actualizada de su asociación fisiopatológica en la persona mayor

Romo Moreira,

Macias Mejía,

Ponce Alencastro

2023

LATAM

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El delirio es un trastorno cognitivo de gran relevancia en la persona mayor y que aparece como consecuencia de factores predisponentes y desencadenantes como la Diabetes tipo 2, la cual ha sido relacionada con trastornos neuropsiquiátricos como el delirio. El objetivo fue estructurar una revisión actualizada que permita establecer la asociación fisiopatológica entre el delirio y la diabetes tipo 2 en las personas mayores. El estudio fue de tipo descriptivo basado en la recopilación, análisis y revisión de fuentes bibliográficas obtenidas de bases de datos como Scielo, Medigraphic, Elsevier, Science Direct en inglés y español no mayor a cinco años de antigüedad. Se encontró que la diabetes tipo 2 puede causar cambios en la neuroplasticidad, disminución de la insulina central y degeneración celular en el hipocampo alterando las capacidades cognitivas. Asimismo, la hipoglicemia e hiperglicemia pueden desencadenar delirio. Se concluyó que los trastornos cognitivos y la diabetes tipo 2 son dos patologías de alta incidencia en la población mayor pudiendo coexistir y relacionarse bidireccionalmente. Dentro de estos trastornos cognitivos puede incluirse el delirio, mismo, que se asocia fisiopatológicamente a la diabetes tipo 2 principalmente por estados hiperglucemia o hipoglucemia, siendo esta última la más frecuentemente implicada.

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Delirium en el adulto mayor

Cited by 3 publications

References 12 publications

Validation of Nursing Outcome Indicators in Patients with Postsurgical Delirium

Validation of Nursing Outcome Indicators in Patients with Postsurgical Delirium

The 4AT scale for rapid detection of delirium in emergency department triage

Delirio y Diabetes tipo 2: Revisión actualizada de su asociación fisiopatológica en la persona mayor

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