Hypocortisolemia and Delirium in an Older Patient

Cunha, Ulisses; Faria, Ana Cristina N. B.; Alves, Viviane Xavier de Faria; Md,; Rigueirinho, Simone A. A.

doi:10.1046/j.1532-5415.2001.49141.x

Cited by 3 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several case reports link hypo-or hypercortisolemia with delirium. 45 However, only a few small studies have investigated the association between serum cortisol levels and delirium in patients with sepsis or those undergoing hip fracture surgery 46,47 and the results were equivocal. Robertsson and others 48 proposed a strong relationship between delirium and dexamethasone suppression, irrespective of age, and severity of dementia.…”

Section: Chronic Stress and Cortisolmentioning

confidence: 99%

Biomarkers of delirium: Well evidenced or not?

Chu

Liang

Lin

et al. 2011

Journal of Clinical Gerontology and Geriatrics

View full text Add to dashboard Cite

a b s t r a c tDelirium is a common and serious acute neuropsychiatric syndrome characterized by inattention and global cognitive dysfunction. The etiologies of delirium are diverse, multifactorial, and often reflect the pathophysiologic consequences of an acute medical illness, medical complication, or drug intoxication. At present, the diagnosis of delirium depends on the presence of certain clinical features. Many recent studies have sought to identify biomarkers for delirium to predict its onset, severity, recovery rate, or prognosis. In this narrative review, we examine six approaches to identify serum biomarkers of delirium: serum chemistry, genes, neurotransmitters, inflammatory factors, serum cortisol levels, and end products of delirium. Moreover, we discuss the limitations of current research and the challenges of serum biomarker studies.

show abstract

Section: Chronic Stress and Cortisolmentioning

confidence: 99%

Biomarkers of delirium: Well evidenced or not?

Chu

Liang

Lin

et al. 2011

Journal of Clinical Gerontology and Geriatrics

View full text Add to dashboard Cite

show abstract

“…It is associated with increased morbidity and mortality, functional decline, and significant additional financial costs. 5 The burden of delirium in these settings is likely to be considerable given the clustering of known delirium risk factors, 6,7 especially the high prevalence of dementia, the major risk factor. 3 Most research on delirium has focused on high-risk patients in hospitals, but another group also at high risk are residents in care homes for older people.…”

Section: Introductionmentioning

confidence: 99%

Delirium in care homes

Siddiqi

Clegg

Young

2009

Rev. Clin. Gerontol.

View full text Add to dashboard Cite

Delirium is a distressing but preventable condition associated with increased morbidity and mortality, and significant financial costs. Most research on delirium has focused on high-risk patients in hospitals. Another group also at high risk are residents in care homes for older people. This report reviews the literature on the occurrence, aetiology, outcomes, prevention and treatment of delirium in long-term care. Delirium appears to be common in this setting, with a median point prevalence estimate of 14.2% in studies comparable to the UK. However, there is a paucity of highquality studies, likely to reflect the difficulty in conducting research in this population and the particular challenges of investigating delirium. Addressing delirium successfully in care homes presents an opportunity to improve care standards and to reduce inequalities in health and social care. Well-designed prospective cohort studies and robust evaluations of interventions to prevent and treat delirium are needed.

show abstract

Current Awareness

2001

Int J Geriat Psychiatry

View full text Add to dashboard Cite

In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Books, Reviews & Symposia; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

show abstract

Hypocortisolemia and Delirium in an Older Patient

Cited by 3 publications

References 4 publications

Biomarkers of delirium: Well evidenced or not?

Biomarkers of delirium: Well evidenced or not?

Delirium in care homes

Current Awareness

Contact Info

Product

Resources

About