2008
DOI: 10.1192/apt.bp.107.003723
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The active management of delirium: improving detection and treatment

Abstract: The management of delirium requires careful consideration of the potential value both of pharmacological interventions and of a range of non-drug strategies. Although placebo-controlled studies of delirium treatment are lacking, less robust evidence can still inform practice. This review makes the case for more active management of delirium on the basis of recent studies of prevention, early identification and treatment both during an episode and managing the aftermath in survivors. A drug-treatment algorithm … Show more

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Cited by 36 publications
(24 citation statements)
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“…Treatment response to antipsychotics is superior to use in dementia18 where use for dementia agitation and psychosis is associated with increased mortality 19. These concerns highlight the need to carefully evaluate features, including phenomenological profile, in order to better distinguish these disorders20 with revised diagnostic criteria in DSM-V and International Classification of Disease (ICD)-11 more accurately reflecting those differences.…”
Section: Discussionmentioning
confidence: 99%
“…Treatment response to antipsychotics is superior to use in dementia18 where use for dementia agitation and psychosis is associated with increased mortality 19. These concerns highlight the need to carefully evaluate features, including phenomenological profile, in order to better distinguish these disorders20 with revised diagnostic criteria in DSM-V and International Classification of Disease (ICD)-11 more accurately reflecting those differences.…”
Section: Discussionmentioning
confidence: 99%
“…15 22 Several evidence based guidelines on the management of delirium exist, and all broadly recommend the following approaches. [13][14][15][16][17][18][19][20][21][22][23][24] Clinicians may consider off ering:…”
Section: How Is Hypoactive Delirium Managed?mentioning
confidence: 99%
“…The pharmacological treatment should be continued until symptoms fully resolve 49. There is a consensus that medication should be discontinued once the patient has been free of symptoms for 1 week,50 though it is sensible to titrate the dose downwards, monitoring for the re-emergence of symptoms, re-increasing or restarting the medication if necessary.…”
Section: Managementmentioning
confidence: 99%