Abstract:
OBJECTIVE:Despite delirium being common in older hospitalized people, little is known about its management. The aims of this study are (1) to describe the pharmacological management of delirium in an acute care setting as a baseline measure prior to the implementation of newly developed Australian guidelines; and (2) to determine what areas of delirium pharmacological management need to be targeted for future practical guideline implementation and quality improvement activities. METHODS:A medical record audit was conducted using a structured audit form. All patients aged 65 years and over who were admitted to a general medical or orthopaedic unit of the Royal Melbourne Hospital between 1 March 2006 and 28 February 2007 and coded with delirium were included. Data on the use of antipsychotic medications for the management of delirium in relation to best practice recommendations were assessed. RESULTS:Overall 174 episodes of care were included in the analysis. Antipsychotic medications were used for the management of most patients with severe behavioral and or emotional disturbance associated with delirium. There was variation in the prescribing patterns of antipsychotic agents and the documentation of medication management plans. Less than a quarter of patients prescribed antipsychotic medication were started on a low dose and very few were reviewed on a regular basis. CONCLUSION:A wide range of practice is seen in the use of antipsychotic agents to manage older patients with severe symptoms associated with delirium. The findings highlight the need to implement evidence-based guideline recommendations with a focus on improving the consistency in the pharmacological management and documentation processes.
journal_name
Int Psychogeriatrjournal_title
International psychogeriatricsauthors
Tropea J,Slee J,Holmes AC,Gorelik A,Brand CAdoi
10.1017/S1041610208008028subject
Has Abstractpub_date
2009-02-01 00:00:00pages
172-9issue
1eissn
1041-6102issn
1741-203Xpii
S1041610208008028journal_volume
21pub_type
杂志文章abstract:BACKGROUND:The objectives of this study were to examine the factors modifying the relationship between cortisol level and prevalent/incident cognitive impairment in older adults and to verify whether these relationships were non-linear. METHODS:Data were collected from 1,226 individuals aged 65 and older by two in-hom...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610212001706
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:Intracranial volume (ICV) has been proposed as a measure of maximum lifetime brain size. Accurate ICV measures require neuroimaging which is not always feasible for epidemiologic investigations. We examined head circumference as a useful surrogate for ICV in older adults. METHODS:99 older adults underwent M...
journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610205002309
更新日期:2005-12-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:The study of predeath grief is hampered by measures that are often lengthy and not clearly differentiated from other caregiving outcomes, most notably burden. We aimed to validate a new 11-item Caregiver Grief Questionnaire (CGQ) assessing two dimensions of predeath grief, namely relational deprivation and em...
journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2017-08-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2010-09-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 临床试验,杂志文章
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更新日期:2004-03-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2014-12-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2011-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2014-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1017/S1041610220000903
更新日期:2020-06-30 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610217001235
更新日期:2017-12-01 00:00:00
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更新日期:2017-10-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610210000669
更新日期:2010-08-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610219001789
更新日期:2019-12-23 00:00:00
abstract::The authors would like to apologise for a typographical error in the discussion of the above mentioned article. In the discussion on page 830 of the article, paragraph 'In the present sample, when we tested the accuracy of the MoCA to discriminate between MCI and healthy participants using ROC curves, the best cut-off...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S104161021600212X
更新日期:2017-04-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章,meta分析,评审
doi:10.1017/S1041610213002329
更新日期:2014-04-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2015-12-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2015-10-01 00:00:00
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journal_title:International psychogeriatrics
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更新日期:2006-03-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
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更新日期:2011-05-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/s1041610201007724
更新日期:2001-09-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章,评审
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更新日期:2010-11-01 00:00:00
abstract::Understanding of vascular substrates of cognitive decline in the elderly is evolving to include a major emphasis on the impact of small vessel disease (SVD). While existing concepts of multi-infarct dementia and strategic infarct dementia remain valid, they present difficulty in generalizing clinicopathological correl...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610203008998
更新日期:2003-01-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章,meta分析,评审
doi:10.1017/S1041610210000049
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Behavioral and psychological symptoms of dementia (BPSD) cause caregiver distress and earlier institutionalization. We compared the prevalence and characteristics of BPSD between institution residents and memory clinic outpatients with Alzheimer's disease (AD) to test the hypothesis that there is more BPSD a...
journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610209990767
更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1017/S1041610214001847
更新日期:2015-07-01 00:00:00
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journal_title:International psychogeriatrics
pub_type: 杂志文章
doi:10.1017/S1041610217002666
更新日期:2018-10-01 00:00:00