[Delirium in a consultation liaison psychiatry unit of a general hospital].

Abstract:

INTRODUCTION:Delirium is an organic mental disorder defined as a confusional state, attention deficit and disorganized thinking, with a fluctuating course and acute development. Underlying causes are numerous, but the most common are multiple medical problems and drug side effects. SUBJECTS AND METHOD:We present a descriptive and transversal study of 62 inpatients with delirium diagnosis (ICD-10 criteria) attended by a Liaison Psychiatric Department in a General Hospital during a year. The data included demographic, somatic and psychiatric variables. RESULTS:The overall referral rate from the general hospital was 0.2%. No significant differences, were found in sex distribution. The age average was 64.46 years. The majority of patients were referred by Surgery (19.4%) and Medicine (17.7%). The most common medical diagnosis was cancer (25%) and respiratory failure (15.9%). Haloperidol was the most frequent psychiatric treatment. The greatest number of referred patients were included in the serious medical state and the 23.9% of patients with delirium diagnosis deceased. CONCLUSION:Data supports the statement that delirium is most often found in hospitalized patients with a diagnosis of cancer and respiratory failure, and that this diagnosis is associated with mortality in a high proportion. Furthermore, this study suggest an increase in cost-containment since the average stay are increased in comparison with the rest of hospitalized patients.

journal_name

Actas Esp Psiquiatr

authors

Navinés R,Gómez E,Franco JG,de Pablo J

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

159-64

issue

3

eissn

1139-9287

issn

1578-2735

journal_volume

29

pub_type

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