Delirium

Delirium in elderly patients after hip fracture surgery is believed to be a transient event, although it frequently lasts for more than 4 weeks.|We determined the incidence, risk factors, morbidity, and mortality of prolonged delirium in elderly patients after hip fracture surgery.|We evaluated 232 elderly patients (older than 65 years) (232 hips) who underwent hip fracture surgery for the development and duration of delirium and categorized them into three groups; nondelirium group, transient ( 4 weeks) delirium group, and prolonged (> 4 weeks) delirium group. Patients underwent a global geriatric evaluation, which included postoperative complications, mortality, and functional and mental status evaluations. The three groups were compared with respect to these variables.|Seventy patients (30.2%) had delirium develop, and among these, 14 (20%) had prolonged delirium with a total incidence of 6%. Multivariate analysis showed preinjury dementia was a risk factor of prolonged delirium.

Delirium can have serious consequences, including increased hospitalisation and risk of death, and worsening dementia.|To explore the feasibility of preventing delirium in care homes for older people.|An enhanced educational package targeting care home staff was developed.|Staff were not confident in recognising, preventing or managing delirium before the intervention. After it, however, they showed a greater awareness: the total number of episodes of delirium in residents' records increased; the number of prescriptions fell; and the proportion of residents who had had a cognitive test in the previous six months rose.|Further research is needed to establish the project's efficacy and cost effectiveness.

(1) Screening for delirium, dementia and depression in older adults. (2) Screening for delirium, dementia and depression in older adults 2010 supplement.

Delirium: prevention, early recognition, and treatment. In: Evidence-based geriatric nursing protocols for best practice.

(1) Caregiving strategies for older adults with delirium, dementia and depression. (2) Caregiving strategies for older adults with delirium, dementia and depression 2010 supplement.

American Thoracic Society Documents An Official American Thoracic Society Clinical Policy Statement: Palliative Care for Patients with Respiratory Diseases and Critical Illnesses Paul N. Lanken, Peter B. Terry, Horace M. DeLisser, Bonnie F. Fahy,

Acknowledgements and Disclaimers: AUA Guideline on the Management of Premature Ejaculation ( PE) This document was written by the Erectile Dysfunction Guideline Update Panel of the American Urological Association Education and Research, Inc., which