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Delirium blandt ældre indlagte patienter er hyppig og har dårlig prognose

Ældre, indlagte patienter får hyppigt delirium. Foto: Bigstock.
Forfatter(e)
Sigurd Benjaminsen Psykiatrisk Afdeling, Odense Universitetshospital Ugeskr Læger 2014;176:V01130084
Blad nummer: 
Sidetal: 
426-430
Delirium in older, hospitalized patients is common and is associated with a poor outcome
Delirium is a common neuropsychiatric complication to acute physical illness in older, hospitalized patients. It is associated with a poor outcome. The pathophysiogenesis is unknown. The neurochemical and neuroinflammatory hypotheses are supported increasingly. Short-term, low-dose haloperidole is still the best choice of treatment in controlling symptoms in hyperactive delirium, but atypical antipsychotics are probably equally efficacious. Antipsychotics also appear to have a beneficial role in hypoactive delirium, but the evidence is weak. There is a weak evidence of effect of prophylactic, non-pharmacological interventions.
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