剖析谵妄：表型、后果、筛查、诊断、预防、治疗和方案实施。
Dissecting Delirium: Phenotypes, Consequences, Screening, Diagnosis, Prevention, Treatment, and Program Implementation.
机构信息
Division of Geriatrics, Department of Internal Medicine, Saint Louis University, 1402 South Grand Boulevard, Room M238, St Louis, MO 63104, USA.
Department of Geriatrics, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, Sichuan, China.
出版信息
Clin Geriatr Med. 2017 Aug;33(3):393-413. doi: 10.1016/j.cger.2017.03.004. Epub 2017 May 13.
Delirium is an acute change in attention and awareness that preferentially occurs in older patients with acute illness. This review provides an overview for clinicians with descriptions of the presentations (phenotypes), consequences, diagnosis, and screening of delirium. In addition, this review provides guidance for the challenges posed by delirium in a health care system, including implementation of delirium programs, tools to address the diagnosis and differential diagnosis of delirium, and a review of preventive and treatment studies with a goal of improving clinical practice.
谵妄是一种急性注意力和意识改变，主要发生在患有急性疾病的老年患者中。本综述为临床医生提供了概述，包括谵妄的表现（表型）、后果、诊断和筛查。此外，本综述还为医疗保健系统中谵妄带来的挑战提供了指导，包括实施谵妄计划、解决谵妄诊断和鉴别诊断的工具，以及对预防和治疗研究的回顾，旨在改善临床实践。
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