Department of Cardiology, "Ospedali Riuniti" University Hospital, viale Pinto 1, Foggia, 71122, Italy.
Department of Clinical and Experimental Medicine, University of Foggia, viale Pinto 1, Foggia, 71122, Italy.
Heart Fail Rev. 2020 Sep;25(5):713-723. doi: 10.1007/s10741-019-09842-w.
Despite relative frequency of delirium in elderly hospitalized heart failure patients, skills and expertise in managing such complication are usually poor for physicians and nurses facing this clinical condition. International guidelines on heart failure do not provide detailed indication for such clinical condition, and evidence on this topic is limited. A multi-disciplinary approach (cardiologists, internists, geriatricians, psychologists, and psychiatrists) is often required; this review will therefore focus on diagnosis and clinical management of delirium in heart failure patients from a multidisciplinary point of view.
尽管老年住院心力衰竭患者出现谵妄的相对频率较高,但面对这种临床情况的医生和护士在处理这种并发症方面的技能和专业知识通常较差。心力衰竭的国际指南并未对此种临床情况提供详细说明,而且该主题的证据有限。通常需要多学科方法(心脏病专家、内科医生、老年病学家、心理学家和精神科医生);因此,本综述将从多学科角度重点关注心力衰竭患者谵妄的诊断和临床管理。