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Acta Neurochirurgica
Published in: Acta Neurochirurgica 7/2019

01-07-2019 | Editorial (by Invitation) - Neurosurgery general

Delirium in neurosurgery

Author: Martin N. Stienen

Published in: Acta Neurochirurgica | Issue 7/2019

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Excerpt

The temporary (hours–days) decline in a patient’s mental baseline function is commonly referred to as delirium. Its presentations include disturbances in attention, consciousness, and cognition, encompassing hyper- and/or hypoactive forms, frequently impaired sleep-wake cycle, and perceptual (hallucinations and delusions) and emotional disorders. The overall prevalence of delirium ranges around 1–2%, with a higher prevalence (about 14%) in adults > 85 years. High-risk populations include patients undergoing surgery (15–53%), patients admitted to the intensive care unit (ICU; 70–87%) or (elderly) individuals in nursing homes (up to 60%) [1]. …
Literature
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American Psychiatric Association. DSM-5 Task Force (2013) Diagnostic and statistical manual of mental disorders : DSM-5. American Psychiatric Association, ArlingtonCrossRef
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Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE Jr, Inouye SK, Bernard GR, Dittus RS (2004) Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 291:1753–1762CrossRefPubMed
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Matano F, Mizunari T, Yamada K, Kobayashi S, Murai Y, Morita A (2017) Environmental and clinical risk factors for delirium in a neurosurgical center: a prospective study. World Neurosurg 103:424–430CrossRefPubMed
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Wang J, Ji Y, Wang N, Chen W, Bao Y, Qin Q, Xiao Q, Li S (2018) Risk factors for the incidence of delirium in cerebrovascular patients in a neurosurgery intensive care unit: a prospective study. J Clin Nurs 27:407–415CrossRefPubMed
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Metadata
Title
Delirium in neurosurgery
Author
Martin N. Stienen
Publication date
01-07-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 7/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03928-y

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