ReviewDeutsches Arzteblatt international2012
Acute confusional States in the elderly--diagnosis and treatment.
Review in Deutsches Arzteblatt international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Prevalence and risk factors for misuse of prescription psychotropic drug in patients with severe mental illness: A systematic review.Actas espanolas de psiquiatria · 2023Pooled it
- The association of delirium severity with patient and health system outcomes in hospitalised patients: a systematic review.Age and ageing · 2020Pooled it
- A Hard Problem: Managing Constipation in the Geriatric Population.HCA healthcare journal of medicine · 2025Review
- [Number of teeth as indicator for individual risk for delirium].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- [Delirium-an interdisciplinary challenge].Der Orthopade · 2022Review
- [Triage, screening, and assessment of geriatric patients in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Review
- [Delirium in geriatric urology patients].Der Urologe. Ausg. A · 2019Review
- [Neglected, lonely and sick - the social breakdown : A special patient group in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018Article
- Geriatric Basics for the Neurohospitalist.The Neurohospitalist · 2018Review
- [Validation of the German version of the 6‑item screener : Brief cognitive test with broad application possibilities].Zeitschrift fur Gerontologie und Geriatrie · 2018Article
- [Clostridium difficile infections in geriatric patients].Zeitschrift fur Gerontologie und Geriatrie · 2016Review
- Benzodiazepine Misuse in the Elderly: Risk Factors, Consequences, and Management.Current psychiatry reports · 2016Review
- Preventing postoperative delirium.Deutsches Arzteblatt international · 2015Article
- Risk factors for falls and cognitive decline in older individuals.Deutsches Arzteblatt international · 2015Article
- Treatment in a center for geriatric traumatology.Deutsches Arzteblatt international · 2015Article
- Geriatric patients with cognitive impairment.Deutsches Arzteblatt international · 2015Article
- A rare cause of hypoactive delirium.BMJ case reports · 2014Article
- [Delirium in patients with neurological diseases: diagnosis, management and prognosis].Der Nervenarzt · 2014Review
- Management of patients with risk factors.GMS current topics in otorhinolaryngology, head and neck surgery · 2013Review
- Eliminate noxious agents acting as triggers.Deutsches Arzteblatt international · 2013Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelirium is common, has multiple causes and causes distress to numerous patients and their relatives.
methodSelective review of the literature in PubMed and PsycINFO, with reference to selected national and international guidelines.
resultsThe hypoactive subtype of delirium is commoner than the hyperactive type, and often overlooked. Delirium in an elderly individual is associated with an additional burden, a possible loss of potential for rehabilitation, and a marked increase in mortality. The diagnosis of delirium is primarily clinical. All professionals involved in patient care must be able to recognize the features of delirium. Dementia, dehydration and polypharmacy are particularly strongly associated, in the elderly. A careful history and examination with appropriate investigation allows underlying causes to be detected and treated. Rehabilitation strategies should be initiated without delay. Neuroleptics and benzodiazepines have an established role in the pharmacological treatment even of the hyperactive subtype. Non-pharmacological treatments include the creation of a calm and patient centred environment, and the involvement of relatives.
conclusionIn many cases, delirium can be diagnosed and treated in good time. Prevention is preferable to treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.