ArticleIndian journal of psychiatry2025
Describing patterns of delirium in alcohol withdrawal and in non-alcohol withdrawal: An observational study in a tertiary care rural hospital.
Article in Indian journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Delirium is an acute neuropsychiatric syndrome with variable presentations depending on etiology. Alcohol withdrawal delirium (AWD) typically presents as hyperactive subtype, while non-alcohol withdrawal delirium (NAWD) is more heterogeneous. Aim: To compare clinical patterns and severity of delirium in AWD and NAWD in a rural tertiary care hospital. Methods: A cross-sectional study of 120 patients with delirium referred for psychiatric evaluation was carried out. Delirium Etiology Checklist, Richmond Agitation Sedation Scale (RASS), and Delirium Rating Scale-Revised-98 (DRS-R-98) were the tools used. Statistical analysis employed SPSS v 27.0. Results: AWD accounted for 17% of cases, all hyperactive, while NAWD showed mixed patterns of presentation. DRS-R-98 scores were significantly higher in AWD. Hypoactive delirium correlated with sepsis and cardiac decompensation. Conclusion: AWD demonstrates severe hyperactive features, while NAWD is varied and frequently hypoactive, underscoring the need for tailored approaches in resource-limited settings.
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