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Prevention of delirium Yutaro SHINZATO 1 , Hideto YASUDA 1 1Department of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center pp.43-61
Published Date 2023/1/1
DOI https://doi.org/10.11477/mf.3102201052
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Critically ill patients admitted to the ICU have a high incidence of delirium, which is associated with mortality and prolonged hospital stay. Prevention of delirium is important because delirium is easily misdiagnosed and has no effective treatment. Risk factors for delirium include factors that cannot be modified such as age and the presence of dementia, and modifiable factors such as medications and environmental factors, with interventions for the latter being more effective. Predictive models based on risk factors are also essential to reduce the misdiagnosis of delirium. Maximum prevention must be achieved by selecting drugs with potential preventive effects, such as dexmedetomidine, and multicomponent intervention methods including family intervention and environmental adjustment, etc., despite the lack of methods for prevention with a high level of evidence.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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