2002•Unpublished venueRequires access

Prognosis of Delirium

Adrian J. Treloar

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Abstract

Studies of outcome have started to challenge the assumption that delirium is a truly reversible disorder with a good prognosis. Prospective outcome studies of delirium are required to describe its prognosis. The evidence is that delirium recovers slowly and often incompletely. Delirious patients stay longer in hospital than those without delirium. High mortality rates seen in delirium may be contributed to by the delirium itself. The prognosis of delirium is almost certainly not therefore, one of early full recovery. Rather, delirium is a condition with a slow recovery and one that often fails to resolve completely.

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What this paper is about

Studies of outcome have started to challenge the assumption that delirium is a truly reversible disorder with a good prognosis. Prospective outcome studies of delirium are required to describe its prognosis. The evidence is that delirium recovers slowly and often incompletely. Delirious patients stay longer in hospital than those without delirium. High mortality rates seen in delirium may be contributed to by the delirium itself. The prognosis of delirium is almost certainly not therefore, one of early full recovery. Rather, delirium is a condition with a slow recovery and one that often fails to resolve completely.

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Available abstract

Studies of outcome have started to challenge the assumption that delirium is a truly reversible disorder with a good prognosis. Prospective outcome studies of delirium are required to describe its prognosis. The evidence is that delirium recovers slowly and often incompletely. Delirious patients stay longer in hospital than those without delirium. High mortality rates seen in delirium may be contributed to by the delirium itself. The prognosis of delirium is almost certainly not therefore, one of early full recovery. Rather, delirium is a condition with a slow recovery and one that often fails to resolve completely.

Key concepts: Delirium, Intensive care medicine, Outcome (game theory), Excess mortality, Medicine, Prospective cohort study, Psychology, Mortality rate

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