Delirium en paciente cardiópata tras fractura de cadera. Tratamiento del delirium
- Brun-Romero, Francisco Manuel 1
- Castiella-Herrero, Jesús 2
- 1 Servicio de Medicina Interna, Hospital Universitario Puerta del Mar, Cádiz, España. Grupo de trabajo de Asistencia Compartida e Interconsultas de la Sociedad Española de Medicina Interna
- 2 Servicio de Medicina Interna, Fundación Hospital Calahorra, Calahorra (La Rioja), España. Grupo de trabajo de Asistencia Compartida e Interconsultas de la Sociedad Española de Medicina Interna
ISSN: 2530-0792
Any de publicació: 2017
Títol de l'exemplar: Spanish Journal of Case Records in Internal Medicine
Volum: 2
Número: 1
Pàgines: 59-61
Tipus: Article
Altres publicacions en: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)
Resum
A 78-year-old man with dilated cardiomyopathy of ischemic origin who is admitted for cardiac insufficiency. During his admission he suffers a hip fracture from which he is operated. In the postoperative period he presents delirium. After the installation of environmental, preventive and neuroleptic measures, he evolves favourably. The identification of the precipitating causes of delirium, as well as the early medical treatment and the action on the risk factors of delirium, are essential to achieve therapeutic success.
Referències bibliogràfiques
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- Witlox J, Eurelings LS, de Jonghe JF, et al. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA. 2010; 304: 443-451.
- Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ. 2010; 341: c3704.