1,721,186 research outputs found
How to do diagnosis
No full textDelirium is a common and serious syndrome for the older patient, but it is frequently not diagnosed; in fact, it is rarely present in the discharge diagnosis after hospitalization. The prevalence of delirium is 11-42%; it causes a longer hospital stay, a higher risk of hospitalization, and a higher mortality. The DSM-IV definition is still the diagnostic gold standard, but many screening test have been proposed, since this syndrome is important, but not diagnosed; the Confusion Assessment Method, the Delirium Rating Scale, the Delirium Index, and the Neecham Confusion Scale allow easily and quickly the recognition of delirium, also by the nurse staff. It is desirable that this topic will be adequately teached, and that the diagnostic guidelines will be costantly implemented
The sistemic inflammatory reaction syndrome and the multiple organ dysfunction in geriatric medicine
No full textThe presence of (Systemic Inflammatory Response Syndrome) SIRS in the elderly, who has a high comorbidity, represents a relevant problem, but it is not always evaluated promptly, and treated wisely. The most frequent cause of SIRS in the old patient is sepsis, that is a SIRS caused by an infective agent. The diagnosis is based on the presence of very simple simptoms; the early identification of risk factors and of the correct therapy allows the improvement of prognosis also in a frail population like the geriatric one
- …
