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The Academic Journal of Neurology and Neurosurgery deals with Neurology and Neurosurgery accepts articles on these topics. Academic Journal of Neurology and Neurosurgery publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Determination of the risk factors and delirium in the intensive care unit
Delirium is a pathology that occurs especially in elderly patients, is triggered by an underlying condition, leads to an increase in the frequency of mortality and morbidity in patients, and causes a serious cost burden to clinics. Prevention of delirium is the simplest and most feasible approach. Despite all these, the clinical diagnosis of delirium is still inadequate and overlooked. In this review, current clinical practices for delirium, including etiology, pathophysiology, diagnosis, and treatment management, are reviewed.


1. American Psychiatric Association. Diagnostic and statistical manualof mental disorders: DSM-5. vol 5. American Psychiatric Association:2013.
2. Bucht G, Gustafson Y, Sandberg O. Epidemiology of delirium.Dementia Geriatr Cognit Disord. 1999;10(5):315-318.
3. Ford AH. Preventing delirium in dementia: managing risk factors.Maturitas. 2016;92:35-40.
4. Hshieh TT, Inouye SK, Oh ES. Delirium in the elderly. Clin GeriatrMed. 2020;36(2):183-199.
5. Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people.Lancet. 2014;383(9920):911-922.
6. Leslie DL, Marcantonio ER, Zhang Y, Leo-Summers L, Inouye SK.One-year health care costs associated with delirium in the elderlypopulation. Arch Intern Med. 2008;168(1):27-32.
7. Iglseder B, Frühwald T, Jagsch C. Delirium in geriatric patients. WienerMed Wochenschrift. 2022;172(5-6):114-121.
8. Ramírez Echeverría MdL, Schoo C, Paul M. Delirium. [Updated 2022Nov 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearlsPublishing; 2024 Jan-.Available from: https://www.ncbi.nlm.nih.gov/books/NBK470399/
9. Maldonado JR. Delirium pathophysiology: an updated hypothesisof the etiology of acute brain failure. Int J Geriatr Psychiatry.2018;33(11):1428-1457.
10. Plaschke K, Fichtenkamm P, Schramm C, et al. Early postoperativedelirium after open-heart cardiac surgery is associated with decreasedbispectral EEG and increased cortisol and interleukin-6. Intens CareMed. 2010;36(12):2081-2089.
11. You W, Fan XY, Lei C, Nie CC, Chen Y, Wang XL. Melatoninintervention to prevent delirium in hospitalized patients: a meta-analysis. World J Clin Cases. 2022;10(12):3773.
12. Cascella M, Fiore M, Leone S, Carbone D, Di Napoli R. Currentcontroversies and future perspectives on treatment of intensive careunit delirium in adults. World J Crit Care Med. 2019;8(3):18.
13. Ali M, Cascella M. ICU Delirium. [Updated 2022 Aug 8]. In: StatPearls[Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.Available from: https://www.ncbi.nlm.nih.gov/books/NBK559280/
14. European Delirium Association, American Delirium Society. TheDSM-5 criteria, level of arousal and delirium diagnosis: inclusiveness issafer. BMC Med. 2014;12(1):141.
15. Boettger S, Jenewein J, Breitbart W. Haloperidol, risperidone,olanzapine and aripiprazole in the management of delirium: acomparison of efficacy, safety, and side effects. Palliat Support Care.2015;13(4):1079-1085.
16. Hawkins SB, Bucklin M, Muzyk AJ. Quetiapine for the treatment ofdelirium. J Hospital Med. 2013;8(4):215-220.
17. Choy SW, Yeoh AC, Lee ZZ, Srikanth V, Moran C. Melatonin and theprevention and management of delirium: a scoping study. Front Med.2018;4:242.
Volume 1, Issue 1, 2024
Page : 11-13
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