Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Delirium is the impairment of consciousness and attention as well as global disturbance of cognition. The onset of delirium is usually rapid and the course of illness fluctuates diurnally. The duration is usually less than four weeks but in some occasion, it may last upto 6 months. It may be associated with psychomotor disturbances, disturbance of sleep-wake cycle and emotional disturbances. Elderly age group, cognitive impairment and presence of other comorbidity are the most important risk factors. Patients who are suffering from delirium, have increased risk of death, cognitive impairment and longer hospital stay. To assess sociodemographic profile, risk factors, motor subtypes and outcome of delirium. An Observational study was conducted in referral patients from the various medical and surgical wards of Burdwan Medical College and Hospital, Purba Bardhaman. This period of study was 1.5 years including data collection, processing, analysis and preparation of draft. 100 patients were included in this study based on inclusion criteria. Majority of patients (43%) were between the age group 51 to 60 years and 36% were above the age group 61 to 65 years. Majority of the patients were Male, Muslim, married, unemployed, from lower socio-economic rural joint family background and majority of them were educated up to high school. Most referrals were come from medical ward (50%) and CCU (29%). Major motor subtypes of delirium are hypoactive, followed by hyperactive followed by mixed type. Patients of hyperactive subtype of delirium had recovered more, while mixed subtype of delirium has more chances of not recovering from delirium. Mortality was seen to be significantly higher (34.4%) in CVA than other risk factors. Mortality was also lesser if admission-referral interval is lesser. Mortality is highest (63.2%) in hypoactive motor subtype and is lowest (50%) in hyperactive motor subtype. In all hospitalized patients specially in elderly population strict monitoring of symptoms is recommended for early diagnosis of delirium. Early Psychiatric consultation is advised for better treatment approach. Proper psychoeducation to the nursing staffs, other ward attendants and care givers should be done. So that any subtypes of delirium could not be overlooked.
How to cite this article:
Debjit Misra, Divya Gopal Mukherjee and Priyam Bhunia. Risk Factor, Motor Subtypes and Outcome of Delirium: A Follow up Study from a Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.7.18.700.707
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.7.18.700.707