Delirium is a disturbance of consciousness, cognition and perception
that occurs frequently in medically ill patients. Although it is
associated with increased morbidity and mortality, it is often not
recognized and treated by physicians. Literature searches were
conducted using MEDLINE with the following keywords/ phrases: delirium,
acute confusion and management. Additional articles identified by
hand-searching in major journals of medicine and psychiatry, and a
review of references cited within these sources supplemented the
search. In this article, the available published literature regarding
the diagnosis, prevention and treatment of delirium is systematically
reviewed. Prevention and treatment strategies do not need to be complex
or expensive but require well-coordinated interventions from multiple
disciplines, including nursing, psychiatry, neurology and primary care,
as well as the cooperation and significant effort of family and
friends. Atypical antipsychotic agents offer some advantages over
haloperidol and in a limited number of studies appear safe and
effective for delirium.D\ue9lire est une perturbation. de conscience, cognition et de
perception qui se produit fr\ue9quemment en m\ue9dicalement
malades. M\ueame s\u2019il est associ\ue9 \ue0 une augmentation
de la morbidit\ue9 et mortalit\ue9, Il est souvent pas reconnus et
trait\ue9 par les m\ue9decins. Litt\ue9rature recherches ont
\ue9t\ue9 effectu\ue9es en utilisant MEDLINE avec les mots
cles/phrases suivantes: d\ue9lire, confusion aigue, et de Gestion.
Articles suppl\ue9mentaires identifi \ue9 \ue0 la main dans les
grandes feuilles de m\ue9decine et de psychiatrie, la recherche et
d\u2019un examen des r\ue9f\ue9rences cit\ue9es dans ces sources
compl\ue9t\ue9 la recherche. Dans cet article, le disponible
publi\ue9 litt\ue9rature concernant le diagnostic, la
pr\ue9vention et traitement de d\ue9lire est syst\ue9matiquement
examin\ue9. La pr\ue9vention et strat\ue9gies de traitement ne
doivent pas \ueatre complexes ou on\ue9reux mais n\ue9cessite
interventions bien coordonn\ue9es de plusieurs disciplines, y compris
les soins infi rmiers, psychiatrie, neurologie et de soins primaires,
ainsi que la coop\ue9ration et effort important de la famille et
amis. Agents antipsychotiques atypiques offre certains avantages sur
Halop\ue9ridol et dans un nombre limit\ue9 d\u2019\ue9tudes
s\u2019affi chent sans danger effi cace et de d\ue9lire