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Abstract

MEASURE OF CLINICAL OUTCOME INDICATORS OF DELIRIUM-A PROSPECTIVE INTERVENTIONAL STUDY

Dr.Krupaliba Chudasama*, Dr.Amishek Kumar, P.Akshara, Dr.Syed Imam Rabbani, Dr.Sreelatha

ABSTRACT

Delirium is a syndrome which occurs more frequently in people in their later years. Delirium represents an organically caused decline from a previously attained baseline level of cognitive function. Aim and objectives was to determine the delirium prevalence in psychiatry in-patients & MICU patients and to establish a relationship between incidence of delirium in an MICU and the patient outcome (cognitive function) after discharge. A Prospective interventional study was conducted in MVJ Medical Hospital. The study was conducted in two different departments viz., Psychiatry and MICU. In psychiatry department the delirium status was assessed by the DRS-R 98 scale at the time of admission and at the time of discharge. In MICU, RASS scale was performed to assess the level of consciousness and the CAM-ICU criteria was used to assess the delirium status, and MMSE scale was used to assess the cognitive function status during the admission and after 1 month of discharge. After 1 month of discharge, patients with severe cognitive impairment showed poor improvement while patients with mild cognitive impairment had resolved from the delirium. Biochemical parameters like Hemoglobin %, Serum creatinine & electrolytes were also altered in this group of patients. Physician should have a clear idea on the symptoms of delirium and the immediate measures that has to be taken in patients with delirium.

Keywords: Delirium, Psychiatry, MICU, Cognitive function, Psychiatry rating scale.


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