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Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review

BACKGROUND: Delirium superimposed on dementia (DSD) is a widespread but often undetected problem. Additional delirium significantly reduces the quality of life in patients with dementia. Awareness of this condition must be increased among professionals to recognize its development at an early stage,...

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Autores principales: De Biasi, Johanna, Reininghaus, Eva, Schoberer, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589128/
https://www.ncbi.nlm.nih.gov/pubmed/36301325
http://dx.doi.org/10.1007/s00391-022-02125-4
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author De Biasi, Johanna
Reininghaus, Eva
Schoberer, Daniela
author_facet De Biasi, Johanna
Reininghaus, Eva
Schoberer, Daniela
author_sort De Biasi, Johanna
collection PubMed
description BACKGROUND: Delirium superimposed on dementia (DSD) is a widespread but often undetected problem. Additional delirium significantly reduces the quality of life in patients with dementia. Awareness of this condition must be increased among professionals to recognize its development at an early stage, distinguish it from dementia and treat it accordingly. OBJECTIVE: This review describes the current state of diagnostic, preventive, and therapeutic methods in dealing with DSD. MATERIAL AND METHODS: A comprehensive literature search was conducted in the PubMed database using the terms “dementia”, “delirium”, “delirium superimposed on dementia” and “DSD”. An additional literature search was performed via Google Scholar. RESULTS: The diagnostic techniques for detecting DSD are currently limited to delirium-only diagnostic tools, such as the confusion assessment method. A multiprofessional screening of high-risk patients on a regular basis is essential for the early detection and prevention of this disease. An interdisciplinary approach is also required for treatment. Pharmacological therapy is indicated when nonpharmacological measures are insufficient or to treat delirium-inducing causes. The focus lies on the mental and physical care of the patient and on the elimination of risk factors for developing DSD. CONCLUSION: DSD is a serious syndrome, however, there is still no gold standard for diagnosis and treatment. Multicomponent nonpharmacological intervention programs have been shown to reduce the incidence of delirium. Their benefit in DSD must be verified in large multicenter studies.
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spelling pubmed-105891282023-10-22 Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review De Biasi, Johanna Reininghaus, Eva Schoberer, Daniela Z Gerontol Geriatr Übersichten BACKGROUND: Delirium superimposed on dementia (DSD) is a widespread but often undetected problem. Additional delirium significantly reduces the quality of life in patients with dementia. Awareness of this condition must be increased among professionals to recognize its development at an early stage, distinguish it from dementia and treat it accordingly. OBJECTIVE: This review describes the current state of diagnostic, preventive, and therapeutic methods in dealing with DSD. MATERIAL AND METHODS: A comprehensive literature search was conducted in the PubMed database using the terms “dementia”, “delirium”, “delirium superimposed on dementia” and “DSD”. An additional literature search was performed via Google Scholar. RESULTS: The diagnostic techniques for detecting DSD are currently limited to delirium-only diagnostic tools, such as the confusion assessment method. A multiprofessional screening of high-risk patients on a regular basis is essential for the early detection and prevention of this disease. An interdisciplinary approach is also required for treatment. Pharmacological therapy is indicated when nonpharmacological measures are insufficient or to treat delirium-inducing causes. The focus lies on the mental and physical care of the patient and on the elimination of risk factors for developing DSD. CONCLUSION: DSD is a serious syndrome, however, there is still no gold standard for diagnosis and treatment. Multicomponent nonpharmacological intervention programs have been shown to reduce the incidence of delirium. Their benefit in DSD must be verified in large multicenter studies. Springer Medizin 2022-10-27 2023 /pmc/articles/PMC10589128/ /pubmed/36301325 http://dx.doi.org/10.1007/s00391-022-02125-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Übersichten
De Biasi, Johanna
Reininghaus, Eva
Schoberer, Daniela
Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review
title Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review
title_full Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review
title_fullStr Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review
title_full_unstemmed Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review
title_short Delir bei Demenz: Früherkennung und Behandlung – ein narrativer Review
title_sort delir bei demenz: früherkennung und behandlung – ein narrativer review
topic Übersichten
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589128/
https://www.ncbi.nlm.nih.gov/pubmed/36301325
http://dx.doi.org/10.1007/s00391-022-02125-4
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