Comparing symptoms of delirium in adults and children.
Delirium is presumed to be the same syndrome in all ages. Comparing pediatric and adult studies, the authors found many of the same symptoms reported, but often at significantly different rates. Sleep-wake disturbance, fluctuating symptoms, impaired attention, irritability, agitation, affective lability, and confusion were more often noted in children; impaired memory, depressed mood, speech disturbance, delusions, and paranoia, more often in adults; impaired alertness, apathy, anxiety, disorientation, and hallucination occurrence were similar. These may represent true differences in the presentation of delirium across the life-cycle, or may be attributable to inconsistent methodologies. Prospective studies are needed to resolve this question.
Turkel
Susan Beckwitt
SB
University of Southern California, Keck School of Medicine, Dept. of Psychiatry, Pathology, and Pediatrics, Los Angeles, CA, USA. sbturkel@usc.edu
Trzepacz
Paula T
PT
Tavaré
C Jane
CJ
D000328:Adult; D002648:Child; D003693:Delirium / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012720:Severity of Illness Index