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Journal articles on the topic 'Acute confusion'

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Published: 4 June 2021
Last updated: 25 January 2023

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1

Morrow-Barnes, Abby. "Acute confusion." Nursing Standard 28, no. 50 (August 13, 2014): 61. http://dx.doi.org/10.7748/ns.28.50.61.s48.

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2

HELD, JEANNE L. "MANAGING ACUTE CONFUSION." Nursing 25, no. 1 (January 1995): 75–82. http://dx.doi.org/10.1097/00152193-199501000-00034.

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3

Sendelbach, Sue, and Patty Finch Guthrie. "Acute Confusion/Delirium." Journal of Gerontological Nursing 35, no. 11 (November 1, 2009): 11–18. http://dx.doi.org/10.3928/00989134-20090930-01.

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4

Foreman, Marquis D. "Complexities of acute confusion." Geriatric Nursing 11, no. 3 (May 1990): 136–39. http://dx.doi.org/10.1016/s0197-4572(06)80098-4.

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5

Rapp, Carla Gene. "Acute Confusion/Delirium Protocol." Journal of Gerontological Nursing 27, no. 4 (April 1, 2001): 21–33. http://dx.doi.org/10.3928/0098-9134-20010401-07.

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6

Osterbrink, Jürgen, John P. McDonough, Andre Ewers, and Herbert Mayer. "The Occurrence of Acute Postoperative Confusion in Patients after Cardiac Surgery." Scientific World JOURNAL 5 (2005): 874–83. http://dx.doi.org/10.1100/tsw.2005.109.

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This study quantified the occurrence of acute confusion in cardiac surgery patients at three German hospitals. A total of 867 patients, 22–91 years old, were examined each nursing shift postoperatively for 5 days for the presence of acute confusion using a modified version of the Glasgow Coma Scale and Confusion Rating Scale. The night shifts and the third postoperative day showed the most frequent periods of occurrence. Confusional state was noted in patients ranging from 10.5% for patients aged <70, to 40.7% for patients >80 years of age. Those found at increased risk were patients of increasing age and coexisting disease. Targeted nursing interventions for patients at increased risk of acute confusion may decrease this complication.
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7

Williams, Margaret A. "Delirium/Acute Confusional States: Evaluation Devices in Nursing." International Psychogeriatrics 3, no. 2 (December 1991): 301–8. http://dx.doi.org/10.1017/s1041610291000741.

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Characteristics of instruments developed by nurses for use in evaluating delirium/acute confusional states include relative emphasis on observable behavior and the need to impose low respondent burden. Two instruments that have been most used by nurse researchers are described: The Confusion Rating Scale and the NEECHAM Confusion Scale. The former is based on observable behavior; the latter incorporates vital function and oxygen saturation measurements that may serve as early warning sings of impending delirium.
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8

FOREMAN, MARQUIS D. "Acute Confusion in the Elderly." Annual Review of Nursing Research 11, no. 1 (January 1993): 3–30. http://dx.doi.org/10.1891/0739-6686.11.1.3.

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9

O’Brien, James G. "Evaluation of Acute Confusion (Delirium)." Primary Care: Clinics in Office Practice 16, no. 2 (June 1989): 349–60. http://dx.doi.org/10.1016/s0095-4543(21)01094-0.

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10

Holden, Una, and Mary Marshall. "Dementia in acute units: confusion." Nursing Standard 9, no. 17 (January 18, 1995): 37–39. http://dx.doi.org/10.7748/ns.9.17.37.s49.

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11

HALL, GERI RICHARDS, and BONNIE WAKEFIELD. "Acute confusion in the elderly." Nursing 26, no. 7 (July 1996): 32–37. http://dx.doi.org/10.1097/00152193-199607000-00010.

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12

HALL, GERI RICHARDS, and BONNIE WAKEFIELD. "Acute confusion in the elderly." Nursing 26, no. 7 (July 1996): 32–37. http://dx.doi.org/10.1097/00152193-199626070-00010.

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13

Ryu, Hyun Ho, and Hyun Lee Kim. "Acute Confusion in Dialysis Patients." Journal of Emergency Medicine 42, no. 3 (March 2012): 311–12. http://dx.doi.org/10.1016/j.jemermed.2010.05.056.

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14

Csokasy, Judie. "Assessment of acute confusion: Use of the NEECHAM confusion scale." Applied Nursing Research 12, no. 1 (February 1999): 51–55. http://dx.doi.org/10.1016/s0897-1897(99)80189-x.

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15

Ioannidis, Panagiotis, Sofia Michelaki, Pantelis Maiovis, and Dimitris Karacostas. "Acute Confusion After Minimal Hepatic Encephalopathy." Journal of Neuropsychiatry and Clinical Neurosciences 25, no. 1 (January 2013): E38. http://dx.doi.org/10.1176/appi.neuropsych.12020038.

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16

Rockwood, Kenneth. "Acute Confusion in Elderly Medical Patients." Journal of the American Geriatrics Society 37, no. 2 (February 1989): 150–54. http://dx.doi.org/10.1111/j.1532-5415.1989.tb05874.x.

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17

Nakase-Thompson, Risa, Mark Sherer, Stuart A. Yablon, Todd G. Nick, and Paula T. Trzepacz. "Acute confusion following traumatic brain injury." Brain Injury 18, no. 2 (February 2004): 131–42. http://dx.doi.org/10.1080/0269905031000149542.

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18

Clark, Betsy, and Margo A. Halm. "Postprocedural Acute Confusion in the Elderly." AJN, American Journal of Nursing 103, no. 5 (May 2003): 64UU—64AA3. http://dx.doi.org/10.1097/00000446-200305000-00045.

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19

Rapp, Carla Gene, Lisa L. Onega, Toni Tripp-Reimer, Paula Mobily, Bonnie Wakefield, Mary Kundrat, Jackie Akins, et al. "Training of Acute Confusion Resource Nurses." Journal of Gerontological Nursing 27, no. 4 (April 1, 2001): 34–40. http://dx.doi.org/10.3928/0098-9134-20010401-08.

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20

Butterworth, R. J., and P. M. Bath. "Acute confusion in a young man." Postgraduate Medical Journal 71, no. 841 (November 1, 1995): 681–83. http://dx.doi.org/10.1136/pgmj.71.841.681.

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21

Roffe, C. "Nonconvulsive status epilepticus causing acute confusion." Age and Ageing 30, no. 2 (March 1, 2001): 176–77. http://dx.doi.org/10.1093/ageing/30.2.176.

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22

Kratz, Ann. "Use of the Acute Confusion Protocol." Journal of Nursing Care Quality 23, no. 4 (October 2008): 331–37. http://dx.doi.org/10.1097/01.ncq.0000336673.02725.ec.

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23

Schümmelfeder, Frank. "Confusion Assessment Method (CAM) – an instrument for the diagnosis of acute Confusion." Connect: The World of Critical Care Nursing 3, no. 3 (September 2004): 74–76. http://dx.doi.org/10.1891/1748-6254.3.3.74.

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24

Spice, Claire, and Michael Bacon. "Delirium (acute toxic confusion) in the elderly." Acute Medicine Journal 2, no. 1 (January 1, 2003): 19–24. http://dx.doi.org/10.52964/amja.0035.

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Delirium (also referred to as acute confusional state or toxic confusional state) is common in elderly patients admitted to hospital, and is usually secondary to an acute physical problem rather than being a primary abnormality. Physicians caring for acutely ill patients will frequently encounter those with delirium and need to be aware of the likely precipitants as well as the optimum management. We discuss the common precipitants, the clinical features, the differential diagnosis and the management of delirium.
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25

Foreman, Marquis D., and David Zane. "Nursing Strategies for Acute Confusion in Elders." American Journal of Nursing 96, no. 4 (April 1996): 44–51. http://dx.doi.org/10.1097/00000446-199604000-00034.

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26

Wong, AYS, TW Wong, and CC Lau. "Acute Confusion in a Middle-Aged Woman." Hong Kong Journal of Emergency Medicine 7, no. 1 (January 2000): 46–50. http://dx.doi.org/10.1177/102490790000700108.

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27

Wakefield, Bonnie J. "Risk for Acute Confusion on Hospital Admission." Clinical Nursing Research 11, no. 2 (May 1, 2002): 153. http://dx.doi.org/10.1177/1054773802011002005.

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28

Wakefield, Bonnie J. "Risk for Acute Confusion on Hospital Admission." Clinical Nursing Research 11, no. 2 (May 2002): 153–72. http://dx.doi.org/10.1177/105477380201100205.

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29

Prasad, Rama S., Venkat R. R. Kodali, Gourashyam S. Khuraijam, Maung Cho, and James P. Travers. "Acute confusion and blindness from quinine toxicity." European Journal of Emergency Medicine 10, no. 4 (December 2003): 353–56. http://dx.doi.org/10.1097/00063110-200312000-00025.

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30

Bates, Charlotte. "Confusion and delirium in the acute setting." Medicine 45, no. 2 (February 2017): 110–14. http://dx.doi.org/10.1016/j.mpmed.2016.11.002.

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31

Lim, Erle C. H., Hock-Luen Teoh, and Raymond C. S. Seet. "Acute confusion and agitation after epidural anaesthesia." Journal of Clinical Neuroscience 12, no. 7 (September 2005): 790. http://dx.doi.org/10.1016/j.jocn.2005.05.007.

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32

Matthiesen, Valerie, Lynn Sivertsen, Marquis D. Foreman, and Diane Cronin-Stubbs. "Acute Confusion: Nursing Intervention in Older Patients." Orthopaedic Nursing 13, no. 2 (March 1994): 21–27. http://dx.doi.org/10.1097/00006416-199403000-00005.

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33

Wakefield, Bonnie, and Julie A. Johnson. "Acute Confusion in Terminally Ill Hospitalized Patients." Journal of Gerontological Nursing 27, no. 4 (April 1, 2001): 49–55. http://dx.doi.org/10.3928/0098-9134-20010401-10.

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34

THURSTON, J. G. B. "Management of acute confusion in the elderly." European Journal of Emergency Medicine 4, no. 2 (June 1997): 103–6. http://dx.doi.org/10.1097/00063110-199706000-00009.

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35

Farooq, U., and B. Dallol. "Acute confusion secondary to steroid eye drops." Case Reports 2014, dec24 1 (December 24, 2014): bcr2014205065. http://dx.doi.org/10.1136/bcr-2014-205065.

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36

Roushan, N., F. Shahi, A. Mirzazadeh, T. Dormohammadi, and A. Motabar. "Acute leukemia presenting with ascites and confusion." Leukemia & Lymphoma 48, no. 6 (January 2007): 1234–36. http://dx.doi.org/10.1080/10428190701258362.

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37

Foreman, Marquis D., Lorraine C. Mion, Lark Tryostad, and Kathleen Fletcher. "Standard of Practice Protocol: Acute Confusion/Delirium." Geriatric Nursing 20, no. 3 (May 1999): 147–52. http://dx.doi.org/10.1016/s0197-4572(99)70007-8.

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38

Primavera, Alberto, and Leonardo Cocito. "Acute confusion in a chronic benzodiazepine patient." General Hospital Psychiatry 17, no. 6 (November 1995): 460–62. http://dx.doi.org/10.1016/0163-8343(95)90050-0.

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39

Doriath, V., M. Paesmans, G. Catteau, and J. Hildebrand. "Acute confusion in patients with systemic cancer." Journal of Neuro-Oncology 83, no. 3 (January 17, 2007): 285–89. http://dx.doi.org/10.1007/s11060-006-9319-6.

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40

Silva, Rosa Carla Gomes da, Abel Avelino de Paiva e. Silva, and Paulo Alexandre Oliveira Marques. "Analysis of a health team's records and nurses' perceptions concerning signs and symptoms of delirium." Revista Latino-Americana de Enfermagem 19, no. 1 (February 2011): 81–89. http://dx.doi.org/10.1590/s0104-11692011000100012.

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This study investigates the extent of under-diagnosis of acute confusion/delirium by analyzing the records of a health team and the perception of nurses concerning this phenomenon. This quantitative study was developed in a central university hospital in Portugal and used the documentary and interview techniques. The sample obtained through the application of the NeeCham's scale was composed of 111 patients with the diagnosis of acute confusion/delirium hospitalized in the medical and surgical acute care units. A rate of 12.6% of under-diagnosis was identified in the records and a rate of 30.6% was found taking into account the perception of nurses. No indicators of acute confusion/delirium were found in 8.1% of the 111 cases and only 4.5% of the patients were diagnosed with acute confusion/delirium. The results indicate there is difficulty in identifying acute confusion/delirium, with implications for the quality of care, suggesting the need to implement training measures directed to health teams.
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41

Lantz, Emily R., Sean D. Lavine, Joanne R. Festa, E. Sander Connolly, Clinton B. Wright, and Ronald M. Lazar. "ACUTE CONFUSIONAL SYNDROME FROM A DURAL ARTERIOVENOUS FISTULA." Neurosurgery 65, no. 1 (July 1, 2009): E208—E209. http://dx.doi.org/10.1227/01.neu.0000348547.56171.eb.

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Abstract OBJECTIVE We describe a case of an acute confusional state associated with a right parietal dural arteriovenous fistula. CLINICAL PRESENTATION A 67-year-old man in his usual state of health experienced an acute confusion episode preceded by a valsalva maneuver. The episode lasted approximately 60 minutes. Afterward he was able to remember everything that occurred. A magnetic resonance imaging scan suggested a right parietal dural arteriovenous fistula, which was confirmed by angiography. A seizure was ruled out by clinical examination and an electroencephalogram. INTERVENTION The patient underwent therapeutic embolization and surgical ligation of the fistula. Feeding vessels to the malformation were cauterized within the leaves of the falx, and the draining vein was clipped with a titanium aneurysm clip and divided. An intraoperative angiogram was then performed, which showed obliteration of the fistula. There was no demonstrable confusion or memory loss noted postoperatively. CONCLUSION We propose that venous hypertension from the dural arteriovenous fistula in combination with a valsalva maneuver caused ischemia in the right parietal lobe, eliciting a deficit in attention.
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42

Brahim, S., W. Bouali, S. Younes, M. Kacem, and L. Zarrouk. "Mental Confusion of Neurological Etiology in 41 cases." European Psychiatry 65, S1 (June 2022): S865—S866. http://dx.doi.org/10.1192/j.eurpsy.2022.2244.

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Introduction The confusional state is the clinical expression of a temporary acute cerebral decompensation. It is expressed by a global, fluctuating and reversible alteration of cognitive functions. It is a frequent reason for consultation in the emergency room. Objectives To determine the epidemiology, neurological etiologies and their risk factors. Methods Retrospective study based on the files of 41 hospitalized patients with confusional syndrome. Results We collected 41 patients. The mean age was 72.9 years. The sex ratio was 1.25. The antecedents found were arterial hypertension and diabetes in 10 patients, a history of stroke was ischemic in 21 cases and hemorrhagic in 6 cases, cerebral metastasis in 5 cases, hepatic encephalopathy in 6 cases and a toxic cause in 4 cases. Mental confusion was acute in 23 patients and subacute in 18. The confusional manifestations observed were essentially temporospatial disorientation in 27 patients, obnubilation in 22 cases, difficulty in paying attention and concentrating in 24 cases, and vague and slow verbal expression in 11 cases. A metabolic disorder was found in 15 patients, such as hyperkalaemia (7 cases) and hyperglycaemia (8 cases). Etiological treatment was instituted with recourse to sedative treatment in 18 patients due to agitation. The evolution was marked by a total regression of confusion in 11 cases, lacunar amnesia in 7 cases, prolonged mental confusion in 6 cases and death in 3 patients. Conclusions Elderly subjects are at risk due to the vulnerability of brain structures to pathologies and treatments associated with this period of life. Early treatment can improve the prognosis. Disclosure No significant relationships.
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43

Pietrini, Vladimiro, M. Giovanni Terzano, Giovanni D'Andrea, Liborio Parrino, Antonio R. Cananzi, and Francesco Ferro-Milone. "Acute Confusional Migraine: Clinical and Electroencephalographic Aspects." Cephalalgia 7, no. 1 (March 1987): 29–37. http://dx.doi.org/10.1046/j.1468-2982.1987.0701029.x.

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Twelve patients with episodes of acute confusional migraine (ACM) are reported. Prolonged agitation and mental confusion characterized the headache attacks, occurring mostly among adolescents. The ictal EEG showed diffuse, slow abnormalities and a peculiar pattern known as FIRDA (frontal intermittent rhythmic delta activity). Neuroradiologic examinations and laboratory tests were unremarkable. After the acute stage, EEG gradually tended to show normalization. Apart from the noticeable similarities to the “juvenile head trauma syndrome”, the authors assume that ACM represents a peculiar clinical form among the different types of migraine associated with disorders of higher mental functions.
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44

Tanous, Bashar, Raad Tahtouh, Sundus Sardar, Sara Mohamed, Aseel Sukik, Mhd-Baraa Habib, Jamal Sajid, and Mouhand F. H. Mohamed. "Acute Confusional Migraine: Unusual Great Masquerader—Case Report and Literature Review." Case Reports in Neurological Medicine 2020 (October 25, 2020): 1–5. http://dx.doi.org/10.1155/2020/9604924.

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Background. Acute confusional migraine (ACM) is a rare variant of migraine, mainly prevalent in children and adolescents. It is not currently indexed as a distinct variant of migraine likely since only a few cases were reported in the adult population. We report a case of delayed ACM diagnosis in a young man and present a concise-related literature review. Case Presentation. A thirty-eight-year-old man with a past medical history of migraine, not on any treatment, presented with headaches accompanied by confusion. Over a two-year period before the current presentation, he experienced two episodes of confusion, which required hospital admission for evaluation: once mislabeled as a psychiatric illness and diagnosed as a migrainous infarct in the second hospitalization. In the current presentation, he reported a similar history of headache accompanied by confusion. The examination was remarkable for disorientation; otherwise, no focal deficit was elicited. Laboratory testing, cerebrospinal fluid, and neurological imaging were all unremarkable. His symptoms improved spontaneously within less than twenty-four hours, similar to his previous presentations. After two-year history of episodic confusion and after excluding other plausible causes of confusion, guided by proposed diagnostic criteria, we diagnosed him as a case of ACM. The patient remains well at the follow-up of two months after discharge. Discussion and Conclusion. ACM is a rare variant of migraine and is often a challenge for clinicians to diagnose appropriately. Until recent years, the disease was thought to be limited to children and adolescents. However, recently few reports also expanded the incidence of this entity to the adult population. There is a significant gap in knowledge about proper identification and treatment of this condition, leading to delayed or overlooked ACM diagnosis. Moreover, the recent edition of the International Classification of Headache Disorders (ICHD-3) does not account for this entity, thereby further adding to physicians’ lack of awareness regarding this migraine subtype. The authors emphasize that clinicians be aware of this entity and adequately utilize the existing proposed diagnostic criteria for ACM until standardized and validated tools are available. We also believe that this entity should be acknowledged in the subsequent migraine guidelines and classifications.
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45

Vörösová, Gabriela. "The CAM method for assessment of acute confusion." Profese online 4, no. 1 (April 1, 2011): 33–37. http://dx.doi.org/10.5507/pol.2011.008.

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46

Golden, William E. "Acute Postoperative Confusion and Hallucinations in Parkinson Disease." Annals of Internal Medicine 111, no. 3 (August 1, 1989): 218. http://dx.doi.org/10.7326/0003-4819-111-3-218.

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47

Klaseie, M. E. "P43 Acute confusion in the postoperative cardiac patient." European Journal of Cardiovascular Nursing 10 (April 2011): S2. http://dx.doi.org/10.1016/s1474-5151(11)60018-2.

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48

Rapp, Carla Gene, Bonnie Wakefield, Mary Kundrat, Jan Mentes, Toni Tripp-Reimer, Ken Culp, Paula Mobily, Jackie Akins, and Lisa L. Onega. "Acute confusion assessment instruments: Clinical versus research usability." Applied Nursing Research 13, no. 1 (February 2000): 37–45. http://dx.doi.org/10.1016/s0897-1897(00)80017-8.

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49

Dua, Monica M., David J. Worhunsky, Thuy B. Tran, Rowza T. Rumma, George A. Poultsides, Jeffrey A. Norton, Walter G. Park, and Brendan C. Visser. "Severe acute pancreatitis in the community: confusion reigns." Journal of Surgical Research 199, no. 1 (November 2015): 44–50. http://dx.doi.org/10.1016/j.jss.2015.04.054.

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50

Marroni, Massimo, Gianni Bellomo, Giampaolo Bucaneve, Giuliano Stagni, and Franco Baldelli. "Isotretinoin: Possible Cause of Acute Seizure and Confusion." Annals of Pharmacotherapy 27, no. 6 (June 1993): 793–94. http://dx.doi.org/10.1177/106002809302700626.

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