Preferred Name

Delirium

Definitions

<h3>What is delirium?</h3> <p>Delirium is a mental state in which you are confused, disoriented, and not able to think or remember clearly. It usually starts suddenly. It is often temporary and treatable.</p> <p>There are three types of delirium:</p><ul> <li>Hypoactive, where you are not active and seem sleepy, tired, or depressed</li> <li>Hyperactive, where you are restless or agitated</li> <li>Mixed, where you change back and forth between being hypoactive and hyperactive</li> </ul> <h3>What causes delirium?</h3> <p>There are many different problems that can cause delirium. Some of the more common causes include:</p><ul> <li><strong>Alcohol or drugs</strong>, either from intoxication or withdrawal. This includes a serious type of alcohol withdrawal syndrome called delirium tremens. It usually happens to people who stop drinking after years of alcohol abuse.</li> <li><strong><a href="https://medlineplus.gov/dehydration.html">Dehydration</a> and <a href="https://medlineplus.gov/fluidandelectrolytebalance.html">electrolyte imbalances</a></strong></li> <li><strong><a href="https://medlineplus.gov/dementia.html">Dementia</a></strong></li> <li><strong>Hospitalization</strong>, especially in intensive care</li> <li><strong>Infections</strong>, such as <a href="https://medlineplus.gov/urinarytractinfections.html">urinary tract infections</a>, <a href="https://medlineplus.gov/pneumonia.html">pneumonia</a>, and the <a href="https://medlineplus.gov/flu.html">flu</a></li> <li><strong>Medicines.</strong> This could be a <a href="https://medlineplus.gov/drugreactions.html">side effect</a> of a medicine, such as sedatives or opioids. Or it could be withdrawal after stopping a medicine.</li> <li><strong><a href="https://medlineplus.gov/metabolicdisorders.html">Metabolic disorders</a></strong></li> <li><strong>Organ failure</strong>, such as <a href="https://medlineplus.gov/kidneyfailure.html">kidney</a> or liver failure</li> <li><strong><a href="https://medlineplus.gov/poisoning.html">Poisoning</a></strong></li> <li><strong>Serious illnesses</strong></li> <li><strong>Severe <a href="https://medlineplus.gov/pain.html">pain</a></strong></li> <li><strong>Sleep deprivation</strong></li> <li><strong>Surgeries</strong>, including reactions to <a href="https://medlineplus.gov/anesthesia.html">anesthesia</a></li> </ul> <h3>Who is at risk for delirium?</h3> <p>Certain factors put you at risk for delirium, including:</p><ul> <li>Being in a hospital or nursing home</li> <li>Dementia</li> <li>Having a serious illness or more than one illness</li> <li>Having an infection</li> <li>Older age</li> <li>Surgery</li> <li>Taking medicines that affect the mind or behavior</li> <li>Taking high doses of <a href="https://medlineplus.gov/painrelievers.html">pain medicines</a>, such as opioids</li> </ul> <h3>What are the symptoms of delirium?</h3> <p>The symptoms of delirium usually start suddenly, over a few hours or a few days. They often come and go. The most common symptoms include:</p><ul> <li>Changes in alertness (usually more alert in the morning, less at night)</li> <li>Changing levels of consciousness</li> <li>Confusion</li> <li>Disorganized thinking, talking in a way that doesn't make sense</li> <li>Disrupted sleep patterns, sleepiness</li> <li>Emotional changes: anger, agitation, <a href="https://medlineplus.gov/depression.html">depression</a>, irritability, overexcitement</li> <li>Hallucinations and delusions</li> <li>Incontinence</li> <li>Memory problems, especially with short-term memory</li> <li>Trouble concentrating</li> </ul> <h3>How is delirium diagnosed?</h3> <p>Your health care provider may use many tools to make a diagnosis:</p><ul> <li>A medical history, which includes asking about your symptoms</li> <li>Physical and neurological exams</li> <li>Mental status testing</li> <li>Lab and <a href="https://medlineplus.gov/diagnosticimaging.html">diagnostic imaging</a> tests</li> </ul> <p>Delirium and dementia have similar symptoms, so it can be hard to tell them apart. They can also occur together. Delirium starts suddenly and can cause hallucinations. The symptoms may get better or worse and can last for hours or weeks. On the other hand, dementia develops slowly and does not cause hallucinations. The symptoms are stable and may last for months or years.</p> <h3>What are the treatments for delirium?</h3> <p>Treatment of delirium focuses on the causes and symptoms of delirium. The first step is to identify the cause. Often, treating the cause will lead to a full recovery. The recovery may take some time - weeks or sometimes even months. In the meantime, there may be treatments to manage the symptoms, such as:</p><ul> <li>Controlling the environment, which includes making sure that the room is quiet and well-lit, having clocks or calendars in view, and having family members around</li> <li>Medicines, including those that control aggression or agitation and pain relievers if there is pain</li> <li>If needed, making sure that the person has a hearing aid, glasses, or other devices for communication</li> </ul> <h3>Can delirium be prevented?</h3> <p>Treating the conditions that can cause delirium may reduce the risk of getting it. Hospitals can help lower the risk of delirium by avoiding sedatives and making sure that the room is kept quiet, calm, and well-lit. It can also help to have family members around and to have the same staff members treat the person.</p>

ID

http://purl.bioontology.org/ontology/MEDLINEPLUS/C0011206

cui

C0011206

Date created

07/06/2010

definition

What is delirium?

Delirium is a mental state in which you are confused, disoriented, and not able to think or remember clearly. It usually starts suddenly. It is often temporary and treatable.

There are three types of delirium:

  • Hypoactive, where you are not active and seem sleepy, tired, or depressed
  • Hyperactive, where you are restless or agitated
  • Mixed, where you change back and forth between being hypoactive and hyperactive

What causes delirium?

There are many different problems that can cause delirium. Some of the more common causes include:

  • Alcohol or drugs, either from intoxication or withdrawal. This includes a serious type of alcohol withdrawal syndrome called delirium tremens. It usually happens to people who stop drinking after years of alcohol abuse.
  • Dehydration and electrolyte imbalances
  • Dementia
  • Hospitalization, especially in intensive care
  • Infections, such as urinary tract infections, pneumonia, and the flu
  • Medicines. This could be a side effect of a medicine, such as sedatives or opioids. Or it could be withdrawal after stopping a medicine.
  • Metabolic disorders
  • Organ failure, such as kidney or liver failure
  • Poisoning
  • Serious illnesses
  • Severe pain
  • Sleep deprivation
  • Surgeries, including reactions to anesthesia

Who is at risk for delirium?

Certain factors put you at risk for delirium, including:

  • Being in a hospital or nursing home
  • Dementia
  • Having a serious illness or more than one illness
  • Having an infection
  • Older age
  • Surgery
  • Taking medicines that affect the mind or behavior
  • Taking high doses of pain medicines, such as opioids

What are the symptoms of delirium?

The symptoms of delirium usually start suddenly, over a few hours or a few days. They often come and go. The most common symptoms include:

  • Changes in alertness (usually more alert in the morning, less at night)
  • Changing levels of consciousness
  • Confusion
  • Disorganized thinking, talking in a way that doesn't make sense
  • Disrupted sleep patterns, sleepiness
  • Emotional changes: anger, agitation, depression, irritability, overexcitement
  • Hallucinations and delusions
  • Incontinence
  • Memory problems, especially with short-term memory
  • Trouble concentrating

How is delirium diagnosed?

Your health care provider may use many tools to make a diagnosis:

  • A medical history, which includes asking about your symptoms
  • Physical and neurological exams
  • Mental status testing
  • Lab and diagnostic imaging tests

Delirium and dementia have similar symptoms, so it can be hard to tell them apart. They can also occur together. Delirium starts suddenly and can cause hallucinations. The symptoms may get better or worse and can last for hours or weeks. On the other hand, dementia develops slowly and does not cause hallucinations. The symptoms are stable and may last for months or years.

What are the treatments for delirium?

Treatment of delirium focuses on the causes and symptoms of delirium. The first step is to identify the cause. Often, treating the cause will lead to a full recovery. The recovery may take some time - weeks or sometimes even months. In the meantime, there may be treatments to manage the symptoms, such as:

  • Controlling the environment, which includes making sure that the room is quiet and well-lit, having clocks or calendars in view, and having family members around
  • Medicines, including those that control aggression or agitation and pain relievers if there is pain
  • If needed, making sure that the person has a hearing aid, glasses, or other devices for communication

Can delirium be prevented?

Treating the conditions that can cause delirium may reduce the risk of getting it. Hospitals can help lower the risk of delirium by avoiding sedatives and making sure that the room is kept quiet, calm, and well-lit. It can also help to have family members around and to have the same staff members treat the person.

Mapped from

http://purl.bioontology.org/ontology/MEDLINEPLUS/C0011206

Mapped to

http://purl.bioontology.org/ontology/MEDLINEPLUS/C0011206

MP OTHER LANGUAGE URL

Spanish https://medlineplus.gov/spanish/delirium.html

notation

C0011206

prefLabel

Delirium

Related to

http://purl.bioontology.org/ontology/MEDLINEPLUS/C0497327

http://purl.bioontology.org/ontology/MEDLINEPLUS/C0004936

Scope Statement

Delirium a condition of rapidly changing mental states such as behavior, emotions, in and out of consciousness, hallucinations, and memory problems.https://medlineplus.gov/delirium.html

tui

T048

subClassOf

http://purl.bioontology.org/ontology/MEDLINEPLUS/C2362500

http://purl.bioontology.org/ontology/MEDLINEPLUS/C1832070

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http://purl.obolibrary.org/obo/SYMP_0000021 Human Disease Ontology / 人类疾病本体 LOOM
http://purl.bioontology.org/ontology/LNC/LP89856-6 Logical Observation Identifier Names and Codes / 逻辑观察标识符名称和代码 CUI
http://purl.bioontology.org/ontology/LNC/LP89856-6 Logical Observation Identifier Names and Codes / 逻辑观察标识符名称和代码 LOOM
http://purl.bioontology.org/ontology/ICD10/F05.9 International Classification of Diseases, Version 10 / 《国际疾病分类》第10版 CUI
http://www.ebi.ac.uk/efo/EFO_0009267 Experimental Factor Ontology / 实验性因素本体 LOOM
http://purl.bmicc.cn/ontology/ICD10CN/F05.9 《国际疾病分类》第10版中文版 / International Classification of Diseases, 10th Edition, China CUI
http://purl.bioontology.org/ontology/MESH/D003693 Medical Subject Headings / 医学主题词表 CUI
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http://purl.bioontology.org/ontology/ICD10CM/R41.0 International Classification of Diseases, Version 10 - Clinical Modification / 国际疾病分类,第10版-临床修改 CUI
http://purl.obolibrary.org/obo/HP_0031258 Coronavirus Infectious Disease Ontology / 冠状病毒感染性疾病本体 LOOM
http://purl.obolibrary.org/obo/HP_0031258 Human Phenotype Ontology / 人类表型本体 LOOM
http://purl.obolibrary.org/obo/HP_0031258 GenEpiO / 基因组流行病学本体 LOOM
http://purl.obolibrary.org/obo/MONDO_0045057 Mondo Disease Ontology / Mondo疾病本体 LOOM
http://purl.bioontology.org/ontology/LNC/LA7426-5 Logical Observation Identifier Names and Codes / 逻辑观察标识符名称和代码 CUI
http://purl.bioontology.org/ontology/LNC/LA7426-5 Logical Observation Identifier Names and Codes / 逻辑观察标识符名称和代码 LOOM
http://purl.bmicc.cn/ontology/ICD11CN/6D70 《国际疾病分类》第11版中文版 / International Classification of Diseases, 11th Edition, China LOOM
http://purl.bioontology.org/ontology/OMIM/MTHU035152 Online Mendelian Inheritance in Man / 在线人类孟德尔遗传数据库 CUI
http://purl.bioontology.org/ontology/OMIM/MTHU035152 Online Mendelian Inheritance in Man / 在线人类孟德尔遗传数据库 LOOM
http://purl.bioontology.org/ontology/LNC/MTHU031955 Logical Observation Identifier Names and Codes / 逻辑观察标识符名称和代码 CUI
http://purl.bioontology.org/ontology/LNC/MTHU031955 Logical Observation Identifier Names and Codes / 逻辑观察标识符名称和代码 LOOM
http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C2981 National Cancer Institute Thesaurus / 美国国家癌症研究所词典 LOOM