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The Scottish Intercollegiate Guidelines Network (SIGN) 157: Guidelines on Risk Reduction and Management of Delirium

Ageing Clinical and Experimental Research Group (ACER), Rm 1:128, Polwarth Building, University of Aberdeen, Aberdeen AB25 2ZN, UK
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Medicina 2019, 55(8), 491; https://doi.org/10.3390/medicina55080491
Received: 30 June 2019 / Revised: 5 August 2019 / Accepted: 14 August 2019 / Published: 15 August 2019
The Scottish Intercollegiate Guidelines Network (SIGN) guideline on delirium is a major advance on existing guidelines on this condition. This is particularly important given the evidence it is frequently under-diagnosed and inadequately managed despite being common and frequently associated with significant patient and carer distress and poor outcomes. The guidelines recommend using the 4A’s test to help detect delirium. A bundle of mostly non-pharmacological therapies minimise the risk of developing delirium and can help those who develop the condition. The importance of medical optimisation by an experienced professional in those at risk of delirium is highlighted with new recommendations for people in intensive care and surgical settings. There is guidance on follow-up of people with delirium, which should become routine. This commentary piece focusses on areas with the greatest potential to improve the experience and outcomes of those with delirium, and briefly discusses areas of ongoing uncertainty. View Full-Text
Keywords: acute confusion; ageing; delirium; diagnosis; encephalopathy; guideline; treatment acute confusion; ageing; delirium; diagnosis; encephalopathy; guideline; treatment
MDPI and ACS Style

Soiza, R.L.; Myint, P.K. The Scottish Intercollegiate Guidelines Network (SIGN) 157: Guidelines on Risk Reduction and Management of Delirium. Medicina 2019, 55, 491.

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