PMID: 11898256Mar 20, 2002Paper

Delirium in patients with cancer at the end of life

Cancer Practice
J L CobbI B Corless

Abstract

Delirium is a common and distressing syndrome seen in patients with advanced cancer. Behavioral manifestations of delirium, such as agitation, may result in medical intervention, stress to family caregivers, and inpatient hospice admission. The purpose of this study was to examine the frequency, characteristics, and presumed causes of delirium in patients with advanced cancer. Records of all patients with cancer who were admitted to an inpatient hospice facility in 1995 were reviewed retrospectively (N = 210). Patients were classified as delirious based on the clinical judgment of the admitting physician. Delirium was the third most common reason for admission (20%). Male gender (P = .04) and the presence of a primary or metastatic brain tumor (P = .03) were significant risk factors for delirium, while advanced age and primary or metastatic liver, lung, or bone cancer were not. Resolution of the agitation, the most disruptive symptom of delirium, occurred in 69% of patients before death or discharge. Delirium is common in hospice patients with cancer and is an important cause of family distress and increased cost of care. The recognition of early clinical signs and predisposing factors should facilitate prompt diagnosis. Approp...Continue Reading

References

May 1, 1992·Journal of Pain and Symptom Management·E BrueraJ Hanson
May 1, 1990·The American Journal of Hospice & Palliative Care·E W Martin
Mar 2, 1989·The New England Journal of Medicine·Z J Lipowski
Feb 1, 1989·Journal of the American Geriatrics Society·K Rockwood
Dec 1, 1986·The American Journal of Medicine·M R Gilbert, S A Grossman
Nov 1, 1983·The American Journal of Psychiatry·Z J Lipowski
Feb 11, 1983·JAMA : the Journal of the American Medical Association·L R DerogatisC L Carnicke
Oct 1, 1995·Mayo Clinic Proceedings·T A RummansK C Fleming
Feb 1, 1995·Journal of Pain and Symptom Management·W BreitbartM Lynch
Jan 1, 1994·Image--the Journal of Nursing Scholarship·E M Sullivan-Marx
Jan 1, 1994·Journal of Pain and Symptom Management·N CoyleR Portenoy
Mar 20, 1996·JAMA : the Journal of the American Medical Association·S K Inouye, P A Charpentier
Dec 31, 1997·Journal of Pain and Symptom Management·C ConillA Garrigos

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Citations

May 27, 2008·Palliative & Supportive Care·Scott A IrwinFrank D Ferris
Mar 24, 2010·Palliative & Supportive Care·Tomomi WadaHideki Onishi
Jan 25, 2006·Journal of Palliative Medicine·Terri R FriedJohn O'Leary
Jan 21, 2011·Journal of Palliative Medicine·Sanjai RaoScott A Irwin
Apr 9, 2014·BMC Research Notes·Carol HopeBrian C Sauer
Apr 5, 2016·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Talha MaqboolJanet Papadakos
May 23, 2014·The Gerontologist·Meredith K Carbone, Marilyn R Gugliucci
Dec 6, 2014·Age and Ageing·Dimitrios AdamisDavid Meagher
Feb 14, 2006·Oncology Nursing Forum·Deborah A Boyle
Sep 28, 2016·Journal of Pharmaceutical Health Care and Sciences·Kazuaki MatsumotoJunko Kizu
Apr 6, 2011·Palliative Medicine·Jenny Smith, Lucy Adcock
Jun 17, 2004·Palliative Medicine·Carlos CentenoEduardo Bruera
Jul 15, 2016·The American Journal of Hospice & Palliative Care·Shea M JorgensenMichelle T Weckmann
Nov 9, 2010·The American Journal of Hospice & Palliative Care·Deborah D Moyer
Jun 18, 2002·International Journal of Palliative Nursing·S Brown, L F Degner
Aug 9, 2005·The American Journal of Hospice & Palliative Care·Barbara Head, Annatje Faul
Nov 16, 2012·The Cochrane Database of Systematic Reviews·Bridget CandyMichael King
Sep 6, 2003·Journal of Advanced Nursing·Hung-Ru Lin, Susan M Bauer-Wu
Dec 18, 2008·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Scott A Irwin, Frank D Ferris
Mar 28, 2008·Tijdschrift voor gerontologie en geriatrie·L VerstraeteK Milisen

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