The frequency of missed delirium in patients referred to palliative care in a comprehensive cancer center

Supportive Care in Cancer

Volumn 23, Issue 8, 2015, Pages 2427-2433

  de la Cruz, Maxine ^a   Fan, Joanna ^a   Yennu, Sriram ^a   Tanco, Kimberson ^a   Shin, SeongHoon ^a   Wu, Jimin ^a   Liu, Diane ^a   Bruera, Eduardo ^a  

^a UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

Author keywords

Advanced cancer; Inpatient; Missed delirium; Palliative care

Indexed keywords

ADULT; AGED; AMERICAN INDIAN; ARTICLE; ASIAN; BLACK PERSON; CANCER CENTER; CANCER PATIENT; CAUCASIAN; DELIRIUM; DSM-IV-TR; DYSPNEA; EDMONTON SYMPTOM ASSESSMENT SCALE; FATIGUE; FEMALE; GASTROINTESTINAL SYMPTOM; HISPANIC; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MEMORIAL DELIRIUM ASSESSMENT SCALE; MENTAL DISEASE ASSESSMENT; MISSED DELIRIUM; PAIN; PALLIATIVE THERAPY; PHYSICIAN; PRIORITY JOURNAL; COMPLICATION; MIDDLE AGED; NEOPLASM; PATIENT REFERRAL; PROCEDURES; RETROSPECTIVE STUDY;

ADULT; AGED; DELIRIUM; FEMALE; HUMANS; INPATIENTS; MALE; MIDDLE AGED; NEOPLASMS; PALLIATIVE CARE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES;

EID: 84933181555     PISSN: 09414355     EISSN: 14337339     Source Type: Journal    
DOI: 10.1007/s00520-015-2610-3     Document Type: Article

References (37)

1. Casarett DJ, Inouye SK (2001) Diagnosis and management of delirium near the end of life. Ann Intern Med 135(1):32–40
2. Alici-Evcimen Y, Breitbart W (2008) An update on the use of antipsychotics in the treatment of delirium. Palliat Support Care 6(2):177–182
3. Breitbart W, Gibson C, Tremblay A (2002) The delirium experience: delirium recall and delirium-related distress in hospitalized patients with cancer, their spouses/caregivers, and their nurses. Psychosomatics 43(3):183–194
4. Bruera E, Bush SH, Willey J et al (2009) Impact of delirium and recall on the level of distress in patients with advanced cancer and their family caregivers. Cancer 115(9):2004–2012
5. Ely EW, Gautam S, Margolin R et al (2001) The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Med 27(12):1892–1900
6. Fick DM, Kolanowski AM, Waller JL, Inouye SK (2005) Delirium superimposed on dementia in a community-dwelling managed care population: a 3-year retrospective study of occurrence, costs, and utilization. J Gerontol A Biol Sci Med Sci 60(6):748–753
7. Rudolph JL, Inouye SK, Jones RN et al (2010) Delirium: an independent predictor of functional decline after cardiac surgery. J Am Geriatr Soc 58(4):643–649
8. Cohen MZ, Pace EA, Kaur G, Bruera E (2009) Delirium in advanced cancer leading to distress in patients and family caregivers. J Palliat Care 25(3):164–171
9. Lawlor PG, Gagnon B, Mancini IL et al (2000) Occurrence, causes, and outcome of delirium in patients with advanced cancer: a prospective study. Arch Intern Med 160(6):786–794
10. Delgado-Guay MO, Yennurajalingam S, Bruera E (2008) Delirium with severe symptom expression related to hypercalcemia in a patient with advanced cancer: an interdisciplinary approach to treatment. J Pain Symptom Manag 36(4):442–449
11. Centeno C, Sanz A, Bruera E (2004) Delirium in advanced cancer patients. Palliat Med 18(3):184–194
12. Caraceni A, Simonetti F (2009) Palliating delirium in patients with cancer. Lancet Oncol 10(2):164–172
13. Reddy SK, Nguyen N, El Osta B, Bruera E (2008) Opioids masquerading as delirium in a patient with cancer pain and obstructive sleep apnea. J Palliat Med 11(7):1043–1045
14. Breitbart W, Rosenfeld B, Roth A, Smith MJ, Cohen K, Passik S (1997) The memorial delirium assessment scale. J Pain Symptom Manag 13(3):128–137
15. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI (1990) Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med 113(12):941–948
16. Trzepacz PT, Mittal D, Torres R, Kanary K, Norton J, Jimerson N (2001) Validation of the delirium rating scale-revised-98: comparison with the delirium rating scale and the cognitive test for delirium. J Neuropsychiatry Clin Neurosci 13(2):229–242
17. Collins N, Blanchard MR, Tookman A, Sampson EL (2010) Detection of delirium in the acute hospital. Age Ageing 39(1):131–135
18. Mittal D, Majithia D, Kennedy R, Rhudy J (2006) Differences in characteristics and outcome of delirium as based on referral patterns. Psychosomatics 47(5):367–375
19. Kishi Y, Kato M, Okuyama T et al (2007) Delirium: patient characteristics that predict a missed diagnosis at psychiatric consultation. Gen Hosp Psychiatry 29(5):442–445
20. Bush SH, Kanji S, Pereira JL et al (2014) Treating an established episode of delirium in palliative care: expert opinion and review of the current evidence base with recommendations for future development. J Pain Symptom Manag 48(2):231–248
21. Lawlor PG, Bruera ED (2002) Delirium in patients with advanced cancer. Hematol Oncol Clin North Am 16(3):701–714
22. Yennurajalingam S, Braiteh F, Bruera E (2005) Pain and terminal delirium research in the elderly. Clin Geriatr Med 21(1):93–119, 1
23. Armstrong SC, Cozza KL, Watanabe KS (1997) The misdiagnosis of delirium. Psychosomatics 38(5):433–439
24. Irwin SA, Rao S, Bower KA et al (2008) Psychiatric issues in palliative care: recognition of delirium in patients enrolled in hospice care. Palliat Support Care 6(2):159–164
25. Swigart SE, Kishi Y, Thurber S, Kathol RG, Meller WH (2008) Misdiagnosed delirium in patient referrals to a university-based hospital psychiatry department. Psychosomatics 49(2):104–108
26. de Stoutz ND, Bruera E, Suarez-Almazor M (1995) Opioid rotation for toxicity reduction in terminal cancer patients. J Pain Symptom Manag 10(5):378–384
27. Bruera E, Franco JJ, Maltoni M, Watanabe S, Suarez-Almazor M (1995) Changing pattern of agitated impaired mental status in patients with advanced cancer: association with cognitive monitoring, hydration, and opioid rotation. J Pain Symptom Manag 10(4):287–291
28. Bush SH, Bruera E, Lawlor PG et al (2014) Clinical practice guidelines for delirium management: potential application in palliative care. J Pain Symptom Manag 48(2):249–258
29. Fang CK, Chen HW, Liu SI, Lin CJ, Tsai LY, Lai YL (2008) Prevalence, detection and treatment of delirium in terminal cancer inpatients: a prospective survey. Jpn J Clin Oncol 38(1):56–63
30. Stagno D, Gibson C, Breitbart W (2004) The delirium subtypes: a review of prevalence, phenomenology, pathophysiology, and treatment response. Palliat Support Care 2(2):171–179
31. Farrell KR, Ganzini L (1995) Misdiagnosing delirium as depression in medically ill elderly patients. Arch Intern Med 155(22):2459–2464
32. Farrell TW, Dosa D (2007) The assessment and management of hypoactive delirium. Med Health R I 90(12):393–395
33. Kean J, Ryan K (2008) Delirium detection in clinical practice and research: critique of current tools and suggestions for future development. J Psychosom Res 65(3):255–259
34. Wada Y, Yamaguchi N (1993) Delirium in the elderly: relationship of clinical symptoms to outcome. Dementia 4(2):113–116
35. Wada T, Wada M, Onishi H (2010) Characteristics, interventions, and outcomes of misdiagnosed delirium in cancer patients. Palliat Support Care 8(2):125–131
36. Kiely DK, Marcantonio ER, Inouye SK et al (2009) Persistent delirium predicts greater mortality. J Am Geriatr Soc 57(1):55–61
37. Leonard M, Raju B, Conroy M et al (2008) Reversibility of delirium in terminally ill patients and predictors of mortality. Palliat Med 22(7):848–854