Delirium assessment in critically ill older adults: considerations during the COVID-19 pandemic

Older adults are particularly vulnerable during the Coronavirus disease 2019 (COVID-19) pandemic, as higher age increases risk for both delirium and COVID-19- related death. Despite the healthcare system limitations and the clinical challenges of the pandemic, delirium screening and management remai...

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Autores:
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad de Bogotá Jorge Tadeo Lozano
Repositorio:
Expeditio: repositorio UTadeo
Idioma:
eng
OAI Identifier:
oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/12536
Acceso en línea:
https://doi.org/10.1016/j.ccc.2020.08.009
http://hdl.handle.net/20.500.12010/12536
Palabra clave:
COVID-19
Pandemic
Delirium assessment
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
Rights
License
Acceso restringido
Description
Summary:Older adults are particularly vulnerable during the Coronavirus disease 2019 (COVID-19) pandemic, as higher age increases risk for both delirium and COVID-19- related death. Despite the healthcare system limitations and the clinical challenges of the pandemic, delirium screening and management remains an evidence-based cornerstone of critical care. In this review, we discuss practical recommendations for delirium screening in the COVID-19 pandemic era, tips for training healthcare workers in delirium screening, validated tools for detecting delirium in critially ill older adults, and approaches to special populations of older adults (e.g., sensory impairment, dementia, acute neurological injury).