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- Rina Tokuda
- Tajima Emergency and Critical Care Medical Center, Toyooka Public Hospital, Hyogo 668-8501, Japan
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- Kensuke Nakamura
- Department of Emergency and Critical Care Medicine, Teikyo University Hospital, Tokyo 173-8606, Japan
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- Yudai Takatani
- Department of Primary Care and Emergency Medicine, Kyoto University Hospital, Kyoto 606-8507, Japan
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- Chie Tanaka
- Department of Emergency and Critical Care Medicine, Nippon Medical School Tama Nagayama Hospital, Tokyo 206-8512, Japan
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- Yutaka Kondo
- Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital, Chiba 279-0021, Japan
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- Hiroyuki Ohbe
- Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo 113-8654, Japan
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- Hiroshi Kamijo
- Department of Emergency and Critical Care Medicine, Shinshu University Hospital, Nagano 390-0802, Japan
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- Kosuke Otake
- Department of Emergency and Critical Care Center, Nippon Medical School Musashikosugi Hospital, Kanagawa 211-8533, Japan
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- Atsuo Nakamura
- Department of Emergency and Critical Care Medicine, Iizuka City Hospital, Fukuoka 820-8505, Japan
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- Hiroyasu Ishikura
- Department of Emergency and Critical Care Medicine, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan
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- Yu Kawazoe
- Department of Emergency Critical Care Center, Sendai Medical Center, Miyagi 983-0045, Japan
書誌事項
- 公開日
- 2023-02-06
- 資源種別
- journal article
- 権利情報
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- https://creativecommons.org/licenses/by/4.0/
- DOI
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- 10.3390/jcm12041273
- 公開者
- MDPI AG
説明
<jats:p>Delirium is characterized by an acutely altered mental status accompanied by reductions in cognitive function and attention. Delirium in septic patients, termed sepsis-associated delirium (SAD), differs in several specific aspects from the other types of delirium that are typically encountered in intensive care units. Since sepsis and delirium are both closely associated with increased morbidity and mortality, it is important to not only prevent but also promptly diagnose and treat SAD. We herein reviewed the etiology, pathogenesis, risk factors, prevention, diagnosis, treatment, and prognosis of SAD, including coronavirus disease 2019 (COVID-19)-related delirium. Delirium by itself not only worsens long-term prognosis, but it is also regarded as an important factor affecting the outcome of post-intensive care syndrome. In COVID-19 patients, the difficulties associated with adequately implementing the ABCDEF bundle (Assess, prevent, and manage pain; Both spontaneous awakening and breathing trials: Choice of analgesia and sedation; Delirium assess, prevent, and manage; Early mobility and exercise; Family engagement/empowerment) and the need for social isolation are issues that require the development of conventional care for SAD.</jats:p>
収録刊行物
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- Journal of Clinical Medicine
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Journal of Clinical Medicine 12 (4), 1273-, 2023-02-06
MDPI AG