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1-Minute Consult

How can I better recognize and manage delirium in my hospitalized patients?

Amanda Pomerantz, DO, Anna P. Shapiro-Krew, MD and Andrew Coulter, MD, MA
Cleveland Clinic Journal of Medicine January 2025, 92 (1) 17-20; DOI: https://doi.org/10.3949/ccjm.92a.24048
Amanda Pomerantz
Assistant Professor, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham Hospital, Birmingham, AL
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Anna P. Shapiro-Krew
Director, Epilepsy Psychiatry, Center for Adult Behavioral Health, Cleveland Clinic, Cleveland, OH; Program Director, Consultation-Liaison Psychiatry Fellowship, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Andrew Coulter
Attending Physician, UPMC Mercy Consultation-Liaison Psychiatry Service, Pittsburgh, PA; Assistant Professor, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA
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Tables

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    TABLE 1

    Delirium subtypes and features

    Delirium subtypeFeatures
    HyperactiveAgitation
    Hypervigilance
    Restlessness
    Hallucinations
    Thought disorganization
    Elevated or irritable mood
    Increased or loud speech
    HypoactiveApathy
    Staring
    Lethargy
    Decreased alertness
    Psychomotor slowing
    Reduced engagement in care
    MixedFeatures of hyperactive and hypoactive subtypes
    • Based on information from reference 6.

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Cleveland Clinic Journal of Medicine: 92 (1)
Cleveland Clinic Journal of Medicine
Vol. 92, Issue 1
1 Jan 2025
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How can I better recognize and manage delirium in my hospitalized patients?
Amanda Pomerantz, Anna P. Shapiro-Krew, Andrew Coulter
Cleveland Clinic Journal of Medicine Jan 2025, 92 (1) 17-20; DOI: 10.3949/ccjm.92a.24048

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How can I better recognize and manage delirium in my hospitalized patients?
Amanda Pomerantz, Anna P. Shapiro-Krew, Andrew Coulter
Cleveland Clinic Journal of Medicine Jan 2025, 92 (1) 17-20; DOI: 10.3949/ccjm.92a.24048
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  • Article
    • KNOW THE 3 PHENOTYPES (BECAUSE DELIRIUM IS OFTEN MISSED)
    • TOOLS FOR RECOGNIZING DELIRIUM
    • HOW TO OPTIMIZE MANAGEMENT OF DELIRIUM
    • Pharmacologic approaches
    • THE BOTTOM LINE
    • DISCLOSURES
    • REFERENCES
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