GERIATRIC PATIENT WITH DELIRIUM PROFILE IN SAIFUL ANWAR GENERAL HOSPITAL MALANG FROM JANUARY 2005 UNTIL JUNE 2010

Authors

  • Sri Sunarti Laboratorium Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Brawijaya, Malang
  • Masruroh Rahayu Laboratorium Neurologi Fakultas Kedokteran Universitas Brawijaya, Malang
  • Dimas Ryan Desetyaputra Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Brawijaya, Malang

Keywords:

delirium, geriatric

Abstract

Background. Delirium is a serious health problem and the most frequent complaints in geriatric patients.
Objective. This research aims to analyzes the patient profile and the underlying disease of delirum by using descriptive study and survey methods.
Methods. Subjects were geriatric patients with age >60 years old diagnosed with delirium.
Results. Patients with delirium syndrome was male sex 58.3% and female sex 41,7%, the highest age group between 60-65 years was 31.7% and 66-70 years was 30%, education is the senior high school level of 41.7% and junior high school level of 35%. Temperature delirium patients that >37.5oC (61.7%) patients and GCS due to moderate state was 100% patients. Hb and PCV were below normal at 71.7% and 70%. Conditions out of the hospital patients delirum syndrome is to live for 71.7%. The most underlying disease delirium syndrome were CVA 56.7%, Diabetes Melitus type II 23,3% and Sepsis 8,3%.
Conclusion. The factors underlying the occurrence of delirium syndrome are male sex, aged 60-65 years old, low education, temperatures above normal, decreased consciousness, low PCV, anemia and most diseases that cause delirium syndrome is CVA, Diabetes Melitus type II and Sepsis.

Author Biographies

Sri Sunarti, Laboratorium Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Brawijaya, Malang


Masruroh Rahayu, Laboratorium Neurologi Fakultas Kedokteran Universitas Brawijaya, Malang


Dimas Ryan Desetyaputra, Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Brawijaya, Malang


References

Charles, Dinarello, Reuven.. Fever and Hyperthermia. New York: McGraw Hill. 2008;p.119.

Dyer CB, Asthon CM & Teasdale TA. Postoperative Delirium. A review of 80 primary data collection data. Archives of Internal Medicine. 2000.p165

Fauci, Braunwald, Kasper, Hauser, Longo, Jameson, Loscalzo. Harrison’s: Priciples of Internal Medicine. 7th Edition.The McGrawHill Companies Inc. 2008.pp.158, 1553.

Friedland RP & Wilcock GK. Dementia Oxford Textbooks of Geriatric Medicine. 2nd Edition. Oxford: Oxford University Press. 2000.pp.922-930.

Guyton AC & Hall JE. Fisiologi Kedokteran. Edisi 11. Jakarta: EGC. 2007.pp. 220, 1141.

Herndon RM. Handbook of Neurologic Rating Scales. 2nd Edition. New York: Demos Medical Publishing. 2006.p. 366

Hoffbrand AV. Kapita Selekta Hematologi. Edisi 4. Jakarta: EGC. 2005. p. 311.

Inouye, Agostini. Principle of Geriatric Medicine and Gerontology. New York: McGraw Hill. 2003.pp.1503-1516

Inouye SK. A multicomponent intervention to prevent delirium in Hospitalized Older Patients: Recognition and Risk Factors. New England. 1999. pp.669-676.

Josephson, A. Confusion and Delirium. New York: McGraw Hill. 2008.p158.

Kane RL. Confusion: Delirium and Dementia. New York: McGraw Hill. 2004.pp.121-145

Kelly KG. Zisselman M. Cutillo-Schmitter. American Journal of Geriatric Psychiatry. 2001. pp.73-75

Maritime & Coastguard Agency. The Ship Captain’s Medical Guide. 22nd Edition. London: The Stationary Office. 1999.p54.

Mckusker J, Cole M, Abrahamowicz M. Environmental Risk Factors of Delirium in Hospitalized Elderly Patients. 2001.pp. 22-27.

McNicoll L & Inouye SK. Delirium: Current Geriatric Diagnosis and Treatment. New York: Lounge Medical Books/McGraw Hill. 2004.pp.53-59.

Meager DJ. Delirium: Optimizing Management. Brit Med J. 2001. p144.

Mengel MB. History of drug abuse. Family medicine 4th New York: McGraw Hill. 2005.

Michel EM. Prevalence and Detection of Delirium in Elderly Emergency Departement Patients. CMAJ. 2000.p977.

Murray L. Biokimia Harper. Edisi 25. Jakarta: EGC. 2003.p829.

Perkumpulan Endokrinologi Indonesia (PERKENI). Konsensus Pengelolaan dan Pencegahan Diabetes Mwlitus Tipe 2 di Indonesia. Jakarta: PB. PERKENI. 2006.p6.

Roan W. Delirium (Online), 2007. (http://www.idijakbar.com), diakses tanggal 14 Desember 2009.

Rockwood K. Disordered Level of Consciousness and Acute Confutional State. New York: McGraw Hill. 2003.pp932-937.

Samuels C. Delirium: Pragmatic Guidences for Managing a Common, Confouding and Sometimes Lethal Condition. Geriatric and Aging. 2003.pp33-38.

Somprakit P. Lertakyamanee J. Sastraratamai. Mental State Change After General and Regional Anesthesia in Adults and Elderly Patients. 2002. pp83-85.

Soejono, C. Sindrom Delirium (acute confusional state). Jakarta: Pusat Penerbitan Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia. 2007.

Ties B et al. World Health Statistic. 2009 (Online),

(http://www.whoint/statistic.com), diakses tanggal 20 November 2010.

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Published

2015-06-01

How to Cite

Sunarti, S., Rahayu, M., & Desetyaputra, D. R. (2015). GERIATRIC PATIENT WITH DELIRIUM PROFILE IN SAIFUL ANWAR GENERAL HOSPITAL MALANG FROM JANUARY 2005 UNTIL JUNE 2010. MNJ (Malang Neurology Journal), 1(2), 61–67. Retrieved from https://mnj.ub.ac.id/index.php/mnj/article/view/40

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Research Article