Updated nomenclature of delirium and acute encephalopathy: statement of ten Societies

Arjen J C Slooter¹, Wim M Otte², John W Devlin^{3

4}, Rakesh C Arora^{5

6}, Thomas P Bleck⁷, Jan Claassen⁸, Matthew S Duprey^{3

4}, E Wesley Ely^{9

10}, Peter W Kaplan¹¹, Nicola Latronico¹², Alessandro Morandi^{13

14}, Karin J Neufeld¹⁵, Tarek Sharshar¹⁶, Alasdair M J MacLullich¹⁷, Robert D Stevens¹⁸

Affiliations

¹ Department of Intensive Care Medicine and UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Room F06.149, PO Box 85500, 3508 GA, Utrecht, The Netherlands. a.slooter-3@umcutrecht.nl.
² Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, Department of Pediatric Neurology, and UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
³ School of Pharmacy, Northeastern University, Boston, MA, USA.
⁴ Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, Boston, MA, USA.
⁵ Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
⁶ Cardiac Sciences Program, St. Boniface Hospital, Winnipeg, MB, Canada.
⁷ Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
⁸ Department of Neurology and Neurosurgery, Columbia University Medical Center, New York City, NY, USA.
⁹ Division of Allergy, Pulmonary, and Critical Care Medicine, Center for Quality Aging, Center for Health Services Research, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
¹⁰ Geriatric Research, Education and Clinical Center (GRECC) Service, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Vanderbilt University Medical Center, Nashville, TN, USA.
¹¹ Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹² Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, University of Brescia, Brescia, Italy.
¹³ Department of Rehabilitation, Ancelle Hospital, Cremona, Italy.
¹⁴ Geriatric Research Group, Brescia, Italy.
¹⁵ Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹⁶ Unité Neuropathologie Expérimentale, Département Infection Et Épidémiologie, Institut Pasteur, and Service D'Anesthésie-Réanimation, Hôpital Sainte-Anne, Université Paris-Descartes, Paris, France.
¹⁷ Edinburgh Delirium Research Group, Geriatric Medicine, and Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.
¹⁸ Departments of Anesthesiology, Critical Care Medicine, Neurology and Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

PMID: 32055887
PMCID: PMC7210231
DOI: 10.1007/s00134-019-05907-4

Updated nomenclature of delirium and acute encephalopathy: statement of ten Societies

Arjen J C Slooter et al. Intensive Care Med. 2020 May.

. 2020 May;46(5):1020-1022.

doi: 10.1007/s00134-019-05907-4. Epub 2020 Feb 13.

Authors

Affiliations

¹ Department of Intensive Care Medicine and UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Room F06.149, PO Box 85500, 3508 GA, Utrecht, The Netherlands. a.slooter-3@umcutrecht.nl.
² Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, Department of Pediatric Neurology, and UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
³ School of Pharmacy, Northeastern University, Boston, MA, USA.
⁴ Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, Boston, MA, USA.
⁵ Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
⁶ Cardiac Sciences Program, St. Boniface Hospital, Winnipeg, MB, Canada.
⁷ Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
⁸ Department of Neurology and Neurosurgery, Columbia University Medical Center, New York City, NY, USA.
⁹ Division of Allergy, Pulmonary, and Critical Care Medicine, Center for Quality Aging, Center for Health Services Research, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
¹⁰ Geriatric Research, Education and Clinical Center (GRECC) Service, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Vanderbilt University Medical Center, Nashville, TN, USA.
¹¹ Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹² Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, University of Brescia, Brescia, Italy.
¹³ Department of Rehabilitation, Ancelle Hospital, Cremona, Italy.
¹⁴ Geriatric Research Group, Brescia, Italy.
¹⁵ Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
¹⁶ Unité Neuropathologie Expérimentale, Département Infection Et Épidémiologie, Institut Pasteur, and Service D'Anesthésie-Réanimation, Hôpital Sainte-Anne, Université Paris-Descartes, Paris, France.
¹⁷ Edinburgh Delirium Research Group, Geriatric Medicine, and Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.
¹⁸ Departments of Anesthesiology, Critical Care Medicine, Neurology and Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

PMID: 32055887
PMCID: PMC7210231
DOI: 10.1007/s00134-019-05907-4

No abstract available

PubMed Disclaimer

Conflict of interest statement

Potential financial or non-financial interests: none.

Comment in

Research in brief: Inpatient hip fractures and nomenclature of delirium and acute encephalopathy.
Cacciottolo TM, Ferrigan L. Cacciottolo TM, et al. Clin Med (Lond). 2020 May;20(3):240-241. doi: 10.7861/clinmed.rib.20.3. Clin Med (Lond). 2020. PMID: 32414715 Free PMC article. No abstract available.
Invited Commentary: Conflation of Delirium and Coma as Acute Encephalopathy.
Trzepacz PT, Franco JG. Trzepacz PT, et al. J Acad Consult Liaison Psychiatry. 2023 May-Jun;64(3):262-266. doi: 10.1016/j.jaclp.2023.02.005. Epub 2023 Feb 23. J Acad Consult Liaison Psychiatry. 2023. PMID: 36828292 No abstract available.

References

1. Morandi A, Pandharipande P, Trabucchi M, et al. Understanding international differences in terminology for delirium and other types of acute brain dysfunction in critically ill patients. Intensive Care Med. 2008;34:1907–1915. doi: 10.1007/s00134-008-1177-6. - DOI - PubMed
1. Behrouz R, Godoy DA, Azarpazhooh MR, Di Napoli M. Altered mental status in the neurocritical care unit. J Crit Care. 2015;30:1272–1277. doi: 10.1016/j.jcrc.2015.07.021. - DOI - PubMed
1. Stevens RD, Sharshar T, Ely EW. Brain disorders in critical illness. Cambridge: Cambridge University Press; 2013.
1. Marcantonio ER. Delirium in hospitalized older adults. N Engl J Med. 2017;377:1456–1466. doi: 10.1056/NEJMcp1605501. - DOI - PMC - PubMed
1. Witlox J, Eurelings LS, de Jonghe JF, et al. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA. 2010;304:443–451. doi: 10.1001/jama.2010.1013. - DOI - PubMed

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Updated nomenclature of delirium and acute encephalopathy: statement of ten Societies

Affiliations

Updated nomenclature of delirium and acute encephalopathy: statement of ten Societies

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Affiliations

Conflict of interest statement

Comment in

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