Review Article

Recent Insights on Prevalence and Corelations of Hypoactive Delirium

Table 6

HD in palliative care.

Study, mean age in
years
Diagnosis of deliriumSubtypingSummary of findings

Bruera et al., 2009 [48]99,
60
MDAS, MMSENo specific scale20% HD
Delirium recall was not significantly different according to subtype (hyperactive versus hypoactive versus mixed)

Godfrey et al., 2010 [49]25,
76.5 (HD patients)
DRS-R-98, CTDNew subtyping scheme derived from Meagher40% HD
HD patients were older than those in each of the other groups

Meagher et al., 2011 [50]100,
70.2
DRS-R-98DMSS 28% HD
HD was associated with a poorer prognosis, regarding survival at 1 month, compared to other subtypes
Transitions into hypoactive subtype were preceded by
increased benzodiazepine dose

Leonard et al., 2011 [51]100,
70.3
CAM, DRS-R-98, CTDDMC33% HD
Hypoactive and mixed subtypes differed with regard to administrated chlorpromazine-equivalent doses (hypoactive patients received lower doses)

Boettger and Breitbart,
2011 [52]
100,
58.3
MDASMDAS53% HD
There were no differences in symptomatology between subtypes

Rainsford et al., 2014 [53]22,
70.1
CAM, DRS-R-98DRS-R-9850% HD
The treating team failed to recognize 45.5% of those with HD

CAM: Confusion Assessment Method.
DMSS: Delirium Motor Subtype Scale.
DRS-R-98: Delirium Rating Scale-Revised-98.
MDAS: Memorial Delirium Assessment Scale.
MMSE: Minimental State Examination.
CTD: Cognitive Test for Delirium.
DMC: Delirium Motoric Checklist.
HD: hypoactive delirium.