Behavioural Neurology / 2015 / Article / Tab 6 / Review Article
Recent Insights on Prevalence and Corelations of Hypoactive Delirium Table 6 HD in palliative care.
Study , mean age in yearsDiagnosis of delirium Subtyping Summary of findings Bruera et al., 2009 [48 ] 99, 60 MDAS, MMSE No specific scale 20% 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, CTD New subtyping scheme derived from Meagher 40% HD HD patients were older than those in each of the other groups Meagher et al., 2011 [50 ] 100, 70.2 DRS-R-98 DMSS 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, CTD DMC 33% 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 MDAS MDAS 53% HD There were no differences in symptomatology between subtypes Rainsford et al., 2014 [53 ] 22, 70.1 CAM, DRS-R-98 DRS-R-98 50% 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.