Indian journal of psychiatry · 2025
Describing patterns of delirium in alcohol withdrawal and in non-alcohol withdrawal: An observational study in a tertiary care rural hospital.
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Mathur Shobhit, Mishra Kshirod K
Аннотация
BACKGROUND: Delirium is an acute neuropsychiatric syndrome with variable presentations depending on etiology. Alcohol withdrawal delirium (AWD) typically presents as hyperactive subtype, while non-alcohol withdrawal delirium (NAWD) is more heterogeneous.
AIM: To compare clinical patterns and severity of delirium in AWD and NAWD in a rural tertiary care hospital.
METHODS: A cross-sectional study of 120 patients with delirium referred for psychiatric evaluation was carried out. Delirium Etiology Checklist, Richmond Agitation Sedation Scale (RASS), and Delirium Rating Scale-Revised-98 (DRS-R-98) were the tools used. Statistical analysis employed SPSS v 27.0.
RESULTS: AWD accounted for 17% of cases, all hyperactive, while NAWD showed mixed patterns of presentation. DRS-R-98 scores were significantly higher in AWD. Hypoactive delirium correlated with sepsis and cardiac decompensation.
CONCLUSION: AWD demonstrates severe hyperactive features, while NAWD is varied and frequently hypoactive, underscoring the need for tailored approaches in resource-limited settings.
AIM: To compare clinical patterns and severity of delirium in AWD and NAWD in a rural tertiary care hospital.
METHODS: A cross-sectional study of 120 patients with delirium referred for psychiatric evaluation was carried out. Delirium Etiology Checklist, Richmond Agitation Sedation Scale (RASS), and Delirium Rating Scale-Revised-98 (DRS-R-98) were the tools used. Statistical analysis employed SPSS v 27.0.
RESULTS: AWD accounted for 17% of cases, all hyperactive, while NAWD showed mixed patterns of presentation. DRS-R-98 scores were significantly higher in AWD. Hypoactive delirium correlated with sepsis and cardiac decompensation.
CONCLUSION: AWD demonstrates severe hyperactive features, while NAWD is varied and frequently hypoactive, underscoring the need for tailored approaches in resource-limited settings.