Survey of psychiatrists and psychiatry residents in Colombia about their preventive and therapeutic practices in delirium

Autor: Jaime Bernal Miranda, Carlos Cardeño, Liliana Patarroyo Rodriguez, José Franco, Juan Carlos Molano, Gabriel Fernando Oviedo Lugo, Monica Rojas Moreno, Juan David Velásquez Tirado
Rok vydání: 2021
Předmět:
Zdroj: Revista Colombiana de Psiquiatría (English ed.). 50:260-272
ISSN: 2530-3120
Popis: Objective To describe pharmacological and non-pharmacological practices for delirium, carried out by psychiatry residents and psychiatrists in Colombia. Methods An anonymous survey was conducted based on the consensus of experts of the Liaison Psychiatry Committee of the Asociacion Colombiana de Psiquiatria [Colombian Psychiatric Association] and on the literature review. It was sent by email to the association members. Results 101 clinicians participated. Non-pharmacological preventive measures such as psychoeducation, correction of sensory problems or sleep hygiene are performed by 70% or more. Only about 1 in 10 participants are part of an institutional multi-component prevention programme. The preventive prescription of drugs was less than 20%. Regarding non-pharmacological treatment, more than 75% recommend correction of sensory difficulties, control of stimuli and reorientation. None of the participants indicated that the care at their centres is organised to enhance non-pharmacological treatment. 17.8% do not use medication in the treatment of delirium. Those who use it prefer haloperidol or quetiapine, particularly in hyperactive or mixed motor subtypes. Conclusions The practices of the respondents coincide with those of other experts around the world. In general, non-pharmacological actions are individual initiatives, which demonstrates the need in Colombian health institutions to commit to addressing delirium, in particular when its prevalence and consequences are indicators of quality of care.
Databáze: OpenAIRE
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