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History of a suspected delirium is more common in dementia with Lewy bodies than Alzheimer's disease: a retrospective study

Lookup NU author(s): Dr Emma Vardy

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Abstract

Background Delirium is common and is associated with an increased risk of dementia. However, it is not clear whether delirium confers increased risk of any particular type of dementia. We performed a retrospective study of Alzheimer's disease (AD) and Dementia with Lewy bodies (DLB) to ascertain whether a suspected episode of preceding delirium was more common prior to diagnosis in either type of dementia. Methods The study was carried out in a tertiary referral unit for the diagnosis of dementia. Clinic letters from the first presentation to the unit of 85 cases with DLB and 95 cases of AD were reviewed for documentation of any previous episodes of suspected delirium. Results In this study, 25% of DLB cases had at least one reported episode of suspected delirium as compared to 7% of AD cases (p = 0.001). For the DLB cases who had a prior suspected delirium, 23% had more than one episode compared with 14% of the AD group. The median time between most recent suspected episode of delirium and diagnosis of dementia in both groups was less than a year. Conclusions A greater proportion of those presenting and diagnosed with DLB had a documentation of a suspected delirium than those diagnosed with AD. Delirium may lead to a higher risk of DLB as opposed to other forms of dementia, or delirium may, at least in some cases, represent the early stages of DLB. These data suggest that a diagnosis of DLB should be specifically considered in those presenting with a delirium.


Publication metadata

Author(s): Vardy E, Holt R, Gerhard A, Richardson A, Snowden J, Neary D

Publication type: Article

Publication status: Published

Journal: International Journal of Geriatric Psychiatry

Year: 2014

Volume: 29

Issue: 2

Pages: 178-181

Print publication date: 31/05/2013

ISSN (print): 0885-6230

ISSN (electronic): 1099-1166

Publisher: John Wiley & Sons Ltd.

URL: http://dx.doi.org/10.1002/gps.3986

DOI: 10.1002/gps.3986

PubMed id: 23722989


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