Checklist : Causes fréquentes de confusion mentale chez une personne âgée
Auteur : Dr. Carmelo Lafuente
Dernière mise à jour : 24/07/2025
Cette checklist, élaborée par un panel d'experts, présente de façon structurée les causes les plus fréquentes de confusion mentale chez des patients âgés (Lafuente-Lafuente 2025).
Chez les personnes âgées, ils co-existent souvent plusieurs causes aiguës de confusion, par exemple une infection + déshydratation + hypoNa+. Cette checklist aide à les dépister et traiter rapidement, de façon systématique, en réduisant le risque de passer à côté d'une d'elles.
Utilité :
Dépister de façon systématique les causes aigues de confusion mentale les plus fréquentes chez les personnes âgées.
Echèlle :
Pas de score. Il s'agit d'une checklist à parcourir.
Liste
Interprétation
-
Pour toute cause retrouvée
Démarrez rapidement un traitement adapté
Indications
-
Checklist pour dépister systématiquement les causes les plus fréquentes précipitant une confusion mentale chez une personne âgée
Scores, Listes similaires
Références
-
Lafuente-Lafuente 2025. Consensus d'experts : Development of a checklist for systematic screening of precipitating factors in older patients admitted to hospital with delirium. European Geriatrics MedicineA panel of 12 experts voted to choose one of the models, and then followed a modified Delphi consensus method to review each item and further develop the checklist. .. After three rounds, a consensus was reached and a final checklist agreed. It is composed by 27 items organized in five groups of causes: infections, hydro-electrolytic disturbances, drugs, acute neurological conditions, and other acute diseases. A pilot study conducted by 15 physicians in 21 consecutive patients showed that the checklist was
-
Magny 2018. Série de cas : Predisposing and precipitating factors for delirium in community-dwelling older adults admitted to hospital with this condition: A prospective case series. PLoS OneThe most frequent precipitating factor found were infections (49.0% of all patients, mainly lung and urinary tract infections), followed by drugs (30.8%), dehydration (26.4%) and electrolytic disturbances (18.7%, mostly hyponatremia). 91% of patients had a cerebral imagery, but acute neurological conditions were found in only 18.3%
-
Ottens 2024. Consensus d'experts : The Delphi Delirium Management Algorithms. A practical tool for clinicians, the result of a modified Delphi expert consensus approach. Delirium (Belief)A panel of 37 internationally recognised delirium experts from diverse medical backgrounds worked together in a modified Delphi approach ... The final product of this project is a set of three delirium management algorithms (the Delirium Delphi Algorithms), one for ward patients, one for patients after cardiac surgery and one for patients in the intensive care unit
-
Wilson 2020. Narrative Review : Delirium. Nature Reviews Disease Primersthere are likely several neurobiological processes that contribute to delirium pathogenesis, including neuroinflammation, brain vascular dysfunction, altered brain metabolism, neurotransmitter imbalance and impaired neuronal network connectivity. .. many other delirium screening tools have been developed given the impracticality of using the DSM-5 in many settings. Pharmacological treatments for delirium (such as antipsychotic drugs) are not effective, reflecting substantial gaps in our understanding of its