Abstract
Etiological and Symptomatological Differences Between Hyperactive and Hypoactive Delirium Subtypes
Highlights
The process of ageing, resulting in decreased abilities to maintain homeostasis, understood as the lack of capabilities to adapt, leads to an increased susceptibility to developing delirium among elderly patients [1]
The clinical picture of delirium may manifest itself in the form of three different motor subtypes, each differentiated by the range of motor activities
This subtype is connected with more severe cognitive impairment - patients with hypoactive delirium have greater dysfunctions in perception, attention or recalling, but there is no significant difference in orientation or language functions between groups of patients with other delirium subtypes [13]
Summary
The process of ageing, resulting in decreased abilities to maintain homeostasis, understood as the lack of capabilities to adapt, leads to an increased susceptibility to developing delirium among elderly patients [1]. Delirium is a neuropsychiatric disorder and is characterized by changes in consciousness and impaired cognitive functions, especially attention, orientation and thought processes [2,3]. These symptoms differ in duration and severity and are the basis -after taking the coexistent behavioral disorders into consideration-to distinguish (according to the Lipowski model) 3 clinical subtypes of delirium: hypoactive, hyperactive and mixed [4]. Recognizing the delirium subtype is essential - it enables highrisk patients to be discerned, and has an effect on the procedures, treatment and further prognosis
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