Intended for healthcare professionals

Letters Delirium in older adults

Don’t assume urinary tract infection is the cause of delirium in older adults

BMJ 2013; 346 doi: (Published 15 May 2013) Cite this as: BMJ 2013;346:f3005
  1. Sean Ninan, specialist registrar, elderly medicine1
  1. 1Mid Yorkshire NHS Hospitals Trust, Pinderfields General Hospital, Wakefield WF1 4DG, UK
  1. sean9n{at}

Vidal and colleagues point out that the management of delirium often involves dealing with multiple factors such as hydration, drugs, infection, and metabolic disturbances, which seem unimportant individually but, in combination, provide a serious insult to a frail brain.1

They also …

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