Literature DB >> 12928514

The relation between the clinical subtypes of delirium and the urinary level of 6-SMT.

Silviu Balan1, Arthur Leibovitz, Shen Orr Zila, Mishiev Ruth, Wechsler Chana, Blumenfeld Yassica, Biton Rahel, Goldstein Richard, Elon Neumann, Boris Blagman, Beni Habot.   

Abstract

Delirium is a common syndrome among hospitalized elderly patients. In humans, sleep and circadian rhythms are disturbed during delirium, and both are influenced by the hormone melatonin. This prompted us to investigate the relationship of the clinical subtypes of delirium: 1). hyperactive, 2). hypoactive, and 3). mixed, with melatonin, as reflected by a patient's urinary metabolite 6-SMT. Results support our hypothesis that urinary 6-SMT during delirium was higher in hypoactive and lower in hyperactive patients. Because this is the first time a biochemical parameter related to the clinical subtypes of delirium has been reported, further research on the link between melatonin and delirium is necessary.

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Year:  2003        PMID: 12928514     DOI: 10.1176/jnp.15.3.363

Source DB:  PubMed          Journal:  J Neuropsychiatry Clin Neurosci        ISSN: 0895-0172            Impact factor:   2.198


  24 in total

1.  The effects of melatonin versus placebo on delirium in hip fracture patients: study protocol of a randomised, placebo-controlled, double blind trial.

Authors:  Annemarieke de Jonghe; Barbara C van Munster; Hannah E van Oosten; J Carel Goslings; Peter Kloen; Carolien van Rees; Reinder Wolvius; Romuald van Velde; Marcel M Levi; Joke C Korevaar; Sophia E de Rooij
Journal:  BMC Geriatr       Date:  2011-07-05       Impact factor: 3.921

2.  Exogenous Melatonin for Delirium Prevention: a Meta-analysis of Randomized Controlled Trials.

Authors:  Sheng Chen; LiGen Shi; Feng Liang; Liang Xu; Doycheva Desislava; Qun Wu; Jianmin Zhang
Journal:  Mol Neurobiol       Date:  2015-07-21       Impact factor: 5.590

3.  Effect of melatonin on incidence of delirium among patients with hip fracture: a multicentre, double-blind randomized controlled trial.

Authors:  Annemarieke de Jonghe; Barbara C van Munster; J Carel Goslings; Peter Kloen; Carolien van Rees; Reinder Wolvius; Romuald van Velde; Marcel Levi; Rob J de Haan; Sophia E de Rooij
Journal:  CMAJ       Date:  2014-09-02       Impact factor: 8.262

Review 4.  Delirium: is sleep important?

Authors:  Paula L Watson; Piero Ceriana; Francesco Fanfulla
Journal:  Best Pract Res Clin Anaesthesiol       Date:  2012-09

Review 5.  Delirium and depression: inter-relationship and clinical overlap in elderly people.

Authors:  Roisin O'Sullivan; Sharon K Inouye; David Meagher
Journal:  Lancet Psychiatry       Date:  2014-08-10       Impact factor: 27.083

6.  Plasma tryptophan and tyrosine levels are independent risk factors for delirium in critically ill patients.

Authors:  P P Pandharipande; A Morandi; J R Adams; T D Girard; J L Thompson; A K Shintani; E Wesley Ely
Journal:  Intensive Care Med       Date:  2009-07-09       Impact factor: 17.440

Review 7.  Melatonin: possible implications for the postoperative and critically ill patient.

Authors:  Richard S Bourne; Gary H Mills
Journal:  Intensive Care Med       Date:  2006-02-14       Impact factor: 17.440

Review 8.  Sleep and delirium in ICU patients: a review of mechanisms and manifestations.

Authors:  Milagros I Figueroa-Ramos; Carmen Mabel Arroyo-Novoa; Kathryn A Lee; Geraldine Padilla; Kathleen A Puntillo
Journal:  Intensive Care Med       Date:  2009-01-23       Impact factor: 17.440

9.  Sundown syndrome in persons with dementia: an update.

Authors:  Nina Khachiyants; David Trinkle; Sang Joon Son; Kye Y Kim
Journal:  Psychiatry Investig       Date:  2011-11-04       Impact factor: 2.505

10.  Why is delirium more frequent in the elderly?

Authors:  Orso Bugiani
Journal:  Neurol Sci       Date:  2021-05-24       Impact factor: 3.307

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