[Iatrogenic agitation in elderly patient: prevalence, aetiologies and management]

Michèle Dicko; Philippe Caillet; Carmelo Lafuente-Lafuente; Elena Paillaud

doi:10.1016/j.lpm.2012.06.024

[Iatrogenic agitation in elderly patient: prevalence, aetiologies and management]

Presse Med. 2013 Feb;42(2):181-6. doi: 10.1016/j.lpm.2012.06.024. Epub 2013 Jan 16.

[Article in French]

Authors

Michèle Dicko¹, Philippe Caillet, Carmelo Lafuente-Lafuente, Elena Paillaud

Affiliation

¹ Groupe hospitalier Mondor (AP-HP), site hôpital Albert-Chenevier, département de médecine interne et gériatrie, 94010 Créteil cedex, France.

PMID: 23332893
DOI: 10.1016/j.lpm.2012.06.024

Abstract

Iatrogenic agitation is frequently drug-induced in the elderly. The management of the iatrogenic agitation is based on: a detailed analysis of the patient's medications, stopping non-essential drugs, prescribing drugs to the lowest and effective dose possible. This management of the iatrogenic agitation is also based on: adjustment of drugs according to renal function and limitation of polypharmacy. Special attention is necessary when prescribing treatments for patients with cognitive impairment.

Publication types

English Abstract
Review

MeSH terms

Aged*
Aged, 80 and over
Analgesics, Opioid / adverse effects
Cholinergic Antagonists / adverse effects
Humans
Iatrogenic Disease* / epidemiology
Prevalence
Psychomotor Agitation* / epidemiology
Psychomotor Agitation* / etiology
Psychomotor Agitation* / therapy
Psychotropic Drugs / adverse effects

Substances

Analgesics, Opioid
Cholinergic Antagonists
Psychotropic Drugs