{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:53:26Z","timestamp":1777521206603,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2003,9,1]],"date-time":"2003-09-01T00:00:00Z","timestamp":1062374400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2003,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Delirium, an important event in hospital, is associated with significant mortality and morbidity. Most patients with delirium recover fully; however, when left untreated, delirium may progress to stupor, coma, or death. Delirium is less likely to resolve completely in elderly patients in whom persistent cognitive deficits commonly occur. The extent to which this information is available to family doctors after discharge was investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A total of 31 patients with delirium who were referred to consultation-liaison psychiatry were assessed using standardized measures. Medical services completed discharge summaries on these patients; a chart review captured the extent to which the diagnosis of delirium and the involvement of psychiatry was recorded in the discharge summaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In structured discharge summaries, a reference to delirium occurrence was found in 55% of cases. In unstructured discharge summaries, the reporting was much lower (16% of cases). Delirium was more likely to be reported in women than in men, when it was more severe, or when it was the principal reason for admission, rather than when it occurred during an admission for some other reason.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Delirium episodes that occur during a period of hospitalization for treatment of any medical disorder are underreported, even when specifically diagnosed. Structured discharge summaries tend to increase the rate of reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectif:<\/jats:title>\n                    <jats:p>Le d\u00e9lire, un \u00e9v\u00e9nement important \u00e0 l'h\u00f4pital, est associ\u00e9 \u00e0 une mortalit\u00e9 et \u00e0 une morbidit\u00e9 significatives. Bien que la plupart des patients souffrant de d\u00e9lire se r\u00e9tablissent compl\u00e8tement, quand ils ne sont pas trait\u00e9s, le d\u00e9lire peut mener \u00e0 la stupeur, au coma ou \u00e0 la mort. Le d\u00e9lire est moins susceptible d'arr\u00eater compl\u00e8tement pour les patients \u00e2g\u00e9s, chez qui les d\u00e9ficiences cognitives persistantes se produisent fr\u00e9quemment. Nous avons cherch\u00e9 dans quelle mesure cette information est disponible aux m\u00e9decins de famille apr\u00e8s le cong\u00e9.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thode:<\/jats:title>\n                    <jats:p>Un total de 31 patients souffrant de d\u00e9lire qui ont \u00e9t\u00e9 adress\u00e9s \u00e0 un service psychiatrique de consultation-liaison ont \u00e9t\u00e9 \u00e9valu\u00e9s \u00e0 l'aide de mesures normalis\u00e9es. Les services m\u00e9dicaux ont rempli des sommaires de cong\u00e9 pour ces patients, et la mesure dans laquelle le diagnostic de d\u00e9lire et la participation de la psychiatrie ont \u00e9t\u00e9 consign\u00e9s a \u00e9t\u00e9 d\u00e9termin\u00e9e lors d'un examen des dossiers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats:<\/jats:title>\n                    <jats:p>Dans les sommaires de cong\u00e9 structur\u00e9s, la mention de l'occurrence du d\u00e9lire a \u00e9t\u00e9 trouv\u00e9e dans 55% des cas. Dans les sommaires de cong\u00e9 non structur\u00e9s, les d\u00e9clarations \u00e9taient beaucoup plus faibles (16% des cas). Le d\u00e9lire \u00e9tait plus susceptible d'\u00eatre d\u00e9clar\u00e9 chez les femmes que chez les hommes quand il \u00e9tait plus grave ou qu'il \u00e9tait la principale raison de l'hospitalisation que lorsqu'il se produisait durant une hospitalisation pour une autre raison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Les \u00e9pisodes de d\u00e9lire qui se produisent durant une p\u00e9riode d'hospitalisation pour le traitement de toute affection m\u00e9dicale sont sous-d\u00e9clar\u00e9s, m\u00eame s'ils sont sp\u00e9cifiquement diagnostiqu\u00e9s. Les sommaires de cong\u00e9 structur\u00e9s tendent \u00e0 accro\u00eetre le taux de d\u00e9claration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674370304800807","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T03:07:36Z","timestamp":1500001656000},"page":"555-560","source":"Crossref","is-referenced-by-count":30,"title":["Delirium in Hospital: An Underreported Event at Discharge"],"prefix":"10.1177","volume":"48","author":[{"given":"Louis T","family":"van Zyl","sequence":"first","affiliation":[{"name":"Assistant Professor and Chair, Division of Consultation-Liaison Psychiatry, Department of Psychiatry, Queen's University, Kingston, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul R","family":"Davidson","sequence":"additional","affiliation":[{"name":"Assistant Professor, Division of Consultation-Liaison Psychiatry, Department of Psychiatry, Queen's University, Kingston, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,9,1]]},"reference":[{"key":"bibr1-070674370304800807","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1176\/ajp.156.1.1","volume":"156","author":"American Psychiatric Association","year":"1999","journal-title":"Am J Psychiatry"},{"key":"bibr2-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1987.03400130103041"},{"key":"bibr3-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.140.8.1048"},{"key":"bibr4-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.156.6.9702005"},{"key":"bibr5-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610291000777"},{"key":"bibr6-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1989.tb10306.x"},{"key":"bibr7-070674370304800807","doi-asserted-by":"publisher","DOI":"10.3109\/10401239709147801"},{"key":"bibr8-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/48.4.M162"},{"key":"bibr9-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1177\/070674378803300512"},{"key":"bibr10-070674370304800807","first-page":"41","volume":"149","author":"Cole MG","year":"1993","journal-title":"CMAJ"},{"key":"bibr11-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.140.2.149"},{"key":"bibr12-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(82)73269-4"},{"key":"bibr13-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(97)71420-8"},{"key":"bibr14-070674370304800807","first-page":"307","volume":"29","author":"Solomon JK","year":"1995","journal-title":"J R Coll Physicians Lond"},{"key":"bibr15-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1177\/106286069901400403"},{"key":"bibr16-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1177\/089198879600900205"},{"key":"bibr17-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(88)90037-6"},{"key":"bibr18-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(99)71235-1"},{"key":"bibr19-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.13.2.229"},{"key":"bibr20-070674370304800807","volume-title":"The American Psychiatric Press textbook of neuropsychiatry","author":"Wise MG","year":"1992"},{"key":"bibr21-070674370304800807","first-page":"401","volume":"28","author":"Hill CD","year":"1992","journal-title":"Psychopharmacol Bull"},{"key":"bibr22-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1177\/070674370104600208"},{"key":"bibr23-070674370304800807","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(94)90115-5"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674370304800807","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674370304800807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:13:47Z","timestamp":1777392827000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/070674370304800807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,9]]},"references-count":23,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2003,9]]}},"alternative-id":["10.1177\/070674370304800807"],"URL":"https:\/\/doi.org\/10.1177\/070674370304800807","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,9]]}}}