The neuropsychology of delirium

The neuropsychology of delirium

Principal speaker

Professor Alasdair MacLullich

Abstract

Delirium affects at least 1 in 8 hospitalised patients. It is a complex, with heterogeneous features including deficits in attention and other aspects of cognition, changes in level of arousal, altered perception, and so on. Delirium also varies widely in level of severity and duration. The study of these features is challenging, and to date there has been limited formal neuropsychological research. The study of the neuropsychology of delirium is potentially valuable in developing better tools for research and clinical practice as well as improving understanding of the neural substrates of delirium. In this seminar an update on research on the neuropsychology of delirium will be provided. The focus will be on the assessment of arousal and attention, and how neuropsychological research on delirium can inform clinical practice. Recent results from the 4AT and DelApp studies will be discussed.

Biography

Alasdair MacLullich trained in medicine and psychology at the University of Edinburgh. He was Clinical Lecturer in Geriatric Medicine, then MRC Clinician Scientist Fellow before becoming Professor of Geriatric Medicine at the University of Edinburgh in 2009.

His main research interests are the neuropsychology and pathophysiology of delirium. He has developed new delirium assessment tools such as the 4AT and the DelApp, and has an active programme of work on cerebrospinal fluid biomarkers of inflammation and brain injury in patients with delirium.

Alasdair MacLullich's clinical work is in acute geriatric medicine and acute orthogeriatrics. He is also active in delirium education and quality improvement work. He is Co-Chair of the Scottish Intercollegiate Guidelines Network (SIGN) group for the forthcoming SIGN Guidelines on Delirium. He co-founded the European Delirium Association in 2006.

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