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Vitamin D: A novel protective factor for delirium?
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi. Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Stockholm, Sweden.ORCID-id: 0000-0003-0118-0341
Univ Western Australia, Med Sch, Perth, WA, Australia.
2019 (engelsk)Inngår i: Neurology, ISSN 0028-3878, E-ISSN 1526-632X, Vol. 92, nr 12, s. 553-554Artikkel i tidsskrift, Editorial material (Fagfellevurdert) Published
Abstract [en]

Delirium is a state of acute brain dysfunction, affecting as many as 50% of older patients in hospital, and is associated with prolonged hospitalization, high health care costs, long-term cognitive decline and dementia, and a substantially increased risk of mortality.(1-3) One postulated mechanism is that delirium results from the breakdown of brain network dynamics triggered by a stressor (e.g., major surgery, general anesthesia, infections, or psychoactive drugs) in individuals with preexisting low brain resilience due to deficits in connectivity or plasticity.(2) Multiple lines of evidence support a strong relationship between delirium and dementia and that these conditions share some pathophysiologic mechanisms, including acetylcholine deficiency, inflammation, and reduced cerebral oxidative metabolism.

sted, utgiver, år, opplag, sider
LIPPINCOTT WILLIAMS & WILKINS , 2019. Vol. 92, nr 12, s. 553-554
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URN: urn:nbn:se:uu:diva-382775DOI: 10.1212/WNL.0000000000007121ISI: 000463242000003PubMedID: 30770428OAI: oai:DiVA.org:uu-382775DiVA, id: diva2:1313215
Tilgjengelig fra: 2019-05-02 Laget: 2019-05-02 Sist oppdatert: 2019-05-02bibliografisk kontrollert

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