Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes / Delirium in older medical inpatients: A one year follow up study
Rev. méd. Chile
;
140(7): 847-852, jul. 2012. ilus
Artículo
en Español
| LILACS
| ID: lil-656354
ABSTRACT
Background:
Delirium is an important problem in older medical inpatients.Aim:
To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period. Material andMethods:
Prospective cohort study of consecutive patients 65 years and older, admitted to a general hospital medical ward. A psychogeriatric team assessed patients every 48 h using the Confusion Assessment Method (CAM), functionality, acute severity and comorbidity scores. Analysis of one year mortality and telephone functional assessment was performed.Results:
Five hundred forty two patients were enrolled and 35.4% had delirium. After one year, mortality was 34.9 and 13% in delirium and non-delirium cohorts, respectively (p < 0.01). After adjustment for covariates, delirium was independently associated with higher mortality, and higher functional decline and institutionalization. No significant differences were seen in readmission rates.Conclusions:
Delirium was significantly associated with higher mortality and functional decline over a one year follow up period in geriatric inpatients.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Evaluación Geriátrica
/
Delirio
/
Hospitalización
/
Pacientes Internos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2012
Tipo del documento:
Artículo
/
Documento de proyecto
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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