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
Article
in Spanish
| LILACS
| ID: lil-656354
Responsible library:
CL1.1
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.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Mental Health and Behavioral Disorders
Database:
LILACS
Main subject:
Geriatric Assessment
/
Delirium
/
Hospitalization
/
Inpatients
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2012
Document type:
Article
/
Project document
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL