Journals / Marmara Medical Journal / 2022 / Cilt: 35 - Sayı: 1

Delirium and geriatric syndromes in hospitalized older patients: Results from World Delirium Awareness Day

Pages
53–60
Publication Date
2022-01-31
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Age over 70 years, impaired functionality in ADL and malnutrition were independently associated with delirium.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To determine the point prevalence of delirium and the associated risk factors in geriatric inpatients.
📊
Key Findings & Data:Patients and Methods: Sixty-two hospitalized patients aged 60 years and over were recruited.
💡
Conclusion & Impact:Conclusion: Age over 70 years, impaired functionality in ADL and malnutrition were independently associated with delirium.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Delirium · Functionality · Geriatrics

Abstract

Objective: To determine the point prevalence of delirium and the associated risk factors in geriatric inpatients. Patients and Methods: Sixty-two hospitalized patients aged 60 years and over were recruited. The Mini Nutritional Assessment-Short Form (MNA-SF), the FRAIL scale, Katz Activities of Daily Living (ADL), and Lawton-Brody Instrumental ADL (IADL) questionnaires were administered. A delirium evaluation test (Confusion Assessment Method-CAM) was performed for diagnosing delirium. Mortality was evaluated one month after the index date. Results: The median age was 71.5 (range, 60-96) years. Delirium was detected in 29% of the patients. Frailty and dementia were associated with delirium (p<0.001 and p=0.001; respectively). Polypharmacy, indwelling urinary catheter, and low albumin were also related to delirium (p=0.025, p=0.007, and p=0.002; respectively). Age over 70 years, low Katz ADL and low MNA-SF scores were found to be independently associated with delirium in multivariate regression analysis models. The median hospitalization time was longer in the delirium group (p=0.029). Survival analysis at one month showed no significant difference between the delirium and non-delirium groups. Conclusion: Age over 70 years, impaired functionality in ADL and malnutrition were independently associated with delirium.

🔖

Cite This Article

UMURCA, G., CAN, B., ILHAN, B., TUFAN, A. (2022). Delirium and geriatric syndromes in hospitalized older patients: Results from World Delirium Awareness Day. Marmara Medical Journal, Cilt: 35 - Sayı: 1, 53–60. https://ajindex.com/articles/688276

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Savikko N, Pitkala KH, Strandberg TE, Tilvis RS, Laurila JV. Diagnostic agreement on delirium between the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
  2. International Classification of Diseases, Tenth Revision
  3. confusion assessment method [CAM]
  4. and the five-item CAM in older adults with dementia. J Am Geriatr Soc 2013
  5. doi: 10.1111/jgs.12184 [2] Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet 2014
  6. 383[9920]:911-22. doi: 10.1016/S0140- 6736(13)60688-1 [3] Dani M, Owen LH, Jackson TA, Rockwood K, Sampson EL, Davis D. Delirium, frailty, and mortality: Interactions in a prospective study of hospitalized older people. J Gerontol A Biol Sci Med Sci 2018
  7. doi:10.1093/gerona/glx214 [4] Witlox J, Eurelings LS, de Jonghe JF, Kalisvaart KJ, Eikelenboom P, van Gool WA. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA 2010
  8. doi: 10.1001/jama.2010.1013 [5] Bellelli G, Mazzola P, Morandi A, et al. Duration of postoperative delirium is an independent predictor of 6-month mortality in older adults after hip fracture. J Am Geriatr Soc 2014
  9. doi: 10.1111/jgs.12885 [6] Leslie DL, Marcantonio ER, Zhang Y, Leo-Summers L, Inouye SK. One-year health care costs associated with delirium in the elderly population. Arch Intern Med 2008
  10. doi: 10.1001/archinternmed.2007.4 [7] Holt R, Young J, Heseltine D. Effectiveness of a multicomponent intervention to reduce delirium incidence in elderly care wards. Age Ageing 2013
  11. doi: 10.1093/ ageing/aft120 [8] Siddiqi N, House AO, Holmes JD. Occurrence and outcome of delirium in medical in – patients: a systematic literature review. Age Ageing 2006
  12. doi: 10.1093/ageing/ afl005 [9] de la Cruz M, Fan J, Yennu S, et al. The frequency of missed delirium in patients referred to palliative care in a comprehensive cancer center. Support Care Cancer 2015
  13. doi: 10.1007/s00520.015.2610-3 [10] Guigoz Y, Vellas BJ. Malnutrition in the elderly: the Mini Nutritional Assessment [MNA]. Ther Umsch Rev Ther 1997
  14. Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment [MNA-SF]. J Gerontol A Biol Sci Med Sci 2001
  15. M366-72. doi: 10.1093/ gerona/56.6.m366 [12] Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in