Prevalence of delirium in patients admitted because of medical conditions

被引:8
作者
Formiga, Francesc
San Jose, Antonio
Lopez-Soto, Alfonso
Ruiz, Domingo
Urrutia, Agustin
Duaso, Enric
机构
[1] Hosp Univ Bellvitge, UFISS Geriatria, Med Interna Serv, Hosp Llobregat, Barcelona 08907, Spain
[2] Hosp Valle De Hebron, UFISS Geriatria, Med Interna Serv, Barcelona, Spain
[3] Hosp Clin Barcelona, UFISS Geriatria, Med Interna Serv, Barcelona, Spain
[4] Hos St Pau, UFISS Geriatria, Med Interna Serv, Barcelona, Spain
[5] Hosp Germans Trias & Pujol, UFISS Geriatria, Med Interna Serv, Barcelona, Spain
[6] Hosp Mutua Terrassa, UFISS Geriatria, Med Interna Serv, Barcelona, Spain
来源
MEDICINA CLINICA | 2007年 / 129卷 / 15期
关键词
elderly; delirium; hospitalization; functional status; dementia;
D O I
10.1157/13111707
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND AND OBJECTIVE: Delirium is a common problem among people during hospitalization. The aim of the study was to analyze the prevalence and characteristics of delirium among patients admitted by medical conditions. PATIENTS AND METHODS: We performed a transversal cohort study in 165 patients admitted to 6 tertiary teaching hospitals. We scored the Barthel index (BI) previously to their admission, and also comorbidity using the Charlson index. Diagnosis of delirium was assessed using the Confusional Assessment Method in this transversal study. RESULTS: There were 101 women (61.2%) and 64 men. The mean (SD) age was 80.3 (12) years. The average of Charlson Index was 2.6 (1.7). Previous and evaluation BI were 71.5 (27) and 40.3 (30) respectively. Forty-two patients (25.41/6) had delirium. Poor BI at the evaluation and previous diagnosis of dementia were significant independent variables associated with delirium in the logistic regression analysis. CONCLUSIONS: Delirium is frequent in medical hospitalized patients. Previous dementia and low BI at the evaluation among medical patients are associated with delirium.
引用
收藏
页码:571 / 573
页数:3
相关论文
共 10 条
  • [1] Etiology of hospital-acquired infections in Spanish hospitals (EPINE, 1990-1999)
    Asensio, A
    Cantón, R
    Vaqué, J
    Rosselló, J
    Arribas, JL
    [J]. MEDICINA CLINICA, 2002, 118 (19): : 725 - 730
  • [2] CHARLSON ME, 1987, J CHRON DIS, V40, P378
  • [3] Acute confusional syndrome in elderly patients hospitalized due to medical condition
    Formiga, F
    Marcos, E
    Sole, A
    Valencia, E
    Lora-Tamayo, J
    Pujol, R
    [J]. REVISTA CLINICA ESPANOLA, 2005, 205 (10): : 484 - 488
  • [4] Predisposing factors of delirium in hip fractured patients older than 84 years
    Formiga, F
    Marcos, E
    Olmedo, C
    Ramon, JM
    López-soto, A
    Pujol, R
    [J]. MEDICINA CLINICA, 2005, 124 (14): : 535 - 537
  • [5] Current concepts - Delirium in older persons
    Inouye, SK
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2006, 354 (11) : 1157 - 1165
  • [6] CLARIFYING CONFUSION - THE CONFUSION ASSESSMENT METHOD - A NEW METHOD FOR DETECTION OF DELIRIUM
    INOUYE, SK
    VANDYCK, CH
    ALESSI, CA
    BALKIN, S
    SIEGAL, AP
    HORWITZ, RI
    [J]. ANNALS OF INTERNAL MEDICINE, 1990, 113 (12) : 941 - 948
  • [7] MAHONEY F I, 1965, Md State Med J, V14, P61
  • [8] RUIZ D, 1998, REV GERONTOL, V8, P37
  • [9] Clinical profile of delirium in older patients
    Sandberg, O
    Gustafson, Y
    Brännström, B
    Bucht, G
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (11) : 1300 - 1306
  • [10] SELVA A, 1998, REV GERONTOL, V8, P42