Risk Factors for Delirium in Older Medical Inpatients in Tanzania

被引：11

作者：

Lewis, Emma Grace ^{[1
]}

Banks, Jessica ^{[2
]}

Paddick, Stella-Maria ^{[3
,4
]}

Duinmaijer, Ashanti ^{[5
]}

Tucker, Laura ^{[6
]}

Kisoli, Aloyce ^{[7
]}

Cletus, Jane ^{[8
]}

Lissu, Carolyn ^{[7
]}

Kilonzo, Kajiru ^{[7
]}

Cosker, Glynis ^{[9
]}

Mukaetova-Ladinska, Elizabeta Blagoja ^{[3
,9
]}

Dotchin, Catherine ^{[4
,10
]}

Gray, William ^{[4
]}

Walker, Richard ^{[4
,10
]}

Urasa, Sarah ^{[7
]}

机构：

[1] Charite, Inst Trop Med & Int Hlth, Berlin, Germany

[2] Newcastle Univ, Fac Med Sci, Med Sch, Newcastle Upon Tyne, Tyne & Wear, England

[3] Newcastle Univ, Inst Neurosci, Newcastle Upon Tyne, Tyne & Wear, England

[4] Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, North Shields, England

[5] Haydom Lutheran Hosp, Mbulu, Tanzania

[6] London Sch Hyg & Trop Med, London, England

[7] Kilimanjaro Christian Med Ctr, Moshi, Tanzania

[8] Hai Dist Hosp, Boma Ngombe, Tanzania

[9] Northumberland Tyne & Wear NHS Fdn Trust, Newcastle Upon Tyne, Tyne & Wear, England

[10] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne, Tyne & Wear, England

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2017年 / 44卷 / 3-4期

关键词：

Delirium; Dementia; Risk factors; Older adults; Sub-Saharan Africa; Inpatient; SUB-SAHARAN AFRICA; ELDERLY-PATIENTS; PREDICTING DELIRIUM; VALIDATION; DEMENTIA; PREVALENCE; MORTALITY; PEOPLE; SCORE;

D O I：

10.1159/000479058

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background: The risk factors for prevalent delirium in older hospitalised adults in Sub-Saharan Africa (SSA) remain poorly characterised. Methods: A total of 510 consecutive admissions of adults aged >= 60 years to acute medical wards of Kilimanjaro Christian Medical Centre in northern Tanzania were recruited. Patients were assessed within 24 h of admission with a risk factor questionnaire, physiological observations, neurocognitive assessment, and informant interview. Delirium and dementia diagnoses were made according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM V) and DSM IV respectively, by an expert panel. Results: Being male, current alcohol use, dementia, and physiological markers of illness severity were significant independent risk factors for delirium on multivariable analysis. Conclusions: The risk factors for prevalent delirium in older medical inpatients in SSA include pre-existing dementia, and are similar to those identified in high-income countries. Our data could help inform the development of a delirium risk stratification tool for older adults in SSA. (C) 2017 S. Karger AG, Basel

引用

页码：160 / 170

页数：11

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