A Point Prevalence Study of Delirium in Italian Nursing Homes

被引：34

作者：

Morichi, Valeria ^{[1
,2
]}

Fedecostante, Massimiliano ^{[1
,2
]}

Morandi, Alessandro ^{[3
,4
]}

Di Santo, Simona Gabriella ^{[5
]}

Mazzone, Andrea ^{[6
]}

Mossello, Enrico ^{[7
,8
]}

Bo, Mario ^{[9
]}

Bianchetti, Angelo ^{[10
]}

Rozzini, Renzo ^{[11
]}

Zanetti, Ermellina ^{[3
,20
]}

Musicco, Massimo ^{[13
,14
]}

Ferrari, Alberto ^{[15
,16
]}

Ferrara, Nicola ^{[17
,18
,19
]}

Trabucchi, Marco ^{[3
,20
,21
]}

Cherubini, Antonio ^{[1
,2
]}

Bellelli, Giuseppe ^{[3
,12
,22
]}

机构：

[1] IRCCS INRCA, Geriatria, Accettaz Geriatr, Via Montagnola, IT-8160100 Ancona, Italy

[2] IRCCS INRCA, Ctr Ric Invecchiamento, Via Montagnola, IT-8160100 Ancona, Italy

[3] Geriatr Res Grp, Brescia, Italy

[4] Fdn Camplani Hosp, Dept Rehabil & Aged Care, Cremona, Italy

[5] IRCCS Fdn Santa Lucia, Dept Clin & Behav Neurol, Neuropsychiat Lab, Rome, Italy

[6] Redaelli Geriatr Inst, Milan, Italy

[7] Univ Florence, Dept Expt & Clin Med, Geriatr Med Res Unit, Florence, Italy

[8] Azienda Osped Univ Careggi, Florence, Italy

[9] Citta Salute & Sci Molinette, Sect Geriatr, Turin, Italy

[10] Ist Clin S Anna, Med & Rehabil Dept, Brescia, Italy

[11] Poliambulanza Hosp, Dept Geriatr & Internal Med, Brescia, Italy

[12] San Gerardo Univ Hosp, Geriatr Unit, Monza, Italy

[13] CNR, Inst Biomed Technol, Milan, Italy

[14] Italian Soc Neurol Dementia SINDEM, Siena, Italy

[15] ASMN Hosp, Dept Neuromotor Physiol, Geriatr Unit, Reggio Emilia, Italy

[16] Italian Soc Hosp & Community Geriatr SIGOT, Rome, Italy

[17] Federico II Univ Naples, Dept Translat Med Sci, Naples, Italy

[18] Salvatore Maugeri Fdn, Sci Inst Telese, IRCCS, Telese Terme, Italy

[19] Italian Soc Gerontol & Geriatr SIGG, Florence, Italy

[20] Tor Vergata Rome Univ, Rome, Italy

[21] Italian Psychogeriatr Assoc AIP, Brescia, Italy

[22] Univ Milano Bicocca, Sch Med & Surg, Milan, Italy

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2018年 / 46卷 / 1-2期

关键词：

Delirium; Nursing home medicine; Assessment; Prevalence; CONFUSION ASSESSMENT METHOD; LONG-TERM-CARE; ELDERLY-PATIENTS; RISK-FACTORS; QUALITATIVE EVALUATION; BENZODIAZEPINE USE; OLDER-PEOPLE; HEALTH-CARE; DEMENTIA; SYMPTOMS;

D O I：

10.1159/000490722

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: Delirium is a common geriatric syndrome. Few studies have been conducted in nursing home (NH) residents. The aim of this project was to perform a point prevalence study of delirium in Italian NHs. Methods: Data collected in 71 NHs are presented. Inclusion criteria were age >= 65 years and native Italian speaker. Exclusion criteria were coma, aphasia, and end-of-life status. Sociodemographic and medical data were recorded. Delirium was assessed using the Assessment Test for Delirium and Cognitive Impairment (4-AT). Patients with a 4-AT score >= 4 were considered to have delirium. Motor subtype was evaluated using the Delirium Motor Subtype Scale (DMSS). Results: A total of 1,454 patients were evaluated (mean age 84.4 +/- 7.4 years, 70.2% female), of whom 535 (36.8%) had delirium. In multivariate logistic regression analysis, variables significantly associated with delirium were education (OR 0.94, 95% CI 0.91-0.97), dementia (OR 3.12, 95% CI 2.38-4.09), functional dependence (OR 6.13, 95% CI 3.08-12.19 for ADL score 0; OR 1.99, 95% CI 1.03-3.84 for ADL score 1-5), malnutrition (OR 4.87, 95% CI 2.68-8.84), antipsychotics (OR 2.40, 95% CI 1.81-3.18), and physical restraints (OR 2.48, 95% CI 1.71-3.59). Conclusion: Delirium is common in older NH residents. Simple assessment tools might facilitate its recognition in this vulnerable population. (C) 2018 S. Karger AG, Basel

引用

页码：27 / 41

页数：15

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