Tags

Type your tag names separated by a space and hit enter

[Detection of delirium in hospitalized elderly patients using the confusion assessment method].
Rev Med Inst Mex Seguro Soc. 2007 Jul-Aug; 45(4):321-8.RM

Abstract

OBJECTIVE

To determine the prevalence and incidence of delirium using the Confusion Assessment Method (CAM) in hospitalized elderly patients in the geriatric department of IMSS General Hospital No. 89, at Guadalajara, Jalisco.

METHODS

Between May and October 2005, a descriptive and cross-sectional study was conducted with patients older than 60 years that were admitted to the geriatric department. The CAM was used to detect delirium and the Mini-Mental State Examination (MMSE) to identify cognitive impairment; also, comorbidity, length of hospital stay and mortality were analyzed.

RESULTS

According to CAM, the prevalence of delirium was 38.3 % and the incidence was 11.7%. 48.5% of patients who had developed delirium previously showed cognitive impairment. Patients who experienced delirium were older when compared to non-delirious patients (80 +/- 8.7 versus 74. 4 +/- 8.9 years of age; p < 0. 001). Similarly, length of hospital stay was higher among patients who developed delirium when compared with patients who never developed it (7.5 +/- 2.9 versus 5.8 +/- 2.6 days; p < 0.001). Pneumonia and uremia were most common in delirious patients.

CONCLUSION

The CAM and MMSE seems to be an acceptable screening instrument for delirium and cognitive impairment; using theses tests routinely could contribute to improve quality of care for these patients.

Authors+Show Affiliations

Hospital General de Zona 89, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico. echavez@cencar.udg.mxNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

17949569

Citation

Chávez-Delgado, María Estela, et al. "[Detection of Delirium in Hospitalized Elderly Patients Using the Confusion Assessment Method]." Revista Medica Del Instituto Mexicano Del Seguro Social, vol. 45, no. 4, 2007, pp. 321-8.
Chávez-Delgado ME, Virgen-Enciso M, Pérez-Guzmán J, et al. [Detection of delirium in hospitalized elderly patients using the confusion assessment method]. Rev Med Inst Mex Seguro Soc. 2007;45(4):321-8.
Chávez-Delgado, M. E., Virgen-Enciso, M., Pérez-Guzmán, J., Celis-de-la-Rosa, A., & Castro-Castañeda, S. (2007). [Detection of delirium in hospitalized elderly patients using the confusion assessment method]. Revista Medica Del Instituto Mexicano Del Seguro Social, 45(4), 321-8.
Chávez-Delgado ME, et al. [Detection of Delirium in Hospitalized Elderly Patients Using the Confusion Assessment Method]. Rev Med Inst Mex Seguro Soc. 2007 Jul-Aug;45(4):321-8. PubMed PMID: 17949569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Detection of delirium in hospitalized elderly patients using the confusion assessment method]. AU - Chávez-Delgado,María Estela, AU - Virgen-Enciso,Maricela, AU - Pérez-Guzmán,Julio, AU - Celis-de-la-Rosa,Alfredo, AU - Castro-Castañeda,Sergio, PY - 2007/10/24/pubmed PY - 2008/3/4/medline PY - 2007/10/24/entrez SP - 321 EP - 8 JF - Revista medica del Instituto Mexicano del Seguro Social JO - Rev Med Inst Mex Seguro Soc VL - 45 IS - 4 N2 - OBJECTIVE: To determine the prevalence and incidence of delirium using the Confusion Assessment Method (CAM) in hospitalized elderly patients in the geriatric department of IMSS General Hospital No. 89, at Guadalajara, Jalisco. METHODS: Between May and October 2005, a descriptive and cross-sectional study was conducted with patients older than 60 years that were admitted to the geriatric department. The CAM was used to detect delirium and the Mini-Mental State Examination (MMSE) to identify cognitive impairment; also, comorbidity, length of hospital stay and mortality were analyzed. RESULTS: According to CAM, the prevalence of delirium was 38.3 % and the incidence was 11.7%. 48.5% of patients who had developed delirium previously showed cognitive impairment. Patients who experienced delirium were older when compared to non-delirious patients (80 +/- 8.7 versus 74. 4 +/- 8.9 years of age; p < 0. 001). Similarly, length of hospital stay was higher among patients who developed delirium when compared with patients who never developed it (7.5 +/- 2.9 versus 5.8 +/- 2.6 days; p < 0.001). Pneumonia and uremia were most common in delirious patients. CONCLUSION: The CAM and MMSE seems to be an acceptable screening instrument for delirium and cognitive impairment; using theses tests routinely could contribute to improve quality of care for these patients. SN - 0443-5117 UR - https://www.unboundmedicine.com/medline/citation/17949569/[Detection_of_delirium_in_hospitalized_elderly_patients_using_the_confusion_assessment_method]_ L2 - https://medlineplus.gov/delirium.html DB - PRIME DP - Unbound Medicine ER -