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[Delirium in older medical inpatients: a one year follow up study].
Rev Med Chil 2012; 140(7):847-52RM

Abstract

BACKGROUND

Delirium is an important problem in older medical inpatients.

AIM

To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period.

MATERIAL AND METHODS

Prospective cohort study of consecutive patients 65 years and older, admitted to a general hospital medical ward. A psychogeriatric team assessed patients every 48 h using the Confusion Assessment Method (CAM), functionality, acute severity and comorbidity scores. Analysis of one year mortality and telephone functional assessment was performed.

RESULTS

Five hundred forty two patients were enrolled and 35.4% had delirium. After one year, mortality was 34.9 and 13% in delirium and non-delirium cohorts, respectively (p < 0.01). After adjustment for covariates, delirium was independently associated with higher mortality, and higher functional decline and institutionalization. No significant differences were seen in readmission rates.

CONCLUSIONS

Delirium was significantly associated with higher mortality and functional decline over a one year follow up period in geriatric inpatients.

Authors+Show Affiliations

Programa de Geriatría, Departamento de Medicina Interna, Pontificia Universidad Católica de Chile, Santiago, Chile. mcarras@med.puc.clNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Research Support, Non-U.S. Gov't

Language

spa

PubMed ID

23282695

Citation

Carrasco, Marcela, et al. "[Delirium in Older Medical Inpatients: a One Year Follow Up Study]." Revista Medica De Chile, vol. 140, no. 7, 2012, pp. 847-52.
Carrasco M, Accatino-Scagliotti L, Calderón J, et al. [Delirium in older medical inpatients: a one year follow up study]. Rev Med Chil. 2012;140(7):847-52.
Carrasco, M., Accatino-Scagliotti, L., Calderón, J., Villarroel, L., Marín, P. P., & González, M. (2012). [Delirium in older medical inpatients: a one year follow up study]. Revista Medica De Chile, 140(7), pp. 847-52. doi:10.4067/S0034-98872012000700003.
Carrasco M, et al. [Delirium in Older Medical Inpatients: a One Year Follow Up Study]. Rev Med Chil. 2012;140(7):847-52. PubMed PMID: 23282695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Delirium in older medical inpatients: a one year follow up study]. AU - Carrasco,Marcela, AU - Accatino-Scagliotti,Luigi, AU - Calderón,Jorge, AU - Villarroel,Luis, AU - Marín,Pedro Paulo, AU - González,Matías, PY - 2011/10/05/received PY - 2012/03/23/accepted PY - 2013/1/4/entrez PY - 2013/1/4/pubmed PY - 2013/9/26/medline SP - 847 EP - 52 JF - Revista medica de Chile JO - Rev Med Chil VL - 140 IS - 7 N2 - BACKGROUND: Delirium is an important problem in older medical inpatients. AIM: To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period. MATERIAL AND METHODS: Prospective cohort study of consecutive patients 65 years and older, admitted to a general hospital medical ward. A psychogeriatric team assessed patients every 48 h using the Confusion Assessment Method (CAM), functionality, acute severity and comorbidity scores. Analysis of one year mortality and telephone functional assessment was performed. RESULTS: Five hundred forty two patients were enrolled and 35.4% had delirium. After one year, mortality was 34.9 and 13% in delirium and non-delirium cohorts, respectively (p < 0.01). After adjustment for covariates, delirium was independently associated with higher mortality, and higher functional decline and institutionalization. No significant differences were seen in readmission rates. CONCLUSIONS: Delirium was significantly associated with higher mortality and functional decline over a one year follow up period in geriatric inpatients. SN - 0717-6163 UR - https://www.unboundmedicine.com/medline/citation/23282695/[Delirium_in_older_medical_inpatients:_a_one_year_follow_up_study]_ L2 - http://www.scielo.cl/scielo.php?script=sci_arttext&amp;pid=S0034-98872012000700003&amp;lng=en&amp;nrm=iso&amp;tlng=en DB - PRIME DP - Unbound Medicine ER -