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The prevalence and recognition rate of delirium in hospitalized elderly patients in Turkey.
Int J Psychiatry Clin Pract 2014; 18(1):52-7IJ

Abstract

OBJECTIVE

Delirium is frequently observed, but generally under recognized in elderly hospitalized patients. The aims of this study were to determine the prevalence of delirium in elderly patients hospitalized at a university hospital, and to determine the recognition rate by hospital staff during hospitalization.

METHODS

The study included 108 consecutive patients aged ≥ 65 years that were hospitalized in the medical and surgical inpatient departments at Başkent University Hospital, Ankara, Turkey. All the patients were evaluated using the Mini Mental State Examination (MMSE) upon admission and Confusion Assessment Method (CAM) on a daily basis during hospitalization. Written documents and consultation requests from psychiatry and/or neurology departments were reviewed for recognition of delirium by hospital staff.

RESULTS

Among the 108 patients in the study, delirium was noted in 18 (16.7%) during their hospital stay. Consultation from psychiatry or neurology departments was requested for 5 of the 18 patients, only 1 with a delirium diagnosis, indicating that 17 of the cases (94.4%) were not recognized by their primary physicians.

CONCLUSIONS

The delirium non-recognition rate in elderly hospitalized patients was very high. We think that hospital staff must be trained to recognize the symptoms of delirium and identify high-risk patients.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24236908

Citation

Erden Aki, Ozlem, et al. "The Prevalence and Recognition Rate of Delirium in Hospitalized Elderly Patients in Turkey." International Journal of Psychiatry in Clinical Practice, vol. 18, no. 1, 2014, pp. 52-7.
Erden Aki O, Derle E, Karagol A, et al. The prevalence and recognition rate of delirium in hospitalized elderly patients in Turkey. Int J Psychiatry Clin Pract. 2014;18(1):52-7.
Erden Aki, O., Derle, E., Karagol, A., Turkyilmaz, C., & Taskintuna, N. (2014). The prevalence and recognition rate of delirium in hospitalized elderly patients in Turkey. International Journal of Psychiatry in Clinical Practice, 18(1), pp. 52-7. doi:10.3109/13651501.2013.865754.
Erden Aki O, et al. The Prevalence and Recognition Rate of Delirium in Hospitalized Elderly Patients in Turkey. Int J Psychiatry Clin Pract. 2014;18(1):52-7. PubMed PMID: 24236908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The prevalence and recognition rate of delirium in hospitalized elderly patients in Turkey. AU - Erden Aki,Ozlem, AU - Derle,Eda, AU - Karagol,Arda, AU - Turkyilmaz,Canan, AU - Taskintuna,Nilgun, Y1 - 2014/01/27/ PY - 2013/11/19/entrez PY - 2013/11/19/pubmed PY - 2014/10/7/medline SP - 52 EP - 7 JF - International journal of psychiatry in clinical practice JO - Int J Psychiatry Clin Pract VL - 18 IS - 1 N2 - OBJECTIVE: Delirium is frequently observed, but generally under recognized in elderly hospitalized patients. The aims of this study were to determine the prevalence of delirium in elderly patients hospitalized at a university hospital, and to determine the recognition rate by hospital staff during hospitalization. METHODS: The study included 108 consecutive patients aged ≥ 65 years that were hospitalized in the medical and surgical inpatient departments at Başkent University Hospital, Ankara, Turkey. All the patients were evaluated using the Mini Mental State Examination (MMSE) upon admission and Confusion Assessment Method (CAM) on a daily basis during hospitalization. Written documents and consultation requests from psychiatry and/or neurology departments were reviewed for recognition of delirium by hospital staff. RESULTS: Among the 108 patients in the study, delirium was noted in 18 (16.7%) during their hospital stay. Consultation from psychiatry or neurology departments was requested for 5 of the 18 patients, only 1 with a delirium diagnosis, indicating that 17 of the cases (94.4%) were not recognized by their primary physicians. CONCLUSIONS: The delirium non-recognition rate in elderly hospitalized patients was very high. We think that hospital staff must be trained to recognize the symptoms of delirium and identify high-risk patients. SN - 1471-1788 UR - https://www.unboundmedicine.com/medline/citation/24236908/The_prevalence_and_recognition_rate_of_delirium_in_hospitalized_elderly_patients_in_Turkey_ L2 - http://www.tandfonline.com/doi/full/10.3109/13651501.2013.865754 DB - PRIME DP - Unbound Medicine ER -