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Occurrence and impact of suspected delirium in hospitalized elderly patients.
J Am Osteopath Assoc. 1995 Oct; 95(10):588-91.JA

Abstract

The records of 95 consecutive people older than 65 years and admitted to a community hospital were retrospectively reviewed to determine the prevalence of undiagnosed delirium in hospitalized elderly patients. Chart review focused on identification of patients with documented diagnosed delirium according to Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R) criteria and patients with unrecognized delirium. Unrecognized delirium was considered present when information contained in a patient's chart met some or all criteria for delirium as described in DSM-III-R, but the physician's progress notes failed to indicate delirium as a diagnosed clinical entity. The prevalence of diagnosed delirium was 2%. Thirty-six percent of the patients were suspected of having unrecognized delirium. The mean length of hospital stay and the rate of mortality were significantly higher for patients with suspected delirium than for non-delirious patients. The findings of this study suggest that unrecognized delirium in the hospitalized elderly may occur frequently and is associated with an increased length of hospital stay and increased mortality.

Authors+Show Affiliations

Center for Aging, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, Stratford 08084-1504, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8557547

Citation

Forman, L J., et al. "Occurrence and Impact of Suspected Delirium in Hospitalized Elderly Patients." The Journal of the American Osteopathic Association, vol. 95, no. 10, 1995, pp. 588-91.
Forman LJ, Cavalieri TA, Galski T, et al. Occurrence and impact of suspected delirium in hospitalized elderly patients. J Am Osteopath Assoc. 1995;95(10):588-91.
Forman, L. J., Cavalieri, T. A., Galski, T., Dinsmore, S., Kay, P. A., & Pomerantz, S. (1995). Occurrence and impact of suspected delirium in hospitalized elderly patients. The Journal of the American Osteopathic Association, 95(10), 588-91.
Forman LJ, et al. Occurrence and Impact of Suspected Delirium in Hospitalized Elderly Patients. J Am Osteopath Assoc. 1995;95(10):588-91. PubMed PMID: 8557547.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Occurrence and impact of suspected delirium in hospitalized elderly patients. AU - Forman,L J, AU - Cavalieri,T A, AU - Galski,T, AU - Dinsmore,S, AU - Kay,P A, AU - Pomerantz,S, PY - 1995/10/1/pubmed PY - 1995/10/1/medline PY - 1995/10/1/entrez SP - 588 EP - 91 JF - The Journal of the American Osteopathic Association JO - J Am Osteopath Assoc VL - 95 IS - 10 N2 - The records of 95 consecutive people older than 65 years and admitted to a community hospital were retrospectively reviewed to determine the prevalence of undiagnosed delirium in hospitalized elderly patients. Chart review focused on identification of patients with documented diagnosed delirium according to Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R) criteria and patients with unrecognized delirium. Unrecognized delirium was considered present when information contained in a patient's chart met some or all criteria for delirium as described in DSM-III-R, but the physician's progress notes failed to indicate delirium as a diagnosed clinical entity. The prevalence of diagnosed delirium was 2%. Thirty-six percent of the patients were suspected of having unrecognized delirium. The mean length of hospital stay and the rate of mortality were significantly higher for patients with suspected delirium than for non-delirious patients. The findings of this study suggest that unrecognized delirium in the hospitalized elderly may occur frequently and is associated with an increased length of hospital stay and increased mortality. SN - 0098-6151 UR - https://www.unboundmedicine.com/medline/citation/8557547/Occurrence_and_impact_of_suspected_delirium_in_hospitalized_elderly_patients_ L2 - http://jaoa.org/article.aspx?volume=95&page=588 DB - PRIME DP - Unbound Medicine ER -