Delirium in Australian Hospitals : A Prospective Study
Joint Authors
Klein, Kerenaftali
Travers, C.
Pachana, N. A.
Gray, L.
Byrne, G. J.
Source
Current Gerontology and Geriatrics Research
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-12
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objectives.
Australian data regarding delirium in older hospitalized patients are limited.
Hence, this study aimed to determine the prevalence and incidence of delirium among older patients admitted to Australian hospitals and assess associated outcomes.
Method.
A prospective observational study (n=493) of patients aged ≥70 years admitted to four Australian hospitals was undertaken.
Trained research nurses completed comprehensive geriatric assessments using standardized instruments including the Confusion Assessment Method to assess for delirium.
Nurses also visited the wards daily to assess for incident delirium and other adverse outcomes.
Diagnoses of dementia and delirium were established through case reviews by independent physicians.
Results.
Overall, 9.7% of patients had delirium at admission and a further 7.6% developed delirium during the hospital stay.
Dementia was the most important predictor of delirium at (OR=3.18, 95% CI: 1.65–6.14) and during the admission (OR=4.82; 95% CI: 2.19–10.62).
Delirium at and during the admission predicted increased in-hospital mortality (OR=5.19, 95% CI: 1.27–21.24; OR=31.07, 95% CI: 9.30–103.78).
Conclusion.
These Australian data confirm that delirium is a common and serious condition among older hospital patients.
Hospital clinicians should maintain a high index of suspicion for delirium in older patients.
American Psychological Association (APA)
Travers, C.& Byrne, G. J.& Pachana, N. A.& Klein, Kerenaftali& Gray, L.. 2013. Delirium in Australian Hospitals : A Prospective Study. Current Gerontology and Geriatrics Research،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-460311
Modern Language Association (MLA)
Travers, C.…[et al.]. Delirium in Australian Hospitals : A Prospective Study. Current Gerontology and Geriatrics Research No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-460311
American Medical Association (AMA)
Travers, C.& Byrne, G. J.& Pachana, N. A.& Klein, Kerenaftali& Gray, L.. Delirium in Australian Hospitals : A Prospective Study. Current Gerontology and Geriatrics Research. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-460311
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-460311