[Delirium in nursing homes. Prevalence and risk factors].
| Autor: | Gutiérrez Rodríguez J; Área de Gestión Clínica de Geriatría, Hospital Monte Naranco, Oviedo, Asturias, España. pepe.gutierrez@telefonica.net, Rodríguez Piñera M, Ortiz Cachero E, González Alonso A, Pérez Guillén P, Jiménez Muela FL, Alonso Collada A, Solano Jaurrieta JJ |
|---|---|
| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2013 Jul-Aug; Vol. 48 (4), pp. 177-9. Date of Electronic Publication: 2013 Mar 26. |
| DOI: | 10.1016/j.regg.2012.10.005 |
| Abstrakt: | Objectives: To study the prevalence of delirium in the residential environment and to analyse the associated clinical, functional and mental factors. Material and Methods: A cross-sectional epidemic study was conducted on a population of elderly persons institutionalised in 2011 in 6 nursing homes in Asturias. Socio-demographic, clinical, functional (Barthel Index [BI]) and mental (Mini-Mental State Examination [MMSE]) variables were collected. Delirium was defined by the Confusion Assessment Method. Results: A total of 505 elderly were included in the study (age 83.30 ± 7.33 years, with 67.70% women), and scores on the MMSE of 17.19 ± 10.35 and a BI score of 55.11 ± 35.82. The prevalence of delirium was 11.70%. On examining the risk of delirium among the studied variables, there was statistical significance when considering: BI, MMSE, dementia, pressure ulcers, or urinary catheter, and the prescribing of clomethiazole, ACTH-I or trazodone. In the analysis of the variables in the logistic regression with BI, diagnosis of dementia, the prescribing of clomethiazole or trazodone, in the equation, there was a statistical significance associated with delirium. Conclusions: The prevalence of delirium in a residential environment in our study population was 11.7%. The results show that BI, diagnosis of dementia, and prescribing of clomethiazole or trazodone were associated with risk of delirium in institutionalised patients. (Copyright © 2012 SEGG. Published by Elsevier Espana. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|