Subdiagnóstico de delirium en adultos mayores hospitalizados
| Autor: | Carmen Lagos D, Domingo Arriagada M, Trinidad Hoyl M, Pedro Paulo Marín L, Pamela Chávez B, Eduardo Valenzuela A, Jaime Hidalgo A, Marcela Carrasco G, Cristóbal Longton B |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Pediatrics medicine.drug_class business.industry Medical record Psychological intervention Delirium Apache II score General Medicine Hospitalized behavioral disciplines and activities nervous system diseases Older patients Sedative Hospital admission Assessment methods mental disorders medicine medicine.symptom Frailelderly business Psychiatry Aged |
| Zdroj: | Revista médica de Chile v.133 n.12 2005 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Background: Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost. Aim: To evaluate the prevalence of delirium at hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium. Patients and methods: In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary. Results: One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6±5, were evaluated. Fifty seven patients (53%) had delirium (32% hyperactive, 72% hypoactive and 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger, p |
| Databáze: | OpenAIRE |
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