| Autor: |
Carrasco, Marcela, Accatino-Scagliotti, Luigi, Calderón, Jorge, Villarroel, Luis, Marín, Pedro Paulo, González, Matías |
| Jazyk: |
Spanish; Castilian |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
Revista médica de Chile, Volume: 140, Issue: 7, Pages: 847-852, Published: JUL 2012 |
| Popis: |
Background:Delirium is an important problem in older medical inpatients. Aim: To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period. Material and Methods: Prospective cohort study of consecutive patients 65 years and older, admitted to a general hospital medical ward. A psychogeriatric team assessed patients every 48 h using the Confusion Assessment Method (CAM), functionality, acute severity and comorbidity scores. Analysis of one year mortality and telephone functional assessment was performed. Results: Five hundred forty two patients were enrolled and 35.4% had delirium. After one year, mortality was 34.9 and 13% in delirium and non-delirium cohorts, respectively (p < 0.01). After adjustment for covariates, delirium was independently associated with higher mortality, and higher functional decline and institutionalization. No significant differences were seen in readmission rates. Conclusions: Delirium was significantly associated with higher mortality and functional decline over a one year follow up period in geriatric inpatients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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