Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality
Main Author: | |
---|---|
Publication Date: | 2021 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | Revista da Escola de Enfermagem da USP (Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100504 |
Summary: | ABSTRACT Objective: To identify the incidence, risk factors for delirium, and its association with death in the elderly hospitalized with fractures. Method: Prospective cohort, with a one-year follow-up of elderly people with clinical or radiological diagnosis of fracture, from an emergency and trauma hospital in the state of Goiás. The outcome delirium was defined by the medical description in the medical record. The predictor variables were demographic, health conditions, and hospitalization complications. A hierarchical multiple analysis was performed using robust Poisson regression, with Relative Risk as a measure of effect. Results: A total of 376 elderly patients were included. The incidence of delirium was 12.8% (n = 48). Risk factors were male gender, age ≥80 years, dementia, heart disease, osteoporosis, chronic obstructive pulmonary disease, high-energy traumas, pneumonia, urinary tract infection, and surgery. The risk of death in the sample was 1.97 times higher (HR: 1.97 95% CI 1.19–3.25) in elderly people with delirium. Conclusion: Delirium had an intermediate incidence (12.8%); the risk of death in this group was about 2 times higher in one year after hospital admission. Demographic factors, past history of diseases, surgery, and complications have increased the risk and require monitoring during hospitalization of elderly people with fractures. |
id |
USP-24_1ea0a19281577fc6549b69be8c40b340 |
---|---|
oai_identifier_str |
oai:scielo:S0080-62342021000100504 |
network_acronym_str |
USP-24 |
network_name_str |
Revista da Escola de Enfermagem da USP (Online) |
repository_id_str |
|
spelling |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortalityAgedFractures, BoneHospitalizationDeliriumMortalityGeriatric NursingABSTRACT Objective: To identify the incidence, risk factors for delirium, and its association with death in the elderly hospitalized with fractures. Method: Prospective cohort, with a one-year follow-up of elderly people with clinical or radiological diagnosis of fracture, from an emergency and trauma hospital in the state of Goiás. The outcome delirium was defined by the medical description in the medical record. The predictor variables were demographic, health conditions, and hospitalization complications. A hierarchical multiple analysis was performed using robust Poisson regression, with Relative Risk as a measure of effect. Results: A total of 376 elderly patients were included. The incidence of delirium was 12.8% (n = 48). Risk factors were male gender, age ≥80 years, dementia, heart disease, osteoporosis, chronic obstructive pulmonary disease, high-energy traumas, pneumonia, urinary tract infection, and surgery. The risk of death in the sample was 1.97 times higher (HR: 1.97 95% CI 1.19–3.25) in elderly people with delirium. Conclusion: Delirium had an intermediate incidence (12.8%); the risk of death in this group was about 2 times higher in one year after hospital admission. Demographic factors, past history of diseases, surgery, and complications have increased the risk and require monitoring during hospitalization of elderly people with fractures.Universidade de São Paulo, Escola de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100504Revista da Escola de Enfermagem da USP v.55 2021reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2020-0467info:eu-repo/semantics/openAccessLima,Brunna Rodrigues deNunes,Brenda Kelly GonçalvesGuimarães,Lara Cristina da CunhaAlmeida,Lucenda Fellipe dePagotto,Valériaeng2021-08-17T00:00:00Zoai:scielo:S0080-62342021000100504Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2021-08-17T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
title |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
spellingShingle |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality Lima,Brunna Rodrigues de Aged Fractures, Bone Hospitalization Delirium Mortality Geriatric Nursing |
title_short |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
title_full |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
title_fullStr |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
title_full_unstemmed |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
title_sort |
Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality |
author |
Lima,Brunna Rodrigues de |
author_facet |
Lima,Brunna Rodrigues de Nunes,Brenda Kelly Gonçalves Guimarães,Lara Cristina da Cunha Almeida,Lucenda Fellipe de Pagotto,Valéria |
author_role |
author |
author2 |
Nunes,Brenda Kelly Gonçalves Guimarães,Lara Cristina da Cunha Almeida,Lucenda Fellipe de Pagotto,Valéria |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lima,Brunna Rodrigues de Nunes,Brenda Kelly Gonçalves Guimarães,Lara Cristina da Cunha Almeida,Lucenda Fellipe de Pagotto,Valéria |
dc.subject.por.fl_str_mv |
Aged Fractures, Bone Hospitalization Delirium Mortality Geriatric Nursing |
topic |
Aged Fractures, Bone Hospitalization Delirium Mortality Geriatric Nursing |
description |
ABSTRACT Objective: To identify the incidence, risk factors for delirium, and its association with death in the elderly hospitalized with fractures. Method: Prospective cohort, with a one-year follow-up of elderly people with clinical or radiological diagnosis of fracture, from an emergency and trauma hospital in the state of Goiás. The outcome delirium was defined by the medical description in the medical record. The predictor variables were demographic, health conditions, and hospitalization complications. A hierarchical multiple analysis was performed using robust Poisson regression, with Relative Risk as a measure of effect. Results: A total of 376 elderly patients were included. The incidence of delirium was 12.8% (n = 48). Risk factors were male gender, age ≥80 years, dementia, heart disease, osteoporosis, chronic obstructive pulmonary disease, high-energy traumas, pneumonia, urinary tract infection, and surgery. The risk of death in the sample was 1.97 times higher (HR: 1.97 95% CI 1.19–3.25) in elderly people with delirium. Conclusion: Delirium had an intermediate incidence (12.8%); the risk of death in this group was about 2 times higher in one year after hospital admission. Demographic factors, past history of diseases, surgery, and complications have increased the risk and require monitoring during hospitalization of elderly people with fractures. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100504 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100504 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-220x-reeusp-2020-0467 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.55 2021 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936541409902592 |