Delirium in hospitalized elderly patients and post-discharge mortality
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/18380 |
Resumo: | OBJECTIVE: To determine the impact of delirium on post-discharge mortality in hospitalized older patients. INTRODUCTION: Delirium is frequent in hospitalized older patients and correlates with high hospital mortality. There are only a few studies about its impact on post-discharge mortality. METHODS: This is a prospective study of patients over 60 years old who were hospitalized in the Geriatric Unit at Hospital das Clínicas of São Paulo between May 2006 and March 2007. Upon admission, demographics, comorbidities, number of drugs taken, and serum albumin concentration were evaluated for each patient. Delirium was diagnosed according to the DSM-IV criteria. Patients were divided into group A (with delirium) and group B (without delirium). One year after discharge, the patients or their caregivers were contacted to assess days of survival. RESULTS: The sample included 199 patients, 66 (33%) of whom developed delirium (Group A). After one year, 33 (50%) group A patients had died, and 45 (33.8%) group B patients had died (p = 0.03). There was a significant statistical difference in average age (p = 0.001) and immobility (p ; 80 years (p = 0.029), albumin concentration < 3.5 g/dl (p = 0.001) and immobility (p = 0.007). CONCLUSION: Delirium is associated with higher post-discharge mortality as a dependent predictor. |
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Delirium in hospitalized elderly patients and post-discharge mortality DeliriumPost-discharge mortalityElderlyPost dischargeSurvival OBJECTIVE: To determine the impact of delirium on post-discharge mortality in hospitalized older patients. INTRODUCTION: Delirium is frequent in hospitalized older patients and correlates with high hospital mortality. There are only a few studies about its impact on post-discharge mortality. METHODS: This is a prospective study of patients over 60 years old who were hospitalized in the Geriatric Unit at Hospital das Clínicas of São Paulo between May 2006 and March 2007. Upon admission, demographics, comorbidities, number of drugs taken, and serum albumin concentration were evaluated for each patient. Delirium was diagnosed according to the DSM-IV criteria. Patients were divided into group A (with delirium) and group B (without delirium). One year after discharge, the patients or their caregivers were contacted to assess days of survival. RESULTS: The sample included 199 patients, 66 (33%) of whom developed delirium (Group A). After one year, 33 (50%) group A patients had died, and 45 (33.8%) group B patients had died (p = 0.03). There was a significant statistical difference in average age (p = 0.001) and immobility (p ; 80 years (p = 0.029), albumin concentration < 3.5 g/dl (p = 0.001) and immobility (p = 0.007). CONCLUSION: Delirium is associated with higher post-discharge mortality as a dependent predictor. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2010-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1838010.1590/S1807-59322010000300003Clinics; Vol. 65 No. 3 (2010); 251-255 Clinics; v. 65 n. 3 (2010); 251-255 Clinics; Vol. 65 Núm. 3 (2010); 251-255 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/18380/20443Lima, Danielle PessoaOchiai, Marcelo EidiLima, Alexandre BastosCuriati, Jose A. E.Farfel, Jose M.Jacob Filho, Wilsoninfo:eu-repo/semantics/openAccess2012-05-23T11:18:39Zoai:revistas.usp.br:article/18380Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T11:18:39Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Delirium in hospitalized elderly patients and post-discharge mortality |
title |
Delirium in hospitalized elderly patients and post-discharge mortality |
spellingShingle |
Delirium in hospitalized elderly patients and post-discharge mortality Lima, Danielle Pessoa Delirium Post-discharge mortality Elderly Post discharge Survival |
title_short |
Delirium in hospitalized elderly patients and post-discharge mortality |
title_full |
Delirium in hospitalized elderly patients and post-discharge mortality |
title_fullStr |
Delirium in hospitalized elderly patients and post-discharge mortality |
title_full_unstemmed |
Delirium in hospitalized elderly patients and post-discharge mortality |
title_sort |
Delirium in hospitalized elderly patients and post-discharge mortality |
author |
Lima, Danielle Pessoa |
author_facet |
Lima, Danielle Pessoa Ochiai, Marcelo Eidi Lima, Alexandre Bastos Curiati, Jose A. E. Farfel, Jose M. Jacob Filho, Wilson |
author_role |
author |
author2 |
Ochiai, Marcelo Eidi Lima, Alexandre Bastos Curiati, Jose A. E. Farfel, Jose M. Jacob Filho, Wilson |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lima, Danielle Pessoa Ochiai, Marcelo Eidi Lima, Alexandre Bastos Curiati, Jose A. E. Farfel, Jose M. Jacob Filho, Wilson |
dc.subject.por.fl_str_mv |
Delirium Post-discharge mortality Elderly Post discharge Survival |
topic |
Delirium Post-discharge mortality Elderly Post discharge Survival |
description |
OBJECTIVE: To determine the impact of delirium on post-discharge mortality in hospitalized older patients. INTRODUCTION: Delirium is frequent in hospitalized older patients and correlates with high hospital mortality. There are only a few studies about its impact on post-discharge mortality. METHODS: This is a prospective study of patients over 60 years old who were hospitalized in the Geriatric Unit at Hospital das Clínicas of São Paulo between May 2006 and March 2007. Upon admission, demographics, comorbidities, number of drugs taken, and serum albumin concentration were evaluated for each patient. Delirium was diagnosed according to the DSM-IV criteria. Patients were divided into group A (with delirium) and group B (without delirium). One year after discharge, the patients or their caregivers were contacted to assess days of survival. RESULTS: The sample included 199 patients, 66 (33%) of whom developed delirium (Group A). After one year, 33 (50%) group A patients had died, and 45 (33.8%) group B patients had died (p = 0.03). There was a significant statistical difference in average age (p = 0.001) and immobility (p ; 80 years (p = 0.029), albumin concentration < 3.5 g/dl (p = 0.001) and immobility (p = 0.007). CONCLUSION: Delirium is associated with higher post-discharge mortality as a dependent predictor. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/18380 10.1590/S1807-59322010000300003 |
url |
https://www.revistas.usp.br/clinics/article/view/18380 |
identifier_str_mv |
10.1590/S1807-59322010000300003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/18380/20443 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 65 No. 3 (2010); 251-255 Clinics; v. 65 n. 3 (2010); 251-255 Clinics; Vol. 65 Núm. 3 (2010); 251-255 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222755241590784 |