Association between delirium resolution and functional recovery among newly admitted postacute facility patients

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Dan K KielyEdward R Marcantonio

Abstract

Delirium is common among hospitalized elders and may persist for months. The adverse impact of delirium on independence may increasingly occur in the postacute care (PAC) setting. The purpose of this study is to examine the association between delirium resolution and functional recovery in skilled nursing facilities specializing in PAC. Patients were screened for delirium on admission after an acute hospitalization at PAC facilities. Only patients with "Confusion Assessment Method"-defined delirium were enrolled. Delirium and activities of daily living were assessed prehospital, at PAC admission, and at four (2-week, and 1-, 3-, and 6-month) follow-up assessments to measure functional ability. Four distinct delirium resolution groups were created ranging from resolution within 2 weeks without recurrence to no resolution over 6 months. Repeated-measures analysis of covariance was used to determine if functional performance differed over time by delirium resolution status. Among the 393 PAC patients, functional recovery differed significantly (p <.0001) by delirium resolution status. Patients who resolved their delirium by 2 weeks without recurrence regained 100% of their prehospital functional level, whereas patients who never r...Continue Reading

References

Jan 1, 1992·Journal of Geriatric Psychiatry and Neurology·M S AlbertJ W Rowe
Jun 1, 1992·Journal of the American Geriatrics Society·J Francis, W N Kapoor
Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Jul 1, 1968·The British Journal of Psychiatry : the Journal of Mental Science·G BlessedM Roth
Sep 1, 1993·Journal of Gerontology·A M MurrayD A Evans
Jan 1, 1993·The Journal of Neuropsychiatry and Clinical Neurosciences·B LiptzinJ C Johnson
Feb 1, 1997·Journal of the American Geriatrics Society·S O'Keeffe, J Lavan
Mar 1, 1997·Journal of Pain and Symptom Management·W BreitbartS Passik
Jun 13, 1998·Journal of General Internal Medicine·S K InouyeP Pompei
Jan 23, 1999·Journal of Geriatric Psychiatry and Neurology·S K Inouye
Jun 16, 2000·Journal of the American Geriatrics Society·E R MarcantonioN M Resnick
Dec 1, 2001·Archives of Internal Medicine·S K InouyeL M Cooney
Jan 22, 2003·Journal of the American Geriatrics Society·Edward R MarcantonioJohn N Morris
May 6, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Dan K KielyEdward R Marcantonio
Sep 3, 2003·Journal of General Internal Medicine·Jane McCuskerEric Belzile
Sep 21, 1963·JAMA : the Journal of the American Medical Association·S KATZM W JAFFE
Apr 9, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Dan K KielyEdward R Marcantonio
Jun 7, 2005·Journal of the American Geriatrics Society·Edward R MarcantonioMargaret A Bergmann

❮ Previous
Next ❯

Citations

Jul 4, 2007·Aging Clinical and Experimental Research·Lynn McNicoll, Richard W Besdine
Jan 20, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Richard N JonesSharon K Inouye
Feb 16, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Salvatore SpecialeMarco Trabucchi
Mar 7, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Dan K KielyEdward R Marcantonio
May 25, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Luigi Ferrucci
Aug 12, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Tammy T HshiehSharon K Inouye
Apr 9, 2011·Anesthesia and Analgesia·James L Rudolph, Edward R Marcantonio
Aug 20, 2014·International Psychogeriatrics·G BellelliUNKNOWN AIP delirium study group
Nov 19, 2014·Journal of the American Medical Directors Association·Barbara J Messinger-RapportJohn E Morley
Oct 1, 2013·Journal of the American Medical Directors Association·Steven A Levenson
Aug 6, 2013·Journal of the American Medical Directors Association·Joseph H Flaherty, John E Morley
Sep 25, 2012·Journal of the American Medical Directors Association·Eva M SchmittUNKNOWN SAGES Study Group
May 5, 2012·Archives of Physical Medicine and Rehabilitation·Wen DombrowskiChaim Y Tarshish
Mar 13, 2012·Critical Care Nursing Clinics of North America·Cheryl HollyYuri Jadotte
Aug 2, 2011·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Susan K DeCraneJacqueline M Leung
Jun 6, 2009·Journal of the American Medical Directors Association·Alessandro MorandiJohn Schnelle
Nov 9, 2010·Research in Gerontological Nursing·Ann M KolanowskiMark Litaker
Feb 26, 2008·Journal of the American Medical Directors Association·Eamonn Eeles, Kenneth Rockwood
Feb 14, 2008·Journal of Nursing Management·Irene Schofield
Jan 28, 2009·Journal of the American Geriatrics Society·Dan K KielyRichard N Jones
Apr 21, 2012·International Journal of Geriatric Psychiatry·Martin G ColeEric Belzile
Apr 5, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Laura Bee Gek TayMei Sian Chong
Dec 29, 2011·Journal of the American Geriatrics Society·James L RudolphUNKNOWN American Delirium Society
Dec 7, 2011·Journal of the American Geriatrics Society·Nicky QuinlanJames L Rudolph
Jul 29, 2015·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sarinnapha M VasunilashornEdward R Marcantonio
Feb 26, 2014·Journal of the American Medical Directors Association·Alessandro MorandiGiuseppe Bellelli
Dec 9, 2014·Journal of the American Geriatrics Society·Marie BoltzJames Galvin
Jun 25, 2015·Neurodegenerative Disease Management·Marie BoltzJames E Galvin
Jan 6, 2015·Aging Clinical and Experimental Research·Stefano AlibertiAlberto Pesci
Sep 6, 2014·Palliative & Supportive Care·Soenke BoettgerWilliam Breitbart
Dec 19, 2014·International Psychogeriatrics·Monidipa Dasgupta, Chris Brymer
Feb 11, 2015·Journal of the American Medical Directors Association·Andrea WysockiVincent Mor
Sep 1, 2016·International Psychogeriatrics·Antonio CiampiEric Belzile
Mar 25, 2017·Journal of the American Geriatrics Society·Cyrus M KosarVincent Mor
Jul 7, 2011·International Psychogeriatrics·Soenke BoettgerWilliam Breitbart
May 4, 2018·International Psychogeriatrics·Antonio CiampiEric Belzile
Nov 24, 2017·Frontiers in Medicine·Giuseppe BellelliMatteo Cesari
Aug 25, 2017·Geriatric Orthopaedic Surgery & Rehabilitation·Elaine BrooksDavid Amirault
Sep 15, 2010·Critical Care Medicine·Yahya ShehabiUNKNOWN SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group
Oct 15, 2013·International Journal of Geriatric Psychiatry·Monidipa Dasgupta, Chris Brymer
Jun 6, 2015·Geriatrics & Gerontology International·Doris Ka Ying MiuChing Kok

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Dan K KielyEdward R Marcantonio
The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Dan K KielyEdward R Marcantonio
Journal of the American Geriatrics Society
Edward R MarcantonioN M Resnick
Journal of the American Geriatrics Society
Edward R MarcantonioMargaret A Bergmann
© 2021 Meta ULC. All rights reserved