Predisposing and precipitating factors for delirium in community-dwelling older adults admitted to hospital with this condition: A prospective case series

PloS One
Emmanuelle MagnyCarmelo Lafuente-Lafuente

Abstract

Factors associated with delirium among community-dwelling older adults have been poorly studied. Our aim was to describe the prevalence of predisposing and precipitating factors for delirium among patients admitted for delirium and to assess whether these factors were appropriately recognized at the first patient assessment at hospital. Consecutive community-dwelling individuals admitted to three geriatric acute care units with a confirmed initial diagnosis of delirium were prospectively included. An independent investigator recorded, using a predefined form, any acute medical condition considered by the attending geriatrician to be a precipitating factor, at the first patient assessment and at the end of his stay in acute care. A total of 208 patients were included, 80.0% had a pre-existing cognitive or neurological disorder, or both. The most frequent precipitating factor found were infections (49.0% of all patients, mainly lung and urinary tract infections), followed by drugs (30.8%), dehydration (26.4%) and electrolytic disturbances (18.7%, mostly hyponatremia). 91% of patients had a cerebral imagery, but acute neurological conditions were found in only 18.3%. Fewer precipitating factors were found at first than at final as...Continue Reading

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Citations

Sep 3, 2019·Frontiers in Neurology·Şefik Evren Erdener, Turgay Dalkara
Jul 20, 2019·Journal of Alzheimer's Disease : JAD·Pilar Pérez-RosFrancisco Tarazona-Santabalbina
Sep 19, 2020·Aging Clinical and Experimental Research·Andrea TicinesiTiziana Meschi
Dec 19, 2018·Gerontology & Geriatric Medicine·Andrzej LewandowiczPaweł Piątkiewicz
Dec 1, 2019·BMC Geriatrics·Alex SmithsonMaria Teresa Bastida
Oct 9, 2018·European Geriatric Medicine·Zyta B Wojszel, Małgorzata Toczyńska-Silkiewicz
Apr 17, 2020·European Geriatric Medicine·N GualM Inzitari
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Jan 12, 2021·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Harue GotoToshifumi Kishimoto
Aug 24, 2021·Revista da Escola de Enfermagem da U S P·Brunna Rodrigues de LimaValéria Pagotto
Jan 11, 2022·Anaesthesia·L White, T Jackson

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Software Mentioned

STATA
Confusion Assessment Method ( CAM )

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