Prevalence and management of delirium in community dwelling older people with dementia referred to a memory clinic.

Aging Clinical and Experimental Research
Barbara ManniAlessandro Morandi

Abstract

Our aim was to measure the prevalence of delirium, its clinical features, and outcomes in older patients referred to a memory clinic. A retrospective cohort study of 109 older outpatients with delirium referred to a memory clinic with a home care service. Delirium was diagnosed using the confusion assessment method and dementia with the DSM-5 criteria. We collected information on cognitive and functional status, mortality, institutionalization, and hospitalization during 6 months following the delirium episode. Delirium prevalence was 3.6%, mostly of hyperactive type. Delirium worsened functional (ADL 2.95 ± 1.95 vs. 2.16 ± 1.84) and cognitive (MMSE 13.88 ± 8.96 vs.11.0 ± 9.49) status after 6 months compared to the baseline. The mortality rate was 29.4%, and 28.3% were admitted to a long-term facility after the episode of delirium. Of these patients, more than half were hospitalized during the follow-up. Of the 109 patients with delirium, 85 were managed at home and 24 were hospitalized. Patients who were hospitalized had more severe behavioral symptoms during the delirium episode. There was no difference in mortality and institutionalization according to the home or hospital management. This retrospective cohort study adds nov...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Jun 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·C P HughesR L Martin
Feb 1, 1995·Journal of the American Geriatrics Society·P A ParmeleeM P Lawton
Mar 1, 1997·Alzheimer Disease and Associated Disorders·A J LernerR P Friedland
Dec 1, 2001·Archives of Internal Medicine·S K InouyeL M Cooney
Mar 27, 2003·Journal of the American Geriatrics Society·Ritsuko KakumaChristina Wolfson
Jun 18, 2010·Age and Ageing·Eamonn M P EelesAntony J Bayer
Apr 1, 2011·Journal of the American Medical Directors Association·Giuseppe BellelliMarco Trabucchi
Nov 30, 2011·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Eeva HölttäKaisu H Pitkälä
Apr 20, 2012·International Journal of Geriatric Psychiatry·E de LangeK van der Meer
Aug 11, 2012·Brain : a Journal of Neurology·Daniel H J DavisCarol Brayne
Dec 21, 2012·International Psychogeriatrics·Philippe LandrevillePierre-Hugues Carmichael
Jul 23, 2013·International Psychogeriatrics·N HasegawaM Ikeda
Sep 3, 2013·Lancet·Sharon K InouyeJane S Saczynski
Feb 26, 2014·Journal of the American Medical Directors Association·Alessandro MorandiGiuseppe Bellelli
Aug 19, 2015·Journal of Psychosomatic Research·Alessandro MorandiGiuseppe Bellelli
Jun 28, 2016·Journal of the American Medical Directors Association·Alessandro MorandiGiuseppe Bellelli
Oct 19, 2016·Journal of the American Medical Directors Association·Alessandro MorandiJames L Rudolph
Jul 26, 2017·Internal and Emergency Medicine·Giuseppe BellelliFrancesco Perticone
Nov 25, 2017·Journal of Alzheimer's Disease : JAD·Desirée AddesiAmalia Cecilia Bruni
Jul 10, 2018·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Alessandro MorandiUNKNOWN Italian Study Group on Delirium (ISGoD)
Oct 16, 2018·International Psychogeriatrics·Neus GualAlessandro Morandi
Apr 13, 2019·Aging Clinical and Experimental Research·Eleonora GrossiAlessandro Morandi
Oct 13, 2019·Journal of the American Geriatrics Society·Tamara G FongSharon K Inouye
Nov 27, 2019·Aging Clinical and Experimental Research·Christian PozziAlessandro Morandi
Jan 12, 2020·Australasian Journal on Ageing·June ChiaStephanie Yerkovich
Apr 17, 2020·European Geriatric Medicine·Christian PozziMaud J L Graff

❮ Previous
Next ❯

Citations

Feb 20, 2021·Aging Clinical and Experimental Research·Lucio TremolizzoIldebrando Appollonio

❮ Previous
Next ❯

Related Concepts

Related Feeds

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.

Related Papers

JAMA : the Journal of the American Medical Association
Donovan McAbee
Air Medical Journal
David J Dries
Journal of Neurology, Neurosurgery, and Psychiatry
D Taylor, S Lewis
International Psychogeriatrics
A S Henderson
Geriatric Nursing
G E Gomez, E A Gomez
© 2021 Meta ULC. All rights reserved