Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia

Carlos Gomez Restrepo; Gabriel Fernando Oviedo Lugo; Paola Andrea Garcia Martinez; Alejandra López; Roberto Chavarría; Catalina Pineda Betancur; Natalia García Gil; María Natalia Duarte Ariza; Carlos Javier Rincon Rodriguez; Juan Agustín Patiño-Trejos; Juan Sebastián Insignares

doi:10.1016/j.jpsychores.2019.03.151

Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia

Carlos Gomez Restrepo, Gabriel Fernando Oviedo Lugo, Paola Andrea Garcia Martinez, Alejandra López, Roberto Chavarría, Catalina Pineda Betancur, Natalia García Gil, María Natalia Duarte Ariza, Carlos Javier Rincon Rodriguez, Juan Agustín Patiño-Trejos, Juan Sebastián Insignares

Research output: Contribution to journal › Conference article › peer-review

Abstract

Aim
To evaluate the incidence of delirium in the St. Ignatius University Hospital (Bogotá Colombia) in 2018.

Methods
A prospective cohort study was conducted to identify the incidence of delirium in hospitalized patients from 5 services of the San Ignatius University Hospital between January 1 and June 30, 2018. We evaluated 531 patients, older than 18 years, who entered the hospital through the units of internal medicine, geriatrics, intensive care, general surgery and orthopedics. The CAM scales were applied during the clinical evaluation of each patient. The CAM-ICU scale was applied to those patients who had decreased communication abilities, as well as the RASS to typify those patients with a positive CAM scale. The research group did the collection of data in the defined period and each patient was assessed at admission and every two days until discharge. In case of identifying delirium, the follow-up was performed every 12 h.

Results
We found a total of 12% incidence in the sample. The units with the highest incidence were: Geriatrics (32%) RR 8,10 (CI 95% 2.95–22.24) ICU (16%) RR 3.98 (CI 95% 1.37–11.58).

Conclusion
Delirious patients in our sample who remained in the ICU and the geriatrics unit for a prolonged period showed greater comorbidities with mixed delirium being the most prevalent motor subtype.

Original language	English
Article number	225
Pages (from-to)	150
Number of pages	1
Journal	Journal of Psychosomatic Research
Volume	121
DOIs	https://doi.org/10.1016/j.jpsychores.2019.03.151
State	Published - Jun 2019
Event	Annual scientific conference of the European Association of Psychosomatic Medicine - Róterdam, Netherlands Duration: 19 Jun 2019 → 22 Jun 2019 Conference number: 7 https://www.eapm.eu.com/eapm-conference-rotterdam-2019/

Keywords

Delirium
Adult patient
Colombia
Abstracts

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10.1016/j.jpsychores.2019.03.151

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Gomez Restrepo, C., Oviedo Lugo, G. F., Garcia Martinez, P. A., López, A., Chavarría, R., Pineda Betancur, C., García Gil, N., Duarte Ariza, M. N., Rincon Rodriguez, C. J., Patiño-Trejos, J. A., & Insignares, J. S. (2019). Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia. Journal of Psychosomatic Research, 121, 150. Article 225. https://doi.org/10.1016/j.jpsychores.2019.03.151

@article{76b205ec70b14b17a4cd66db95da4ba3,

title = "Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia",

abstract = "AimTo evaluate the incidence of delirium in the St. Ignatius University Hospital (Bogot{\'a} Colombia) in 2018.MethodsA prospective cohort study was conducted to identify the incidence of delirium in hospitalized patients from 5 services of the San Ignatius University Hospital between January 1 and June 30, 2018. We evaluated 531 patients, older than 18 years, who entered the hospital through the units of internal medicine, geriatrics, intensive care, general surgery and orthopedics. The CAM scales were applied during the clinical evaluation of each patient. The CAM-ICU scale was applied to those patients who had decreased communication abilities, as well as the RASS to typify those patients with a positive CAM scale. The research group did the collection of data in the defined period and each patient was assessed at admission and every two days until discharge. In case of identifying delirium, the follow-up was performed every 12 h.ResultsWe found a total of 12% incidence in the sample. The units with the highest incidence were: Geriatrics (32%) RR 8,10 (CI 95% 2.95–22.24) ICU (16%) RR 3.98 (CI 95% 1.37–11.58).ConclusionDelirious patients in our sample who remained in the ICU and the geriatrics unit for a prolonged period showed greater comorbidities with mixed delirium being the most prevalent motor subtype.",

keywords = "Delirium, Adult patient, Colombia, Abstracts",

author = "{Gomez Restrepo}, Carlos and {Oviedo Lugo}, {Gabriel Fernando} and {Garcia Martinez}, {Paola Andrea} and Alejandra L{\'o}pez and Roberto Chavarr{\'i}a and {Pineda Betancur}, Catalina and {Garc{\'i}a Gil}, Natalia and {Duarte Ariza}, {Mar{\'i}a Natalia} and {Rincon Rodriguez}, {Carlos Javier} and Pati{\~n}o-Trejos, {Juan Agust{\'i}n} and Insignares, {Juan Sebasti{\'a}n}",

year = "2019",

month = jun,

doi = "10.1016/j.jpsychores.2019.03.151",

language = "English",

volume = "121",

pages = "150",

journal = "Journal of Psychosomatic Research",

issn = "0022-3999",

note = "Annual scientific conference of the European Association of Psychosomatic Medicine, EAPM ; Conference date: 19-06-2019 Through 22-06-2019",

url = "https://www.eapm.eu.com/eapm-conference-rotterdam-2019/",

}

Gomez Restrepo, C , Oviedo Lugo, GF , Garcia Martinez, PA, López, A, Chavarría, R, Pineda Betancur, C, García Gil, N, Duarte Ariza, MN, Rincon Rodriguez, CJ, Patiño-Trejos, JA & Insignares, JS 2019, 'Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia', Journal of Psychosomatic Research, vol. 121, 225, pp. 150. https://doi.org/10.1016/j.jpsychores.2019.03.151

TY - JOUR

T1 - Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia

AU - Gomez Restrepo, Carlos

AU - Oviedo Lugo, Gabriel Fernando

AU - Garcia Martinez, Paola Andrea

AU - López, Alejandra

AU - Chavarría, Roberto

AU - Pineda Betancur, Catalina

AU - García Gil, Natalia

AU - Duarte Ariza, María Natalia

AU - Rincon Rodriguez, Carlos Javier

AU - Patiño-Trejos, Juan Agustín

AU - Insignares, Juan Sebastián

N1 - Conference code: 7

PY - 2019/6

Y1 - 2019/6

N2 - AimTo evaluate the incidence of delirium in the St. Ignatius University Hospital (Bogotá Colombia) in 2018.MethodsA prospective cohort study was conducted to identify the incidence of delirium in hospitalized patients from 5 services of the San Ignatius University Hospital between January 1 and June 30, 2018. We evaluated 531 patients, older than 18 years, who entered the hospital through the units of internal medicine, geriatrics, intensive care, general surgery and orthopedics. The CAM scales were applied during the clinical evaluation of each patient. The CAM-ICU scale was applied to those patients who had decreased communication abilities, as well as the RASS to typify those patients with a positive CAM scale. The research group did the collection of data in the defined period and each patient was assessed at admission and every two days until discharge. In case of identifying delirium, the follow-up was performed every 12 h.ResultsWe found a total of 12% incidence in the sample. The units with the highest incidence were: Geriatrics (32%) RR 8,10 (CI 95% 2.95–22.24) ICU (16%) RR 3.98 (CI 95% 1.37–11.58).ConclusionDelirious patients in our sample who remained in the ICU and the geriatrics unit for a prolonged period showed greater comorbidities with mixed delirium being the most prevalent motor subtype.

AB - AimTo evaluate the incidence of delirium in the St. Ignatius University Hospital (Bogotá Colombia) in 2018.MethodsA prospective cohort study was conducted to identify the incidence of delirium in hospitalized patients from 5 services of the San Ignatius University Hospital between January 1 and June 30, 2018. We evaluated 531 patients, older than 18 years, who entered the hospital through the units of internal medicine, geriatrics, intensive care, general surgery and orthopedics. The CAM scales were applied during the clinical evaluation of each patient. The CAM-ICU scale was applied to those patients who had decreased communication abilities, as well as the RASS to typify those patients with a positive CAM scale. The research group did the collection of data in the defined period and each patient was assessed at admission and every two days until discharge. In case of identifying delirium, the follow-up was performed every 12 h.ResultsWe found a total of 12% incidence in the sample. The units with the highest incidence were: Geriatrics (32%) RR 8,10 (CI 95% 2.95–22.24) ICU (16%) RR 3.98 (CI 95% 1.37–11.58).ConclusionDelirious patients in our sample who remained in the ICU and the geriatrics unit for a prolonged period showed greater comorbidities with mixed delirium being the most prevalent motor subtype.

KW - Delirium

KW - Adult patient

KW - Colombia

KW - Abstracts

U2 - 10.1016/j.jpsychores.2019.03.151

DO - 10.1016/j.jpsychores.2019.03.151

M3 - Conference article

SN - 0022-3999

VL - 121

SP - 150

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

M1 - 225

T2 - Annual scientific conference of the European Association of Psychosomatic Medicine

Y2 - 19 June 2019 through 22 June 2019

ER -

Incidence of confusional syndrome (delirium) in adult patients hospitalized at a university hospital in Bogota Colombia

Abstract

Keywords

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