Delirium prevalence in a Colombian hospital, association with geriatric syndromes and complications during hospitalization.

Título traducido de la contribución: Prevalencia de delirium en un hospital de Colombia, asociación con síndromesgeriátricos y complicaciones durante la hospitalización

Andrés Felipe Peralta-Cuervo, Elkin Garcia-Cifuentes, Nicolás Castellanos-Perilla, Diego Andrés Chavarro-Carvajal, Luis Carlos Venegas-Sanabria, Carlos Alberto Cano-Gutiérrez

Producción: Contribución a una revistaArtículorevisión exhaustiva

5 Citas (Scopus)

Resumen

Background: The aim of this paper is to describe the prevalence of Delirium and the factors associatedwith its presentation and complications identified in a geriatric unit in Colombia.
Material and methods: This is a retrospective observational study that included all patients admittedconsecutively for two years in a geriatric unit of a hospital in Bogotá, Colombia. We assessed deliriumprevalence with the Confusion Assessment Method (CAM). The independent variables were age, sex,functional impairment (Barthel < 90), malnutrition (MNA < 12), pressure ulcers at admission, state of thesocial support network, number of comorbidities, polypharmacy (5 or more drugs), complications suchas ICU requirement, hospital stay, in-hospital functional impairment and mortality were also evaluated.As an exclusion criterion: not having CAM registered in the medical record, all the patients had thisinformation.
Results: We studied 1599 subjects with a mean age of 86 years (IQR 9). Delirium prevalence was 51.03%.Delirium was associated with a higher rate of: pressure ulcers on admission [OR 3.76 (CI 2.60–5.43p < 0.001)], functional impairment [OR 2.38 (CI 1.79–3.16 p < 0.001)], malnutrition [OR 2.06 (CI 1.56–2.73p < 0.001)], and infection [OR 1.46 (CI 1.17–1.82 p < 0.001)]. Moreover delirium has a higher associa-tion with mortality [OR 2.80 (1.03–7.54 p = 0.042)], in-hospital functional decline [OR 1.82 (1.41–2.36p < 0.001)], and longer hospital stay [OR 1.04 (1.04–1.09 p = 0.006)]; independently of age, sex, pres-sure ulcers on admission, functional impairment, malnutrition, dementia, infection and limited socialnetwork.
Conclusion: Our study suggests that infectious diseases and geriatric syndromes such as, functionaldependence, pressure ulcers, malnutrition or major cognitive impairment are independently associatedwith the presence of delirium on admission. Additionally, the presence of delirium is independentlyassociated during hospitalization with complications, longer hospital stay, functional impairment andmortality.
Título traducido de la contribuciónPrevalencia de delirium en un hospital de Colombia, asociación con síndromesgeriátricos y complicaciones durante la hospitalización
Idioma originalInglés britanico
Páginas (desde-hasta)69-74
Número de páginas6
PublicaciónRevista Espanola de Geriatria y Gerontologia
Volumen56
N.º2
DOI
EstadoPublicada - dic. 2020

Palabras clave

  • Aged
  • Delirium
  • Functionality
  • Mortality
  • Risk factors

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