Impact of Delirium on Short-Term Mortality in Elderly Inpatients: A Prospective Cohort Study
Background Delirium is an important problem especially in older medical inpatients. Objective The authors asked whether delirium and its duration are associated with higher mortality in a 3-month follow-up period. Method In this prospective cohort study, inpatients age 65 and older were assessed eve...
Gespeichert in:
| Veröffentlicht in: | Psychosomatics (Washington, D.C.) D.C.), 2009-05, Vol.50 (3), p.234-238 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 238 |
|---|---|
| container_issue | 3 |
| container_start_page | 234 |
| container_title | Psychosomatics (Washington, D.C.) |
| container_volume | 50 |
| creator | González, Matías, Ph.D Martínez, Gabriel, M.D Calderón, Jorge, M.D Villarroel, Luis, Ph.D Yuri, Francisca, M.S Rojas, Carlos, M.D Jeria, Álvaro, M.D Valdivia, Gonzalo, M.D Marín, Pedro Paulo, M.D Carrasco, Marcela, M.D |
| description | Background Delirium is an important problem especially in older medical inpatients. Objective The authors asked whether delirium and its duration are associated with higher mortality in a 3-month follow-up period. Method In this prospective cohort study, inpatients age 65 and older were assessed every 48 hours with the Confusion Assessment Method. Results Of 542 patients enrolled, 192 (35.4%) developed delirium. After 3 months, mortality in the delirium cohort was 25.9%, and in the nondelirium cohort was 5.8%. Delirium was independently associated with mortality, and increased by 11% for every 48 hours of delirium. Conclusion Delirium and increased delirium durations are significantly associated with higher mortality. |
| doi_str_mv | 10.1176/appi.psy.50.3.234 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67446382</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0033318209707935</els_id><sourcerecordid>1790630601</sourcerecordid><originalsourceid>FETCH-LOGICAL-c506t-dd1112e483bbb9764f57fab1012440ef37ba7ee2e9a03dd2fe638eef8d99f3233</originalsourceid><addsrcrecordid>eNp9kk2LFDEQhoMo7rj6A7xIEPTWYz46SbcLwjKuOrCiMOtNCOmkgln7y6R7of-9aWZYYQ-eUofnrVQ9FEIvKdlSquQ7M45hO6ZlK8iWbxkvH6ENFaUoFCPyMdoQwnnBacXO0LOUbgkhggr5FJ3RWkilJNugn_tuNHbCg8cfoQ0xzB0eenz4NcSpuIHY4a-5Mm2YFhx6fNU6iO2C9_1opgD9lN7jS_w9DmkEO4U7wLthjeLDNLvlOXriTZvgxek9Rz8-Xd3svhTX3z7vd5fXhRVEToVzlFIGZcWbpqmVLL1Q3jSUUFaWBDxXjVEADGpDuHPMg-QVgK9cXXvOOD9Hb499xzj8mSFNugvJQtuaHoY5aanKMkdYBl8_AG-HOfZ5Ns1YlsUrLjNEj5DNa6UIXo8xdCYumhK9eterd529a0E019l7zrw6NZ6bDty_xEl0Bt6cAJOsaX00vQ3pnmNUlVwIkrmLIwfZ112AqJPNni24ELNh7Ybw3zE-PEjbNvQhf_gbFkj3y1KdmCb6sB7Ieh-kVkTVXPC_GiG2uA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>220333836</pqid></control><display><type>article</type><title>Impact of Delirium on Short-Term Mortality in Elderly Inpatients: A Prospective Cohort Study</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>González, Matías, Ph.D ; Martínez, Gabriel, M.D ; Calderón, Jorge, M.D ; Villarroel, Luis, Ph.D ; Yuri, Francisca, M.S ; Rojas, Carlos, M.D ; Jeria, Álvaro, M.D ; Valdivia, Gonzalo, M.D ; Marín, Pedro Paulo, M.D ; Carrasco, Marcela, M.D</creator><creatorcontrib>González, Matías, Ph.D ; Martínez, Gabriel, M.D ; Calderón, Jorge, M.D ; Villarroel, Luis, Ph.D ; Yuri, Francisca, M.S ; Rojas, Carlos, M.D ; Jeria, Álvaro, M.D ; Valdivia, Gonzalo, M.D ; Marín, Pedro Paulo, M.D ; Carrasco, Marcela, M.D</creatorcontrib><description>Background Delirium is an important problem especially in older medical inpatients. Objective The authors asked whether delirium and its duration are associated with higher mortality in a 3-month follow-up period. Method In this prospective cohort study, inpatients age 65 and older were assessed every 48 hours with the Confusion Assessment Method. Results Of 542 patients enrolled, 192 (35.4%) developed delirium. After 3 months, mortality in the delirium cohort was 25.9%, and in the nondelirium cohort was 5.8%. Delirium was independently associated with mortality, and increased by 11% for every 48 hours of delirium. Conclusion Delirium and increased delirium durations are significantly associated with higher mortality.</description><identifier>ISSN: 0033-3182</identifier><identifier>EISSN: 1545-7206</identifier><identifier>DOI: 10.1176/appi.psy.50.3.234</identifier><identifier>PMID: 19567762</identifier><language>eng</language><publisher>Arlington, VA: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; APACHE ; Biological and medical sciences ; Chile ; Cohort Studies ; Comorbidity ; Cross-Sectional Studies ; Delirium - diagnosis ; Delirium - mortality ; Diagnostic and Statistical Manual of Mental Disorders ; Female ; Follow-Up Studies ; Geriatrics ; Hospitals, University ; Humans ; Internal Medicine ; Length of Stay ; Male ; Medical sciences ; Neuropsychological Tests ; Prospective Studies ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Referral and Consultation</subject><ispartof>Psychosomatics (Washington, D.C.), 2009-05, Vol.50 (3), p.234-238</ispartof><rights>The Academy of Psychosomatic Medicine</rights><rights>2011 The Academy of Psychosomatic Medicine</rights><rights>2009 INIST-CNRS</rights><rights>Copyright American Psychiatric Publishing, Inc. May/Jun 2009</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-dd1112e483bbb9764f57fab1012440ef37ba7ee2e9a03dd2fe638eef8d99f3233</citedby><cites>FETCH-LOGICAL-c506t-dd1112e483bbb9764f57fab1012440ef37ba7ee2e9a03dd2fe638eef8d99f3233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/220333836?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982,64370,64372,64374,72226</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21743550$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19567762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González, Matías, Ph.D</creatorcontrib><creatorcontrib>Martínez, Gabriel, M.D</creatorcontrib><creatorcontrib>Calderón, Jorge, M.D</creatorcontrib><creatorcontrib>Villarroel, Luis, Ph.D</creatorcontrib><creatorcontrib>Yuri, Francisca, M.S</creatorcontrib><creatorcontrib>Rojas, Carlos, M.D</creatorcontrib><creatorcontrib>Jeria, Álvaro, M.D</creatorcontrib><creatorcontrib>Valdivia, Gonzalo, M.D</creatorcontrib><creatorcontrib>Marín, Pedro Paulo, M.D</creatorcontrib><creatorcontrib>Carrasco, Marcela, M.D</creatorcontrib><title>Impact of Delirium on Short-Term Mortality in Elderly Inpatients: A Prospective Cohort Study</title><title>Psychosomatics (Washington, D.C.)</title><addtitle>Psychosomatics</addtitle><description>Background Delirium is an important problem especially in older medical inpatients. Objective The authors asked whether delirium and its duration are associated with higher mortality in a 3-month follow-up period. Method In this prospective cohort study, inpatients age 65 and older were assessed every 48 hours with the Confusion Assessment Method. Results Of 542 patients enrolled, 192 (35.4%) developed delirium. After 3 months, mortality in the delirium cohort was 25.9%, and in the nondelirium cohort was 5.8%. Delirium was independently associated with mortality, and increased by 11% for every 48 hours of delirium. Conclusion Delirium and increased delirium durations are significantly associated with higher mortality.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>APACHE</subject><subject>Biological and medical sciences</subject><subject>Chile</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Delirium - diagnosis</subject><subject>Delirium - mortality</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Geriatrics</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neuropsychological Tests</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation</subject><issn>0033-3182</issn><issn>1545-7206</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kk2LFDEQhoMo7rj6A7xIEPTWYz46SbcLwjKuOrCiMOtNCOmkgln7y6R7of-9aWZYYQ-eUofnrVQ9FEIvKdlSquQ7M45hO6ZlK8iWbxkvH6ENFaUoFCPyMdoQwnnBacXO0LOUbgkhggr5FJ3RWkilJNugn_tuNHbCg8cfoQ0xzB0eenz4NcSpuIHY4a-5Mm2YFhx6fNU6iO2C9_1opgD9lN7jS_w9DmkEO4U7wLthjeLDNLvlOXriTZvgxek9Rz8-Xd3svhTX3z7vd5fXhRVEToVzlFIGZcWbpqmVLL1Q3jSUUFaWBDxXjVEADGpDuHPMg-QVgK9cXXvOOD9Hb499xzj8mSFNugvJQtuaHoY5aanKMkdYBl8_AG-HOfZ5Ns1YlsUrLjNEj5DNa6UIXo8xdCYumhK9eterd529a0E019l7zrw6NZ6bDty_xEl0Bt6cAJOsaX00vQ3pnmNUlVwIkrmLIwfZ112AqJPNni24ELNh7Ybw3zE-PEjbNvQhf_gbFkj3y1KdmCb6sB7Ieh-kVkTVXPC_GiG2uA</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>González, Matías, Ph.D</creator><creator>Martínez, Gabriel, M.D</creator><creator>Calderón, Jorge, M.D</creator><creator>Villarroel, Luis, Ph.D</creator><creator>Yuri, Francisca, M.S</creator><creator>Rojas, Carlos, M.D</creator><creator>Jeria, Álvaro, M.D</creator><creator>Valdivia, Gonzalo, M.D</creator><creator>Marín, Pedro Paulo, M.D</creator><creator>Carrasco, Marcela, M.D</creator><general>Elsevier Inc</general><general>American Psychiatric Publishing</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>Impact of Delirium on Short-Term Mortality in Elderly Inpatients: A Prospective Cohort Study</title><author>González, Matías, Ph.D ; Martínez, Gabriel, M.D ; Calderón, Jorge, M.D ; Villarroel, Luis, Ph.D ; Yuri, Francisca, M.S ; Rojas, Carlos, M.D ; Jeria, Álvaro, M.D ; Valdivia, Gonzalo, M.D ; Marín, Pedro Paulo, M.D ; Carrasco, Marcela, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-dd1112e483bbb9764f57fab1012440ef37ba7ee2e9a03dd2fe638eef8d99f3233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>APACHE</topic><topic>Biological and medical sciences</topic><topic>Chile</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Delirium - diagnosis</topic><topic>Delirium - mortality</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Geriatrics</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neuropsychological Tests</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Referral and Consultation</topic><toplevel>online_resources</toplevel><creatorcontrib>González, Matías, Ph.D</creatorcontrib><creatorcontrib>Martínez, Gabriel, M.D</creatorcontrib><creatorcontrib>Calderón, Jorge, M.D</creatorcontrib><creatorcontrib>Villarroel, Luis, Ph.D</creatorcontrib><creatorcontrib>Yuri, Francisca, M.S</creatorcontrib><creatorcontrib>Rojas, Carlos, M.D</creatorcontrib><creatorcontrib>Jeria, Álvaro, M.D</creatorcontrib><creatorcontrib>Valdivia, Gonzalo, M.D</creatorcontrib><creatorcontrib>Marín, Pedro Paulo, M.D</creatorcontrib><creatorcontrib>Carrasco, Marcela, M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Psychosomatics (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González, Matías, Ph.D</au><au>Martínez, Gabriel, M.D</au><au>Calderón, Jorge, M.D</au><au>Villarroel, Luis, Ph.D</au><au>Yuri, Francisca, M.S</au><au>Rojas, Carlos, M.D</au><au>Jeria, Álvaro, M.D</au><au>Valdivia, Gonzalo, M.D</au><au>Marín, Pedro Paulo, M.D</au><au>Carrasco, Marcela, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Delirium on Short-Term Mortality in Elderly Inpatients: A Prospective Cohort Study</atitle><jtitle>Psychosomatics (Washington, D.C.)</jtitle><addtitle>Psychosomatics</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>50</volume><issue>3</issue><spage>234</spage><epage>238</epage><pages>234-238</pages><issn>0033-3182</issn><eissn>1545-7206</eissn><abstract>Background Delirium is an important problem especially in older medical inpatients. Objective The authors asked whether delirium and its duration are associated with higher mortality in a 3-month follow-up period. Method In this prospective cohort study, inpatients age 65 and older were assessed every 48 hours with the Confusion Assessment Method. Results Of 542 patients enrolled, 192 (35.4%) developed delirium. After 3 months, mortality in the delirium cohort was 25.9%, and in the nondelirium cohort was 5.8%. Delirium was independently associated with mortality, and increased by 11% for every 48 hours of delirium. Conclusion Delirium and increased delirium durations are significantly associated with higher mortality.</abstract><cop>Arlington, VA</cop><pub>Elsevier Inc</pub><pmid>19567762</pmid><doi>10.1176/appi.psy.50.3.234</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0033-3182 |
| ispartof | Psychosomatics (Washington, D.C.), 2009-05, Vol.50 (3), p.234-238 |
| issn | 0033-3182 1545-7206 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67446382 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Aged Aged, 80 and over APACHE Biological and medical sciences Chile Cohort Studies Comorbidity Cross-Sectional Studies Delirium - diagnosis Delirium - mortality Diagnostic and Statistical Manual of Mental Disorders Female Follow-Up Studies Geriatrics Hospitals, University Humans Internal Medicine Length of Stay Male Medical sciences Neuropsychological Tests Prospective Studies Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Referral and Consultation |
| title | Impact of Delirium on Short-Term Mortality in Elderly Inpatients: A Prospective Cohort Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T12%3A05%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20Delirium%20on%20Short-Term%20Mortality%20in%20Elderly%20Inpatients:%20A%20Prospective%20Cohort%20Study&rft.jtitle=Psychosomatics%20(Washington,%20D.C.)&rft.au=Gonz%C3%A1lez,%20Mat%C3%ADas,%20Ph.D&rft.date=2009-05-01&rft.volume=50&rft.issue=3&rft.spage=234&rft.epage=238&rft.pages=234-238&rft.issn=0033-3182&rft.eissn=1545-7206&rft_id=info:doi/10.1176/appi.psy.50.3.234&rft_dat=%3Cproquest_cross%3E1790630601%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=220333836&rft_id=info:pmid/19567762&rft_els_id=1_s2_0_S0033318209707935&rfr_iscdi=true |