Delirium in Chilean elderly inpatients: an overlooked problem
Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost. To evaluate the prevalence of delirium at hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of...
Gespeichert in:
| Veröffentlicht in: | Revista medíca de Chile 2005-12, Vol.133 (12), p.1449-1454 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | spa |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1454 |
|---|---|
| container_issue | 12 |
| container_start_page | 1449 |
| container_title | Revista medíca de Chile |
| container_volume | 133 |
| creator | Carrasco, Marcela Hoyl, Trinidad Marín, Pedro Paulo Hidalgo, Jaime Lagos, Carmen Longton, Cristóbal Chávez, Pamela Valenzuela, Eduardo Arriagada, Domingo |
| description | Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost.
To evaluate the prevalence of delirium at hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium.
In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary.
One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6+/-5, were evaluated. Fifty seven patients (53%) had delirium (32% hyperactive, 72% hypoactive and 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger, p |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_69091484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69091484</sourcerecordid><originalsourceid>FETCH-LOGICAL-p139t-775d773524e3a52ebbd0e89c5b1c97dd8889d9a8409a24f94e81e3810999f6833</originalsourceid><addsrcrecordid>eNo1j01LxDAURbNQnHH0L0hX7gpJkzbvCS6kfsKAG12XpHnFaNrUphXm31twXF04HO7lnrAt51LlCKA37DylT84LXQk4YxtRKVWBLrbs9p6Cn_zSZ37I6g8fyAwZBUdTOKxoNLOnYU432Yrjz0pj_CKXjVO0gfoLdtqZkOjymDv2_vjwVj_n-9enl_pun49C4pxrXTqtZVkokqYsyFrHCbAtrWhROwcA6NCA4mgK1aEiECRBcETsKpByx67_etfd74XS3PQ-tRSCGSguqamQo1CgVvHqKC62J9eMk-_NdGj-D8tfX1FQFg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69091484</pqid></control><display><type>article</type><title>Delirium in Chilean elderly inpatients: an overlooked problem</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Carrasco, Marcela ; Hoyl, Trinidad ; Marín, Pedro Paulo ; Hidalgo, Jaime ; Lagos, Carmen ; Longton, Cristóbal ; Chávez, Pamela ; Valenzuela, Eduardo ; Arriagada, Domingo</creator><creatorcontrib>Carrasco, Marcela ; Hoyl, Trinidad ; Marín, Pedro Paulo ; Hidalgo, Jaime ; Lagos, Carmen ; Longton, Cristóbal ; Chávez, Pamela ; Valenzuela, Eduardo ; Arriagada, Domingo</creatorcontrib><description>Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost.
To evaluate the prevalence of delirium at hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium.
In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary.
One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6+/-5, were evaluated. Fifty seven patients (53%) had delirium (32% hyperactive, 72% hypoactive and 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger, p <0.05) and among patients with more severe conditions (88% among those with an APACHE score over 16 versus 47% below that value, p <0.05). Medical records of patients with delirium showed that this diagnosis was present only in 32% and cognitive deficit was described in 73%. Ten percent of patients with delirium received sedative medication and 38% were physically restricted. There were no environmental interventions to prevent or control delirium.
Delirium in elderly inpatients at this unit is an extraordinarily prevalent problem, seriously under diagnosed (68%) and under treated. This study should alerts our medical community to improve the diagnosis and management of delirium in elderly inpatients.</description><identifier>ISSN: 0034-9887</identifier><identifier>PMID: 16446872</identifier><language>spa</language><publisher>Chile</publisher><subject>Aged ; Aged, 80 and over ; APACHE ; Chile - epidemiology ; Delirium - diagnosis ; Delirium - mortality ; Delirium - therapy ; Female ; Follow-Up Studies ; Geriatric Assessment ; Hospitalization - statistics & numerical data ; Humans ; Length of Stay ; Male ; Physician's Role ; Prospective Studies</subject><ispartof>Revista medíca de Chile, 2005-12, Vol.133 (12), p.1449-1454</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16446872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carrasco, Marcela</creatorcontrib><creatorcontrib>Hoyl, Trinidad</creatorcontrib><creatorcontrib>Marín, Pedro Paulo</creatorcontrib><creatorcontrib>Hidalgo, Jaime</creatorcontrib><creatorcontrib>Lagos, Carmen</creatorcontrib><creatorcontrib>Longton, Cristóbal</creatorcontrib><creatorcontrib>Chávez, Pamela</creatorcontrib><creatorcontrib>Valenzuela, Eduardo</creatorcontrib><creatorcontrib>Arriagada, Domingo</creatorcontrib><title>Delirium in Chilean elderly inpatients: an overlooked problem</title><title>Revista medíca de Chile</title><addtitle>Rev Med Chil</addtitle><description>Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost.
To evaluate the prevalence of delirium at hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium.
In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary.
One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6+/-5, were evaluated. Fifty seven patients (53%) had delirium (32% hyperactive, 72% hypoactive and 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger, p <0.05) and among patients with more severe conditions (88% among those with an APACHE score over 16 versus 47% below that value, p <0.05). Medical records of patients with delirium showed that this diagnosis was present only in 32% and cognitive deficit was described in 73%. Ten percent of patients with delirium received sedative medication and 38% were physically restricted. There were no environmental interventions to prevent or control delirium.
Delirium in elderly inpatients at this unit is an extraordinarily prevalent problem, seriously under diagnosed (68%) and under treated. This study should alerts our medical community to improve the diagnosis and management of delirium in elderly inpatients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>APACHE</subject><subject>Chile - epidemiology</subject><subject>Delirium - diagnosis</subject><subject>Delirium - mortality</subject><subject>Delirium - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Geriatric Assessment</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Physician's Role</subject><subject>Prospective Studies</subject><issn>0034-9887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j01LxDAURbNQnHH0L0hX7gpJkzbvCS6kfsKAG12XpHnFaNrUphXm31twXF04HO7lnrAt51LlCKA37DylT84LXQk4YxtRKVWBLrbs9p6Cn_zSZ37I6g8fyAwZBUdTOKxoNLOnYU432Yrjz0pj_CKXjVO0gfoLdtqZkOjymDv2_vjwVj_n-9enl_pun49C4pxrXTqtZVkokqYsyFrHCbAtrWhROwcA6NCA4mgK1aEiECRBcETsKpByx67_etfd74XS3PQ-tRSCGSguqamQo1CgVvHqKC62J9eMk-_NdGj-D8tfX1FQFg</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Carrasco, Marcela</creator><creator>Hoyl, Trinidad</creator><creator>Marín, Pedro Paulo</creator><creator>Hidalgo, Jaime</creator><creator>Lagos, Carmen</creator><creator>Longton, Cristóbal</creator><creator>Chávez, Pamela</creator><creator>Valenzuela, Eduardo</creator><creator>Arriagada, Domingo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Delirium in Chilean elderly inpatients: an overlooked problem</title><author>Carrasco, Marcela ; Hoyl, Trinidad ; Marín, Pedro Paulo ; Hidalgo, Jaime ; Lagos, Carmen ; Longton, Cristóbal ; Chávez, Pamela ; Valenzuela, Eduardo ; Arriagada, Domingo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-775d773524e3a52ebbd0e89c5b1c97dd8889d9a8409a24f94e81e3810999f6833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>APACHE</topic><topic>Chile - epidemiology</topic><topic>Delirium - diagnosis</topic><topic>Delirium - mortality</topic><topic>Delirium - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Geriatric Assessment</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Physician's Role</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carrasco, Marcela</creatorcontrib><creatorcontrib>Hoyl, Trinidad</creatorcontrib><creatorcontrib>Marín, Pedro Paulo</creatorcontrib><creatorcontrib>Hidalgo, Jaime</creatorcontrib><creatorcontrib>Lagos, Carmen</creatorcontrib><creatorcontrib>Longton, Cristóbal</creatorcontrib><creatorcontrib>Chávez, Pamela</creatorcontrib><creatorcontrib>Valenzuela, Eduardo</creatorcontrib><creatorcontrib>Arriagada, Domingo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista medíca de Chile</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carrasco, Marcela</au><au>Hoyl, Trinidad</au><au>Marín, Pedro Paulo</au><au>Hidalgo, Jaime</au><au>Lagos, Carmen</au><au>Longton, Cristóbal</au><au>Chávez, Pamela</au><au>Valenzuela, Eduardo</au><au>Arriagada, Domingo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delirium in Chilean elderly inpatients: an overlooked problem</atitle><jtitle>Revista medíca de Chile</jtitle><addtitle>Rev Med Chil</addtitle><date>2005-12</date><risdate>2005</risdate><volume>133</volume><issue>12</issue><spage>1449</spage><epage>1454</epage><pages>1449-1454</pages><issn>0034-9887</issn><abstract>Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost.
To evaluate the prevalence of delirium at hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium.
In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary.
One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6+/-5, were evaluated. Fifty seven patients (53%) had delirium (32% hyperactive, 72% hypoactive and 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger, p <0.05) and among patients with more severe conditions (88% among those with an APACHE score over 16 versus 47% below that value, p <0.05). Medical records of patients with delirium showed that this diagnosis was present only in 32% and cognitive deficit was described in 73%. Ten percent of patients with delirium received sedative medication and 38% were physically restricted. There were no environmental interventions to prevent or control delirium.
Delirium in elderly inpatients at this unit is an extraordinarily prevalent problem, seriously under diagnosed (68%) and under treated. This study should alerts our medical community to improve the diagnosis and management of delirium in elderly inpatients.</abstract><cop>Chile</cop><pmid>16446872</pmid><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0034-9887 |
| ispartof | Revista medíca de Chile, 2005-12, Vol.133 (12), p.1449-1454 |
| issn | 0034-9887 |
| language | spa |
| recordid | cdi_proquest_miscellaneous_69091484 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aged, 80 and over APACHE Chile - epidemiology Delirium - diagnosis Delirium - mortality Delirium - therapy Female Follow-Up Studies Geriatric Assessment Hospitalization - statistics & numerical data Humans Length of Stay Male Physician's Role Prospective Studies |
| title | Delirium in Chilean elderly inpatients: an overlooked problem |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T04%3A52%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Delirium%20in%20Chilean%20elderly%20inpatients:%20an%20overlooked%20problem&rft.jtitle=Revista%20med%C3%ADca%20de%20Chile&rft.au=Carrasco,%20Marcela&rft.date=2005-12&rft.volume=133&rft.issue=12&rft.spage=1449&rft.epage=1454&rft.pages=1449-1454&rft.issn=0034-9887&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E69091484%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69091484&rft_id=info:pmid/16446872&rfr_iscdi=true |