Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated?
Acute confusion is a frequent health care problem amongst hospitalised elderly patients. The study investigated the incidence of acute confusion during the hospitalisation of elderly patients, identified associated physical and/or psycho-social factors and outlined measures to help minimise risk fac...
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| Veröffentlicht in: | Journal of orthopaedic nursing 2004-02, Vol.8 (1), p.4-10 |
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| container_title | Journal of orthopaedic nursing |
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| creator | Jimenez-Vilchez, Ana Roure-Murillo, Rosa Viñas-Salas, Juan |
| description | Acute confusion is a frequent health care problem amongst hospitalised elderly patients. The study investigated the incidence of acute confusion during the hospitalisation of elderly patients, identified associated physical and/or psycho-social factors and outlined measures to help minimise risk factors. Two sets of data were collected using the Mini-Mental State test (MMST) and a questionnaire. The MMST was given on hospital admission and repeated when patients showed the first signs of disorientation and in a non-confused control group. Of 200 patients included in the study, 43 suffered acute confusion during hospitalisation (mean age 82.7). The mean age of the non-confused group was 76 (
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| doi_str_mv | 10.1016/j.joon.2003.11.001 |
| format | Article |
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p<0.002). Patients who suffered acute confusion scored significantly lower on the initial MMST (
p<0.001) had received more blood transfusions (
p<0.04) and were more incontinent (
p<0.001) than those who did not. In 67% of cases acute confusion first appeared during the night shift and worried patients’ relatives (79%). The study showed that there is a higher risk of confusion in older male patients who score low on initial MMST. Confusion tends to first appear at night and requires extra nursing attention. Nurses must be aware of this phenomenon and take prompt action to calm patients’ relatives and provide a safe environment for the confused patient.</description><identifier>ISSN: 1361-3111</identifier><identifier>EISSN: 1873-4839</identifier><identifier>DOI: 10.1016/j.joon.2003.11.001</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Confusion ; Nursing care ; Post-surgery ; Trauma</subject><ispartof>Journal of orthopaedic nursing, 2004-02, Vol.8 (1), p.4-10</ispartof><rights>2003 Elsevier Ltd</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1771-1e6b6a1af096946ebcc557dbf945288a6ba367e23332e78487ac450fc4e852be3</citedby><cites>FETCH-LOGICAL-c1771-1e6b6a1af096946ebcc557dbf945288a6ba367e23332e78487ac450fc4e852be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Jimenez-Vilchez, Ana</creatorcontrib><creatorcontrib>Roure-Murillo, Rosa</creatorcontrib><creatorcontrib>Viñas-Salas, Juan</creatorcontrib><title>Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated?</title><title>Journal of orthopaedic nursing</title><description>Acute confusion is a frequent health care problem amongst hospitalised elderly patients. The study investigated the incidence of acute confusion during the hospitalisation of elderly patients, identified associated physical and/or psycho-social factors and outlined measures to help minimise risk factors. Two sets of data were collected using the Mini-Mental State test (MMST) and a questionnaire. The MMST was given on hospital admission and repeated when patients showed the first signs of disorientation and in a non-confused control group. Of 200 patients included in the study, 43 suffered acute confusion during hospitalisation (mean age 82.7). The mean age of the non-confused group was 76 (
p<0.002). Patients who suffered acute confusion scored significantly lower on the initial MMST (
p<0.001) had received more blood transfusions (
p<0.04) and were more incontinent (
p<0.001) than those who did not. In 67% of cases acute confusion first appeared during the night shift and worried patients’ relatives (79%). The study showed that there is a higher risk of confusion in older male patients who score low on initial MMST. Confusion tends to first appear at night and requires extra nursing attention. Nurses must be aware of this phenomenon and take prompt action to calm patients’ relatives and provide a safe environment for the confused patient.</description><subject>Confusion</subject><subject>Nursing care</subject><subject>Post-surgery</subject><subject>Trauma</subject><issn>1361-3111</issn><issn>1873-4839</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhosouK7-AU-5eWrNNG3aiiCy-AULHlQ8hjSZakrbrEkq9N_bsoI3TzMD7zPwPlF0DjQBCvyyTVprhySllCUACaVwEK2gLFiclaw6nHfGIWYAcBydeN_OAeAZX0X9Sxj1RGxDlB2a0Rs7ED8N2tkeiRnITgaDQ_BE6t6EgJoESyQJTo69JONgwhV5_5yItgQ7ja6b_pAPDEQbb91yypm9OY2OGtl5PPud6-jt_u518xhvnx-eNrfbWEFRQAzIay5BNrTiVcaxVirPC103VZanZSl5LRkvMGWMpViUWVlIleW0URmWeVojW0cX-787Z79G9EH0xivsOjmgHb0oeJYClAzmZLpPKme9d9iInTO9dJMAKha1ohWLWrGoFQBiNjdD13sI5w7fBp3wau6oUBuHKghtzX_4D5Zcg7c</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>Jimenez-Vilchez, Ana</creator><creator>Roure-Murillo, Rosa</creator><creator>Viñas-Salas, Juan</creator><general>Elsevier Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20040201</creationdate><title>Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated?</title><author>Jimenez-Vilchez, Ana ; Roure-Murillo, Rosa ; Viñas-Salas, Juan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1771-1e6b6a1af096946ebcc557dbf945288a6ba367e23332e78487ac450fc4e852be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Confusion</topic><topic>Nursing care</topic><topic>Post-surgery</topic><topic>Trauma</topic><toplevel>online_resources</toplevel><creatorcontrib>Jimenez-Vilchez, Ana</creatorcontrib><creatorcontrib>Roure-Murillo, Rosa</creatorcontrib><creatorcontrib>Viñas-Salas, Juan</creatorcontrib><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of orthopaedic nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jimenez-Vilchez, Ana</au><au>Roure-Murillo, Rosa</au><au>Viñas-Salas, Juan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated?</atitle><jtitle>Journal of orthopaedic nursing</jtitle><date>2004-02-01</date><risdate>2004</risdate><volume>8</volume><issue>1</issue><spage>4</spage><epage>10</epage><pages>4-10</pages><issn>1361-3111</issn><eissn>1873-4839</eissn><abstract>Acute confusion is a frequent health care problem amongst hospitalised elderly patients. The study investigated the incidence of acute confusion during the hospitalisation of elderly patients, identified associated physical and/or psycho-social factors and outlined measures to help minimise risk factors. Two sets of data were collected using the Mini-Mental State test (MMST) and a questionnaire. The MMST was given on hospital admission and repeated when patients showed the first signs of disorientation and in a non-confused control group. Of 200 patients included in the study, 43 suffered acute confusion during hospitalisation (mean age 82.7). The mean age of the non-confused group was 76 (
p<0.002). Patients who suffered acute confusion scored significantly lower on the initial MMST (
p<0.001) had received more blood transfusions (
p<0.04) and were more incontinent (
p<0.001) than those who did not. In 67% of cases acute confusion first appeared during the night shift and worried patients’ relatives (79%). The study showed that there is a higher risk of confusion in older male patients who score low on initial MMST. Confusion tends to first appear at night and requires extra nursing attention. Nurses must be aware of this phenomenon and take prompt action to calm patients’ relatives and provide a safe environment for the confused patient.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.joon.2003.11.001</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of orthopaedic nursing, 2004-02, Vol.8 (1), p.4-10 |
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| language | eng |
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| source | Alma/SFX Local Collection |
| subjects | Confusion Nursing care Post-surgery Trauma |
| title | Study of confusion syndrome in patients admitted to a trauma unit: Why do elderly patients get disorientated? |
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