Valeria Morichi1, Massimiliano Fedecostante1, Alessandro Morandi2,3, Simona Gabriella Di Santo4, Andrea Mazzone5, Enrico Mossello6, Mario Bo7, Angelo Bianchetti8, Renzo Rozzini9, Ermellina Zanetti10, Massimo Musicco11,12, Alberto Ferrari13,14, Nicola Ferrara15,16,17, Marco Trabucchi2,18,19, Antonio Cherubini1, Giuseppe Bellelli2,10,20. 1. Geriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy. 2. Geriatric Research Group, Brescia, Italy. 3. Department of Rehabilitation and Aged Care, "Fondazione Camplani" Hospital, Cremona, Italy. 4. Department of Clinical and Behavioral Neurology, Neuropsychiatry Laboratory, IRCCS Foundation Santa Lucia, Rome, Italy. 5. Redaelli Geriatric Institute, Milan, Italy. 6. Geriatric Medicine Research Unit, Department of Experimental and Clinical Medicine, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy. 7. Section of Geriatrics, Città della Salute e della Scienza - Molinette, Turin, Italy. 8. Medicine and Rehabilitation Department, Istituto Clinico S. Anna, Brescia, Italy. 9. Department of Geriatric and Internal Medicine, Poliambulanza Hospital, Brescia, Italy. 10. Geriatric Unit, San Gerardo University Hospital, Monza, Italy. 11. Institute of Biomedical Technologies, National Research Council, Milan, Italy. 12. Italian Society of Neurology for Dementia (SINDEM), Siena, Italy. 13. Geriatric Unit, Department of Neuromotor Physiology, ASMN Hospital, Reggio Emilia, Italy. 14. Italian Society of Hospital and Community Geriatrics (SIGOT), Rome, Italy. 15. Department of Translational Medical Sciences, Federico II University of Naples, Naples, Italy. 16. Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Telese, Telese Terme, Italy. 17. Italian Society of Gerontology and Geriatrics (SIGG), Florence, Italy. 18. Tor Vergata, Rome University, Rome, Italy. 19. Italian Psychogeriatric Association (AIP), Brescia, Italy. 20. School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Abstract
BACKGROUND: Delirium is a common geriatric syndrome. Few studies have been conducted in nursing home (NH) residents. The aim of this project was to perform a point prevalence study of delirium in Italian NHs. METHODS: Data collected in 71 NHs are presented. Inclusion criteria were age ≥65 years and native Italian speaker. Exclusion criteria were coma, aphasia, and end-of-life status. Sociodemographic and medical data were recorded. Delirium was assessed using the Assessment Test for Delirium and Cognitive Impairment (4-AT). Patients with a 4-AT score ≥4 were considered to have delirium. Motor subtype was evaluated using the Delirium Motor Subtype Scale (DMSS). RESULTS: A total of 1,454 patients were evaluated (mean age 84.4 ± 7.4 years, 70.2% female), of whom 535 (36.8%) had delirium. In multivariate logistic regression analysis, variables significantly associated with delirium were education (OR 0.94, 95% CI 0.91-0.97), dementia (OR 3.12, 95% CI 2.38-4.09), functional dependence (OR 6.13, 95% CI 3.08-12.19 for ADL score 0; OR 1.99, 95% CI 1.03-3.84 for ADL score 1-5), malnutrition (OR 4.87, 95% CI 2.68-8.84), antipsychotics (OR 2.40, 95% CI 1.81-3.18), and physical restraints (OR 2.48, 95% CI 1.71-3.59). CONCLUSION: Delirium is common in older NH residents. Simple assessment tools might facilitate its recognition in this vulnerable population.
BACKGROUND:Delirium is a common geriatric syndrome. Few studies have been conducted in nursing home (NH) residents. The aim of this project was to perform a point prevalence study of delirium in Italian NHs. METHODS: Data collected in 71 NHs are presented. Inclusion criteria were age ≥65 years and native Italian speaker. Exclusion criteria were coma, aphasia, and end-of-life status. Sociodemographic and medical data were recorded. Delirium was assessed using the Assessment Test for Delirium and Cognitive Impairment (4-AT). Patients with a 4-AT score ≥4 were considered to have delirium. Motor subtype was evaluated using the Delirium Motor Subtype Scale (DMSS). RESULTS: A total of 1,454 patients were evaluated (mean age 84.4 ± 7.4 years, 70.2% female), of whom 535 (36.8%) had delirium. In multivariate logistic regression analysis, variables significantly associated with delirium were education (OR 0.94, 95% CI 0.91-0.97), dementia (OR 3.12, 95% CI 2.38-4.09), functional dependence (OR 6.13, 95% CI 3.08-12.19 for ADL score 0; OR 1.99, 95% CI 1.03-3.84 for ADL score 1-5), malnutrition (OR 4.87, 95% CI 2.68-8.84), antipsychotics (OR 2.40, 95% CI 1.81-3.18), and physical restraints (OR 2.48, 95% CI 1.71-3.59). CONCLUSION:Delirium is common in older NH residents. Simple assessment tools might facilitate its recognition in this vulnerable population.
Authors: Carl M Zipser; Tobias R Spiller; Florian F Hildenbrand; Annina Seiler; Jutta Ernst; Roland von Känel; Sharon K Inouye; Soenke Boettger Journal: J Am Med Dir Assoc Date: 2022-02-13 Impact factor: 7.802
Authors: Jo Ellen Wilson; Matthew F Mart; Colm Cunningham; Yahya Shehabi; Timothy D Girard; Alasdair M J MacLullich; Arjen J C Slooter; E Wesley Ely Journal: Nat Rev Dis Primers Date: 2020-11-12 Impact factor: 65.038
Authors: Elisa Ambrosi; Martina Debiasi; Jessica Longhini; Lorenzo Giori; Luisa Saiani; Elisabetta Mezzalira; Federica Canzan Journal: Int J Environ Res Public Health Date: 2021-11-13 Impact factor: 3.390