Simon Fuchs1, Leonie Bode2, Jutta Ernst3, Justus Marquetand4, Roland von Känel5, Sönke Böttger6. 1. Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University of Zurich, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland. Electronic address: simon.fuchs@usz.ch. 2. Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University of Zurich, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland. Electronic address: leonie.bode@usz.ch. 3. Institute of Nursing Science, University of Zurich, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland. 4. Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University Hospital Tübingen, Tübingen, Germany. Electronic address: justus.marquetand@med.uni-tuebingen.de. 5. Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University of Zurich, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland. Electronic address: roland.vonkaenel@usz.ch. 6. Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University of Zurich, University Hospital Zurich, Ramistrasse 100, 8091 Zurich, Switzerland. Electronic address: soenke.boettger@usz.ch.
Abstract
OBJECTIVES: This study aimed to determine the 1-year prevalence of delirium and the impact of hospitalization characteristics on delirium across 34 services. METHODS: In this prospective cohort study of elderly in-patients (>65 years, N = 10,261), delirium was determined with the Delirium Observation Screening Scale (DOS) and the Intensive Care Delirium Screening Checklist (ICDSC) in a single sample over one year. We calculated univariate and multiple logistic regression analyses to understand the power of association between delirium, 34 services, sociodemographic, and admission/discharge factors. RESULTS: The prevalence of delirium across all included services was 32%. The odds of developing delirium was highest for intensive care units (ICU, 83.3%, OR 12.34), high for intermediate care units (IMC, 39.8%, OR 1.42) and medical services (34.2%, OR 1.19), and lower for surgical services (28.7%, OR 0.72). Compared with patients without delirium, patients with delirium were older (76.6 vs. 75 years), hospitalized twice as long (14.3 vs. 7.7 days), more commonly had pre-existent dementia (OR 11.98), and were more likely to die in-hospital (OR 24.20) and be admitted from (OR 2.75-2.97) and discharged to institutions (OR 1.66-3.97). CONCLUSION: This study elaborated on the 1-year prevalence of delirium across 34 services and confirmed previous pooled findings in addition to providing new insights regarding the course of hospitalization in elderly patients.
OBJECTIVES: This study aimed to determine the 1-year prevalence of delirium and the impact of hospitalization characteristics on delirium across 34 services. METHODS: In this prospective cohort study of elderly in-patients (>65 years, N = 10,261), delirium was determined with the Delirium Observation Screening Scale (DOS) and the Intensive Care Delirium Screening Checklist (ICDSC) in a single sample over one year. We calculated univariate and multiple logistic regression analyses to understand the power of association between delirium, 34 services, sociodemographic, and admission/discharge factors. RESULTS: The prevalence of delirium across all included services was 32%. The odds of developing delirium was highest for intensive care units (ICU, 83.3%, OR 12.34), high for intermediate care units (IMC, 39.8%, OR 1.42) and medical services (34.2%, OR 1.19), and lower for surgical services (28.7%, OR 0.72). Compared with patients without delirium, patients with delirium were older (76.6 vs. 75 years), hospitalized twice as long (14.3 vs. 7.7 days), more commonly had pre-existent dementia (OR 11.98), and were more likely to die in-hospital (OR 24.20) and be admitted from (OR 2.75-2.97) and discharged to institutions (OR 1.66-3.97). CONCLUSION: This study elaborated on the 1-year prevalence of delirium across 34 services and confirmed previous pooled findings in addition to providing new insights regarding the course of hospitalization in elderly patients.
Authors: Manish Kumar; Shivaraj Patil; Lucas Da Cunha Godoy; Chia-Ling Kuo; Helen Swede; George A Kuchel; Kai Chen Journal: Front Cardiovasc Med Date: 2022-06-06
Authors: Monika Sadlonova; Jonathan Vogelgsang; Claudia Lange; Irina Günther; Adriana Wiesent; Charlotte Eberhard; Julia Ehrentraut; Mareike Kirsch; Niels Hansen; Hermann Esselmann; Charles Timäus; Thomas Asendorf; Benedict Breitling; Mohammed Chebbok; Stephanie Heinemann; Christopher Celano; Ingo Kutschka; Jens Wiltfang; Hassina Baraki; Christine A F von Arnim Journal: BMC Cardiovasc Disord Date: 2022-06-30 Impact factor: 2.174