The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation

Abstract Background Delirium is a common geriatric syndrome, but only few studies have been done in nursing home residents. Therefore, the aim of this study was to investigate (point) prevalence of and risk factors for delirium in nursing homes in Belgium. Methods A multisite, cross-sectional study...

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Autores principales:	Sabbe Kelly, van Der Mast Roos, Dilles Tinne, Van Rompaey Bart
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Delirium delirium point-prevalence delirium screening nursing homes long-term care precipitating delirium factors Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/00d2e3d1675c4e2baa1ff4ddc07bede0
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spelling	oai:doaj.org-article:00d2e3d1675c4e2baa1ff4ddc07bede02021-11-07T12:16:47ZThe prevalence of delirium in belgian nursing homes: a cross-sectional evaluation10.1186/s12877-021-02517-y1471-2318https://doaj.org/article/00d2e3d1675c4e2baa1ff4ddc07bede02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02517-yhttps://doaj.org/toc/1471-2318Abstract Background Delirium is a common geriatric syndrome, but only few studies have been done in nursing home residents. Therefore, the aim of this study was to investigate (point) prevalence of and risk factors for delirium in nursing homes in Belgium. Methods A multisite, cross-sectional study was conducted in six nursing homes in Belgium. Residents of six nursing homes were screened for delirium. Exclusion criteria were coma,‘end-of-life’ status and residing in a dementia ward. Delirium was assessed using the Delirium Observation Screening Scale. Results 338 of the 448 eligible residents were included in this study. Of the 338 residents who were evaluated, 14.2 % (95 %CI:3.94–4.81) screened positive for delirium with the Delirium Observation Screening Scale. The mean age was 84.7 years and 67.5 % were female. Taking antipsychotics (p = 0.009), having dementia (p = 0.005), pneumonia (p = 0.047) or Parkinson’s disease (p = 0.03) were more present in residents with delirium. The residents were more frequently physically restrained (p = 0.001), participated less in activities (p = 0.04), had had more often a fall incident (p = 0.007), had lower levels of cognition (p < 0.001; MoCA ≥ 26, p = 0.04; MoCA ≥ 25, p = 0.008) and a higher “Activities of Daily Living” score (p = 0.001). In multivariable binary logistic regression analysis, a fall incident (2.76; 95 %CI: 1.24–6.14) and cognitive impairment (OR: 0.69; 95 %CI: 0.63–0.77) were significantly associated with delirium. Conclusions Delirium is an important clinical problem affecting almost 15 % of the nursing home residents at a given moment. Screening of nursing home residents for risk factors and presence of delirium is important to prevent delirium if possible and to treat underlying causes when present.Sabbe Kellyvan Der Mast RoosDilles TinneVan Rompaey BartBMCarticleDeliriumdelirium point-prevalencedelirium screeningnursing homeslong-term careprecipitating delirium factorsGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Delirium delirium point-prevalence delirium screening nursing homes long-term care precipitating delirium factors Geriatrics RC952-954.6
spellingShingle	Delirium delirium point-prevalence delirium screening nursing homes long-term care precipitating delirium factors Geriatrics RC952-954.6 Sabbe Kelly van Der Mast Roos Dilles Tinne Van Rompaey Bart The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
description	Abstract Background Delirium is a common geriatric syndrome, but only few studies have been done in nursing home residents. Therefore, the aim of this study was to investigate (point) prevalence of and risk factors for delirium in nursing homes in Belgium. Methods A multisite, cross-sectional study was conducted in six nursing homes in Belgium. Residents of six nursing homes were screened for delirium. Exclusion criteria were coma,‘end-of-life’ status and residing in a dementia ward. Delirium was assessed using the Delirium Observation Screening Scale. Results 338 of the 448 eligible residents were included in this study. Of the 338 residents who were evaluated, 14.2 % (95 %CI:3.94–4.81) screened positive for delirium with the Delirium Observation Screening Scale. The mean age was 84.7 years and 67.5 % were female. Taking antipsychotics (p = 0.009), having dementia (p = 0.005), pneumonia (p = 0.047) or Parkinson’s disease (p = 0.03) were more present in residents with delirium. The residents were more frequently physically restrained (p = 0.001), participated less in activities (p = 0.04), had had more often a fall incident (p = 0.007), had lower levels of cognition (p < 0.001; MoCA ≥ 26, p = 0.04; MoCA ≥ 25, p = 0.008) and a higher “Activities of Daily Living” score (p = 0.001). In multivariable binary logistic regression analysis, a fall incident (2.76; 95 %CI: 1.24–6.14) and cognitive impairment (OR: 0.69; 95 %CI: 0.63–0.77) were significantly associated with delirium. Conclusions Delirium is an important clinical problem affecting almost 15 % of the nursing home residents at a given moment. Screening of nursing home residents for risk factors and presence of delirium is important to prevent delirium if possible and to treat underlying causes when present.
format	article
author	Sabbe Kelly van Der Mast Roos Dilles Tinne Van Rompaey Bart
author_facet	Sabbe Kelly van Der Mast Roos Dilles Tinne Van Rompaey Bart
author_sort	Sabbe Kelly
title	The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
title_short	The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
title_full	The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
title_fullStr	The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
title_full_unstemmed	The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
title_sort	prevalence of delirium in belgian nursing homes: a cross-sectional evaluation
publisher	BMC
publishDate	2021
url	https://doaj.org/article/00d2e3d1675c4e2baa1ff4ddc07bede0
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The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation

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