The major risk factors for delirium in a clinical setting

Harin Kim, Seockhoon Chung, Yeon Ho Joo, Jung Sun Lee Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Objective: We aimed to determine the major risk factors for the development of delirium in patients at a single general hospital by comparison...

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Autores principales:	Kim H, Chung S, Joo YH, Lee JS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Delirium Acute confusional state Psychiatric consultation Risk factor Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/39b159be57d54e30b1381e878798df29
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spelling	oai:doaj.org-article:39b159be57d54e30b1381e878798df292021-12-02T01:24:47ZThe major risk factors for delirium in a clinical setting1178-2021https://doaj.org/article/39b159be57d54e30b1381e878798df292016-07-01T00:00:00Zhttps://www.dovepress.com/the-major-risk-factors-for-delirium-in-a-clinical-setting-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Harin Kim, Seockhoon Chung, Yeon Ho Joo, Jung Sun Lee Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Objective: We aimed to determine the major risk factors for the development of delirium in patients at a single general hospital by comparison with a control group.Subjects and methods: We reviewed the medical records of 260 delirium patients and 77 control patients. We investigated age, sex, and risk factors for delirium in the total delirium group (n=260), the delirium medical subgroup (n=142), and the delirium surgical subgroup (n=118). Logistic regression analysis adjusting for age and sex was performed to identify the odds ratio.Results: The mean age and the percentage of males were significantly higher in the delirium group compared with the control group (68.9 vs 54.3 years and 70% vs 41.6%, respectively). Risk factors for the delirium group were lower plasma albumin, hypertension, mechanical ventilation, and antipsychotic drug use. Plasma sodium level and hypertension were important risk factors for the delirium medical subgroup. Stroke history, hypertension, ICU care, and medication were important risk factors for the delirium surgical subgroup.Conclusion: Lower plasma albumin, hypertension, mechanical ventilation, and antipsychotic drug use are important risk factors for delirium. Keywords: delirium, acute confusional state, psychiatric consultation, risk factorKim HChung SJoo YHLee JSDove Medical PressarticleDeliriumAcute confusional statePsychiatric consultationRisk factorNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1787-1793 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Delirium Acute confusional state Psychiatric consultation Risk factor Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Delirium Acute confusional state Psychiatric consultation Risk factor Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kim H Chung S Joo YH Lee JS The major risk factors for delirium in a clinical setting
description	Harin Kim, Seockhoon Chung, Yeon Ho Joo, Jung Sun Lee Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Objective: We aimed to determine the major risk factors for the development of delirium in patients at a single general hospital by comparison with a control group.Subjects and methods: We reviewed the medical records of 260 delirium patients and 77 control patients. We investigated age, sex, and risk factors for delirium in the total delirium group (n=260), the delirium medical subgroup (n=142), and the delirium surgical subgroup (n=118). Logistic regression analysis adjusting for age and sex was performed to identify the odds ratio.Results: The mean age and the percentage of males were significantly higher in the delirium group compared with the control group (68.9 vs 54.3 years and 70% vs 41.6%, respectively). Risk factors for the delirium group were lower plasma albumin, hypertension, mechanical ventilation, and antipsychotic drug use. Plasma sodium level and hypertension were important risk factors for the delirium medical subgroup. Stroke history, hypertension, ICU care, and medication were important risk factors for the delirium surgical subgroup.Conclusion: Lower plasma albumin, hypertension, mechanical ventilation, and antipsychotic drug use are important risk factors for delirium. Keywords: delirium, acute confusional state, psychiatric consultation, risk factor
format	article
author	Kim H Chung S Joo YH Lee JS
author_facet	Kim H Chung S Joo YH Lee JS
author_sort	Kim H
title	The major risk factors for delirium in a clinical setting
title_short	The major risk factors for delirium in a clinical setting
title_full	The major risk factors for delirium in a clinical setting
title_fullStr	The major risk factors for delirium in a clinical setting
title_full_unstemmed	The major risk factors for delirium in a clinical setting
title_sort	major risk factors for delirium in a clinical setting
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/39b159be57d54e30b1381e878798df29
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The major risk factors for delirium in a clinical setting

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