The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?

Olga N Tkacheva,1 Nadezda K Runikhina,1 Arkadiy L Vertkin,2 Irina V Voronina,1 Natalia V Sharashkina,1 Elen A Mkhitaryan,1 Valentina S Ostapenko,1 Elena A Prokhorovich,2 Tamar Freud,3 Yan Press3–5 1Russian Gerontology Clinical Research Center, Pirogov Russian National Research Medical Uni...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Tkacheva ON, Runikhina NK, Vertkin AL, Voronina IV, Sharashkina NV, Mkhitaryan EA, Ostapenko VS, Prokhorovich EA, Freud T, Press Y
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://doaj.org/article/60d65e62eb5b40a09e0f123956f91eae
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:60d65e62eb5b40a09e0f123956f91eae
record_format dspace
spelling oai:doaj.org-article:60d65e62eb5b40a09e0f123956f91eae2021-12-02T01:39:16ZThe diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?1178-1998https://doaj.org/article/60d65e62eb5b40a09e0f123956f91eae2017-02-01T00:00:00Zhttps://www.dovepress.com/the-diagnosis-of-delirium-in-an-acute-care-hospital-in-moscow-what-doe-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Olga N Tkacheva,1 Nadezda K Runikhina,1 Arkadiy L Vertkin,2 Irina V Voronina,1 Natalia V Sharashkina,1 Elen A Mkhitaryan,1 Valentina S Ostapenko,1 Elena A Prokhorovich,2 Tamar Freud,3 Yan Press3–5 1Russian Gerontology Clinical Research Center, Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation, 2Moscow State University of Medicine and Dentistry named after AI Evdokimov, Moscow, Russia; 3Department of Family Medicine, Faculty of Health Sciences, Sial Family Medicine and Primary Care Research Center, Ben-Gurion University of the Negev, 4Comprehensive Geriatric Assessment Unit, Clalit Health Care Services, Yassky Clinic, 5Community-Based Geriatric Unit, Division of Community Health, Ben-Gurion University of the Negev, Beer-Sheva, Israel Background: Delirium, a common problem among hospitalized elderly patients, is not usually diagnosed by doctors for various reasons. The primary aim of this study was to evaluate the effect of a short training course on the identification of delirium and the diagnostic rate of delirium among hospitalized patients aged ≥65 years. The secondary aim was to identify the risk factors for delirium. Methods: A prospective study was conducted in an acute-care hospital in Moscow, Russia. Six doctors underwent a short training course on delirium. Data collected included assessment by the confusion assessment method for the intensive care units, sociodemographic data, functional state before hospitalization, comorbidity, and hospitalization indices (indication for hospitalization, stay in intensive care unit, results of laboratory tests, length of hospitalization, and in-hospital mortality). Results: Delirium was diagnosed in 13 of 181 patients (7.2%) who underwent assessment. Cognitive impairment was diagnosed more among patients with delirium (30.0% vs 6.1%, P=0.029); Charlson comorbidity index was higher (3.6±2.4 vs 2.3±1.8, P=0.013); and Barthel index was lower (43.5±34.5 vs 94.1±17.0, P=0.000). The length of hospitalization was longer for patients with delirium at 13.9±7.3 vs 8.8±4.6 days (P=0.0001), and two of the 13 patients with delirium died during hospitalization compared with none of the 168 patients without delirium (P=0.0001). Conclusion: Although the rate of delirium was relatively low compared with studies from the West, this study proves that an educational intervention among doctors can bring about a significant change in the diagnosis of the condition. Keywords: delirium, elderly, inpatients, RussiaTkacheva ONRunikhina NKVertkin ALVoronina IVSharashkina NVMkhitaryan EAOstapenko VSProkhorovich EAFreud TPress YDove Medical PressarticledeliriumelderlyinpatientsRussia.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 343-349 (2017)
institution DOAJ
collection DOAJ
language EN
topic delirium
elderly
inpatients
Russia.
Geriatrics
RC952-954.6
spellingShingle delirium
elderly
inpatients
Russia.
Geriatrics
RC952-954.6
Tkacheva ON
Runikhina NK
Vertkin AL
Voronina IV
Sharashkina NV
Mkhitaryan EA
Ostapenko VS
Prokhorovich EA
Freud T
Press Y
The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?
description Olga N Tkacheva,1 Nadezda K Runikhina,1 Arkadiy L Vertkin,2 Irina V Voronina,1 Natalia V Sharashkina,1 Elen A Mkhitaryan,1 Valentina S Ostapenko,1 Elena A Prokhorovich,2 Tamar Freud,3 Yan Press3–5 1Russian Gerontology Clinical Research Center, Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation, 2Moscow State University of Medicine and Dentistry named after AI Evdokimov, Moscow, Russia; 3Department of Family Medicine, Faculty of Health Sciences, Sial Family Medicine and Primary Care Research Center, Ben-Gurion University of the Negev, 4Comprehensive Geriatric Assessment Unit, Clalit Health Care Services, Yassky Clinic, 5Community-Based Geriatric Unit, Division of Community Health, Ben-Gurion University of the Negev, Beer-Sheva, Israel Background: Delirium, a common problem among hospitalized elderly patients, is not usually diagnosed by doctors for various reasons. The primary aim of this study was to evaluate the effect of a short training course on the identification of delirium and the diagnostic rate of delirium among hospitalized patients aged ≥65 years. The secondary aim was to identify the risk factors for delirium. Methods: A prospective study was conducted in an acute-care hospital in Moscow, Russia. Six doctors underwent a short training course on delirium. Data collected included assessment by the confusion assessment method for the intensive care units, sociodemographic data, functional state before hospitalization, comorbidity, and hospitalization indices (indication for hospitalization, stay in intensive care unit, results of laboratory tests, length of hospitalization, and in-hospital mortality). Results: Delirium was diagnosed in 13 of 181 patients (7.2%) who underwent assessment. Cognitive impairment was diagnosed more among patients with delirium (30.0% vs 6.1%, P=0.029); Charlson comorbidity index was higher (3.6±2.4 vs 2.3±1.8, P=0.013); and Barthel index was lower (43.5±34.5 vs 94.1±17.0, P=0.000). The length of hospitalization was longer for patients with delirium at 13.9±7.3 vs 8.8±4.6 days (P=0.0001), and two of the 13 patients with delirium died during hospitalization compared with none of the 168 patients without delirium (P=0.0001). Conclusion: Although the rate of delirium was relatively low compared with studies from the West, this study proves that an educational intervention among doctors can bring about a significant change in the diagnosis of the condition. Keywords: delirium, elderly, inpatients, Russia
format article
author Tkacheva ON
Runikhina NK
Vertkin AL
Voronina IV
Sharashkina NV
Mkhitaryan EA
Ostapenko VS
Prokhorovich EA
Freud T
Press Y
author_facet Tkacheva ON
Runikhina NK
Vertkin AL
Voronina IV
Sharashkina NV
Mkhitaryan EA
Ostapenko VS
Prokhorovich EA
Freud T
Press Y
author_sort Tkacheva ON
title The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?
title_short The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?
title_full The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?
title_fullStr The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?
title_full_unstemmed The diagnosis of delirium in an acute-care hospital in Moscow: what does the Pandora’s box contain?
title_sort diagnosis of delirium in an acute-care hospital in moscow: what does the pandora’s box contain?
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/60d65e62eb5b40a09e0f123956f91eae
work_keys_str_mv AT tkachevaon thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT runikhinank thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT vertkinal thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT voroninaiv thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT sharashkinanv thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT mkhitaryanea thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT ostapenkovs thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT prokhorovichea thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT freudt thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT pressy thediagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT tkachevaon diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT runikhinank diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT vertkinal diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT voroninaiv diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT sharashkinanv diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT mkhitaryanea diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT ostapenkovs diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT prokhorovichea diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT freudt diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
AT pressy diagnosisofdeliriuminanacutecarehospitalinmoscowwhatdoesthepandorarsquosboxcontain
_version_ 1718402960952655872