Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes

Background:Delirium is an important problem in older medical inpatients. Aim: To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period. Material and Methods: Prospective cohort study of consecu...

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Autores principales:	Carrasco,Marcela, Accatino-Scagliotti,Luigi, Calderón,Jorge, Villarroel,Luis, Marín,Pedro Paulo, González,Matías
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Aged Delirium Mortality Prognosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000700003
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spelling	oai:scielo:S0034-988720120007000032012-10-22Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortesCarrasco,MarcelaAccatino-Scagliotti,LuigiCalderón,JorgeVillarroel,LuisMarín,Pedro PauloGonzález,Matías Aged Delirium Mortality Prognosis Background:Delirium is an important problem in older medical inpatients. Aim: To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period. Material and Methods: Prospective cohort study of consecutive patients 65 years and older, admitted to a general hospital medical ward. A psychogeriatric team assessed patients every 48 h using the Confusion Assessment Method (CAM), functionality, acute severity and comorbidity scores. Analysis of one year mortality and telephone functional assessment was performed. Results: Five hundred forty two patients were enrolled and 35.4% had delirium. After one year, mortality was 34.9 and 13% in delirium and non-delirium cohorts, respectively (p < 0.01). After adjustment for covariates, delirium was independently associated with higher mortality, and higher functional decline and institutionalization. No significant differences were seen in readmission rates. Conclusions: Delirium was significantly associated with higher mortality and functional decline over a one year follow up period in geriatric inpatients.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.7 20122012-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000700003es10.4067/S0034-98872012000700003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged Delirium Mortality Prognosis
spellingShingle	Aged Delirium Mortality Prognosis Carrasco,Marcela Accatino-Scagliotti,Luigi Calderón,Jorge Villarroel,Luis Marín,Pedro Paulo González,Matías Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
description	Background:Delirium is an important problem in older medical inpatients. Aim: To assess if delirium is associated with higher mortality, functional decline or higher rates of readmission or institutionalization in a one year follow-up period. Material and Methods: Prospective cohort study of consecutive patients 65 years and older, admitted to a general hospital medical ward. A psychogeriatric team assessed patients every 48 h using the Confusion Assessment Method (CAM), functionality, acute severity and comorbidity scores. Analysis of one year mortality and telephone functional assessment was performed. Results: Five hundred forty two patients were enrolled and 35.4% had delirium. After one year, mortality was 34.9 and 13% in delirium and non-delirium cohorts, respectively (p < 0.01). After adjustment for covariates, delirium was independently associated with higher mortality, and higher functional decline and institutionalization. No significant differences were seen in readmission rates. Conclusions: Delirium was significantly associated with higher mortality and functional decline over a one year follow up period in geriatric inpatients.
author	Carrasco,Marcela Accatino-Scagliotti,Luigi Calderón,Jorge Villarroel,Luis Marín,Pedro Paulo González,Matías
author_facet	Carrasco,Marcela Accatino-Scagliotti,Luigi Calderón,Jorge Villarroel,Luis Marín,Pedro Paulo González,Matías
author_sort	Carrasco,Marcela
title	Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
title_short	Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
title_full	Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
title_fullStr	Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
title_full_unstemmed	Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
title_sort	impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000700003
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Impacto del delirium en pacientes de edad avanzada hospitalizados: un estudio prospectivo de cohortes

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