Delirium and geriatric syndromes in hospitalized older patients: Results from World Delirium Awareness Day

Authors : Gökcen UMURCA, Busra CAN, Birkan ILHAN, Asli TUFAN

Pages : 53-60

Doi:10.5472/marumj.1059577

View : 17 | Download : 12

Publication Date : 2022-01-31

Article Type : Research Paper

Abstract :Objective: To determine the point prevalence of delirium and the associated risk factors in geriatric inpatients. Patients and Methods: Sixty-two hospitalized patients aged 60 years and over were recruited. The Mini Nutritional Assessment-Short Form insert ignore into journalissuearticles values(MNA-SF);, the FRAIL scale, Katz Activities of Daily Living insert ignore into journalissuearticles values(ADL);, and Lawton-Brody Instrumental ADL insert ignore into journalissuearticles values(IADL); questionnaires were administered. A delirium evaluation test insert ignore into journalissuearticles values(Confusion Assessment Method-CAM); was performed for diagnosing delirium. Mortality was evaluated one month after the index date. Results: The median age was 71.5 insert ignore into journalissuearticles values(range, 60-96); years. Delirium was detected in 29% of the patients. Frailty and dementia were associated with delirium insert ignore into journalissuearticles values(p<0.001 and p=0.001; respectively);. Polypharmacy, indwelling urinary catheter, and low albumin were also related to delirium insert ignore into journalissuearticles values(p=0.025, p=0.007, and p=0.002; respectively);. Age over 70 years, low Katz ADL and low MNA-SF scores were found to be independently associated with delirium in multivariate regression analysis models. The median hospitalization time was longer in the delirium group insert ignore into journalissuearticles values(p=0.029);. Survival analysis at one month showed no significant difference between the delirium and non-delirium groups. Conclusion: Age over 70 years, impaired functionality in ADL and malnutrition were independently associated with delirium.
Keywords : Delirium, Functionality, Geriatrics, Geriatric syndromes, Malnutrition