A longitudinal study on delirium in nursing homes.

Détails

ID Serval
serval:BIB_1FC2D60678D2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A longitudinal study on delirium in nursing homes.
Périodique
American Journal of Geriatric Psychiatry
Auteur(s)
von Gunten A., Mosimann U.P., Antonietti J.P.
ISSN
1545-7214 (Electronic)
ISSN-L
1064-7481
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
21
Numéro
10
Pages
963-972
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVE: To investigate the evolution of delirium of nursing home (NH) residents and their possible predictors.
DESIGN: Post-hoc analysis of a prospective cohort assessment.
SETTING: Ninety NHs in Switzerland.
PARTICIPANTS: Included 14,771 NH residents.
MEASUREMENTS: The Resident Assessment Instrument Minimum Data Set and the Nursing Home Confusion Assessment Method were used to determine follow-up of subsyndromal or full delirium in NH residents using discrete Markov chain modeling to describe long-term trajectories and multiple logistic regression analyses to determine predictors of the trajectories.
RESULTS: We identified four major types of delirium time courses in NH. Increasing severity of cognitive impairment and of depressive symptoms at the initial assessment predicted the different delirium time courses.
CONCLUSION: More pronounced cognitive impairment and depressive symptoms at the initial assessment are associated with different subsequent evolutions of delirium. The presence and evolution of delirium in the first year after NH admission predicted the subsequent course of delirium until death.
Pubmed
Web of science
Création de la notice
20/09/2013 16:20
Dernière modification de la notice
20/08/2019 13:55
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