Association between frailty and delirium in older adult patients discharged from hospital.

Détails

Ressource 1Télécharger: BIB_11385BEC2BBB.P001.pdf (353.31 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_11385BEC2BBB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Association between frailty and delirium in older adult patients discharged from hospital.
Périodique
Clinical Interventions In Aging
Auteur(s)
Verloo H., Goulet C., Morin D., von Gunten A.
ISSN
1178-1998 (Electronic)
ISSN-L
1176-9092
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
11
Pages
55-63
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal Article
Publication Status: epublish
Résumé
BACKGROUND: Delirium and frailty - both potentially reversible geriatric syndromes - are seldom studied together, although they often occur jointly in older patients discharged from hospitals. This study aimed to explore the relationship between delirium and frailty in older adults discharged from hospitals.
METHODS: Of the 221 patients aged >65 years, who were invited to participate, only 114 gave their consent to participate in this study. Delirium was assessed using the confusion assessment method, in which patients were classified dichotomously as delirious or nondelirious according to its algorithm. Frailty was assessed using the Edmonton Frailty Scale, which classifies patients dichotomously as frail or nonfrail. In addition to the sociodemographic characteristics, covariates such as scores from the Mini-Mental State Examination, Instrumental Activities of Daily Living scale, and Cumulative Illness Rating Scale for Geriatrics and details regarding polymedication were collected. A multidimensional linear regression model was used for analysis.
RESULTS: Almost 20% of participants had delirium (n=22), and 76.3% were classified as frail (n=87); 31.5% of the variance in the delirium score was explained by frailty (R (2)=0.315). Age; polymedication; scores of the Confusion Assessment Method (CAM), instrumental activities of daily living, and Cumulative Illness Rating Scale for Geriatrics; and frailty increased the predictability of the variance of delirium by 32% to 64% (R (2)=0.64).
CONCLUSION: Frailty is strongly related to delirium in older patients after discharge from the hospital.
Mots-clé
Activities of Daily Living, Aged, Aged, 80 and over, Cognition Disorders/diagnosis, Delirium/diagnosis, Female, Frail Elderly/psychology, Geriatric Assessment/methods, Hospitals, Humans, Linear Models, Male, Neuropsychological Tests, Patient Discharge, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Switzerland
Pubmed
Web of science
Open Access
Oui
Création de la notice
01/02/2016 11:30
Dernière modification de la notice
20/08/2019 12:38
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