Delirium upon admission to Swiss nursing homes: a cross-sectional study.

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_B3200AEFF47A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Delirium upon admission to Swiss nursing homes: a cross-sectional study.
Périodique
Swiss Medical Weekly
Auteur(s)
von Gunten A., Mosimann U.P.
ISSN
1424-3997
Statut éditorial
Publié
Date de publication
2010
Volume
140
Numéro
25-26
Pages
376-381
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Résumé
QUESTIONS UNDER STUDY: We wished to investigate the prevalence of delirium in patients upon admission to nursing homes and whether or not the previous place of residence predicts delirium. METHODS: The Resident Assessment Instrument Minimum Data Set (RAI-MDS) and the Nursing Home Confusion Assessment Method (NHCAM) were used to determine whether the previous place of residence (community, nursing home, acute care, psychiatric, rehabilitation hospital) predicted the prevalence of sub-syndromal or full delirium in nursing home residents in three Swiss cantons (n = 11745). RESULTS: 39.7% had sub-syndromal and 6.5% had full delirium. Lower cognitive performance and increased depressive symptoms were significant predictors of higher NHCAM values independent of previous residence. Age, civil status, continence, newly introduced drugs, and basic activities of daily living were predictors in some resident groups. The variance of NHCAM scores explained varied between 25.1% and 32.3% depending on previous residence. CONCLUSIONS: Sub-syndromal and full delirium are common upon nursing home admission. Increased dependence and depression are consistently associated with higher NHCAM scores. Patients from psychiatric settings have an increased risk of delirium. Although factors associated with delirium depend on a patient's previous residence, all patients must be carefully screened for sub-syndromal and full delirium.
Pubmed
Web of science
Création de la notice
23/08/2010 14:23
Dernière modification de la notice
20/08/2019 16:21
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