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Delirium in older patients admitted to general internal medicine
Piteå River Valley Hospital, Department of Medicine and Rehabilitation.
Umeå University, Department of Community Medicine and Rehabilitation.
Umeå University, Department of Community Medicine and Rehabilitation.
Luleå University of Technology, Department of Health Sciences, Nursing Care.
Show others and affiliations
2006 (English)In: Journal of Geriatric Psychiatry and Neurology, ISSN 0891-9887, E-ISSN 1552-5708, Vol. 19, no 2, p. 83-90Article in journal (Refereed) Published
Abstract [en]

Delirium on the day of admission to general internal medicine wards was studied in 400 consecutive patients aged 70 years and above regarding occurrence, associated factors, clinical profile, length of hospital stay, and mortality. The patients were assessed using the Organic Brain Syndrome Scale and the Mini-Mental State Examination, and delirium was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders (4th ed) criteria. Delirium on the day of admission occurred in 31.3% of the patients and was independently associated with old age, fever on the day of admission (> or = 38 degrees C), treatment with neuroleptics, impaired vision, male sex, and previous stroke. Delirious patients had longer hospital stay (15.4 vs 9.5 days, P < .001), a higher mortality rate during hospitalization (11/125 vs 5/275, P < .001), and a higher 1-year mortality rate (45/125 vs 55/275, P = .001). Delirium is a common complication with often easily identified causes, and it has a serious impact on outcome for older medical patients.

Place, publisher, year, edition, pages
2006. Vol. 19, no 2, p. 83-90
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-5367DOI: 10.1177/0891988706286509ISI: 000237778800005Scopus ID: 2-s2.0-33646580064Local ID: 37414da0-ba9d-11db-b560-000ea68e967bOAI: oai:DiVA.org:ltu-5367DiVA, id: diva2:978241
Note
Validerad; 2006; 20061215 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved

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Brännström, Benny

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