Incidence and prevalence of delirium, associated factors, outcomes, and impact of geriatric assessment in hospitalized older adults in an acute geriatric unit in Mexico City

Autores: López Rodríguez Aldo, Becerra Laparra Ivonne K., Juárez Hernández Eva

Resumen

Objective: The aim of the study was to know the incidence and prevalence of delirium in adults older than 85 years hospitalized in a geriatric acute unit. Methodology: This was an observational, descriptive study. A total of 224 patients, aged 85 and over, were hospitalized at the Clínica Médica Sur hospital in the period of 2015-2016. Results: 224 patients were included, mean age 89.3 ± 3.2, schooling 11.8 years, functionality measured by the Charlson index greater than two points 54%. In the analysis, patients with delirium had a higher risk of mortality odds ratio (OR) 7.5 with a confidence interval (CI) 2.84-19.92 (p ≤ 0.0001), an increase in hospital stay with an OR 3.27 CI 1.82-5.89 (p ≤ 0.0001). Predisposing factors, a Charlson index > 2 points had an OR of 2.28 IC 1.25-4.16 (p = 0.006), functionality by Katz < 5B had an OR of 2.82 IC 1.32-6.03 (p = 0.006) for delirium. The comprehensive geriatric assessment decreased delirium with an OR 0.5 IC 0.28-0.87 (p = 0.02). Conclusions: The prevalence of delirium in this population was 25.9%, cumulative incidence 7.5%. The incidence of delirium was associated with a longer hospital stay and mortality. Comprehensive geriatric evaluation was associated with a lower incidence of delirium.

Palabras clave: Delirium incidence prevalence risk factors mexican population comprehensive geriatric assessment

2021-04-20   |   23 visitas   |   Evalua este artículo 0 valoraciones

Vol. 6 Núm.2. Julio-Diciembre 2020 Pags. 42-47 J Lat Am Geriatric Med 2020; 6(2)