Delirium and geriatric syndromes in hospitalized older patients: Results from World Delirium Awareness Day

Year 2022, , 53 - 60, 31.01.2022

Gökcen Umurca Busra Can Birkan Ilhan Asli Tufan

https://doi.org/10.5472/marumj.1059577

Cited By: 1

Abstract

Objective: To determine the point prevalence of delirium and the associated risk factors in geriatric inpatients.
Patients and Methods: Sixty-two hospitalized patients aged 60 years and over were recruited. The Mini Nutritional Assessment-Short
Form (MNA-SF), the FRAIL scale, Katz Activities of Daily Living (ADL), and Lawton-Brody Instrumental ADL (IADL) questionnaires
were administered. A delirium evaluation test (Confusion Assessment Method-CAM) was performed for diagnosing delirium.
Mortality was evaluated one month after the index date.
Results: The median age was 71.5 (range, 60-96) years. Delirium was detected in 29% of the patients. Frailty and dementia were
associated with delirium (p<0.001 and p=0.001; respectively). Polypharmacy, indwelling urinary catheter, and low albumin were also
related to delirium (p=0.025, p=0.007, and p=0.002; respectively). Age over 70 years, low Katz ADL and low MNA-SF scores were
found to be independently associated with delirium in multivariate regression analysis models. The median hospitalization time was
longer in the delirium group (p=0.029). Survival analysis at one month showed no significant difference between the delirium and
non-delirium groups.
Conclusion: Age over 70 years, impaired functionality in ADL and malnutrition were independently associated with delirium.

Keywords

Delirium, Functionality, Geriatrics, Geriatric syndromes, Malnutrition

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