| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Andrew, Melissa K Freter, Susan H Rockwood, Kenneth |
| Abstract | Background Delirium often has a poor outcome, but why some people have incomplete recovery is not well understood. Our objective was to identify factors associated with short-term (by discharge) and long-term (by 6 month) incomplete recovery of function following delirium. Methods In a prospective cohort study of elderly patients with delirium seen by geriatric medicine services, function was assessed at baseline, at hospital discharge and at six months. Results Of 77 patients, vital and functional status at 6 months was known for 71, of whom 21 (30%) had died. Incomplete functional recovery, defined as ≥10 point decline in the Barthel Index, compared to pre-morbid status, was present in 27 (54%) of the 50 survivors. Factors associated with death or loss of function at hospital discharge were frailty, absence of agitation (hypoactive delirium), a cardiac cause and poor recognition of delirium by the treating service. Frailty, causes other than medications, and poor recognition of delirium by the treating service were associated with death or poor functional recovery at 6 months. Conclusion Pre-existing frailty, cardiac cause of delirium, and poor early recognition by treating physicians are associated with worse outcomes. Many physicians view the adverse outcomes of delirium as intractable. While in some measure this might be true, more skilled care is a potential remedy within their grasp. |
| Related Links | https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/1471-2318-5-5.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14712318 |
| DOI | 10.1186/1471-2318-5-5 |
| Journal | BMC Geriatrics |
| Issue Number | 1 |
| Volume Number | 5 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2005-03-17 |
| Access Restriction | Open |
| Subject Keyword | Geriatrics Gerontology Aging Rehabilitation Dementia Usual Care Hospital Discharge Functional Decline Barthel Index Geriatrics/Gerontology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Geriatrics and Gerontology |
| Journal Impact Factor | 3.4/2023 |
| 5-Year Journal Impact Factor | 4.1/2023 |
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