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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Complications in postacute care are associated with persistent delirium
Corrie P Anderson1, Long H Ngo, Edward R Marcantonio
1University of New England College of Osteopathic Medicine, Biddeford, Maine, USA.
Journal of the American Geriatrics Society
|June 1, 2012
Summary
Geriatric syndrome complications are linked to persistent delirium in postacute care (PAC) patients. Addressing these syndromes may improve outcomes for vulnerable individuals in PAC.
Area of Science:
- Geriatric Medicine
- Neurology
- Internal Medicine
Background:
- Delirium is a common and serious condition in postacute care (PAC) settings.
- Understanding factors associated with delirium persistence is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the association between complications in postacute care (PAC) and the persistence of delirium 30 days after PAC admission.
Main Methods:
- An observational cohort study was conducted across eight Boston-area PAC facilities.
- 350 individuals with delirium at PAC admission were assessed at admission and 30 days later.
- Delirium presence was determined using the Confusion Assessment Method; medical records were reviewed for complications.
Main Results:
- 56% of participants experienced persistent delirium one month after PAC admission.
- Cardiac and noncardiac complications were not associated with delirium persistence.
- Increased geriatric syndrome complications were significantly associated with greater delirium persistence (adjusted P = .048).
Conclusions:
- Geriatric syndrome complications are prevalent in PAC patients with delirium and are linked to its persistence.
- Proactive management of geriatric syndrome risk factors may enhance outcomes for vulnerable PAC patients.
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