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Mortality Rates during Hospitalization and Affecting Factors in Geriatric Delirium Patients: a Retrospective Cohort
1Psychiatry Department, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey.
Delirium patients in geriatric consultations had higher mortality rates, especially males with multiple diseases and medications. Early detection and medication review are crucial for better outcomes.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Internal Medicine
Background:
- Delirium is a common and serious condition in hospitalized elderly patients.
- Mortality rates associated with delirium in this population require further investigation.
Purpose of the Study:
- To determine the in-hospital mortality rate among geriatric patients diagnosed with delirium.
- To identify factors influencing mortality in these patients.
Main Methods:
- Retrospective review of electronic medical records for 200 geriatric patients who received psychiatric consultations for delirium.
- Data collected included demographics, length of hospital stay, comorbidities, medications, and consultation details.
Main Results:
- In-hospital mortality was associated with longer length of hospital stay and delayed consultation.
- Higher numbers of comorbid diseases and daily medications were observed in patients who died.
- Male gender, increased comorbidities, and polypharmacy were identified as predictors of mortality.
Conclusions:
- Early identification of delirium is critical for improving short-term patient outcomes.
- Comprehensive medication review during patient evaluation may positively impact disease outcomes.
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