Longitudinal changes in delirium motor subtypes among patients with advanced cancer in inpatient hospice and palliative care units: A secondary analysis of a multicenter cohort study
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View abstract on PubMed
Summary
This summary is machine-generated.Delirium motor subtypes in palliative care are often stable, but some patients shift. Maintaining communication capacity without agitation is challenging for those with delirium.
Area Of Science
- Geriatrics
- Palliative Care
- Neuroscience
Background
- Delirium is common in palliative care.
- Motor subtypes of delirium (hypoactive, hyperactive, mixed) may have different prognoses.
- The stability of these subtypes during a palliative care unit stay is not well understood.
Purpose Of The Study
- To examine the longitudinal changes in delirium motor subtypes among patients receiving palliative care.
- To assess the stability of hypoactive versus hyperactive/mixed delirium subtypes.
Main Methods
- Secondary analysis of a multicenter observational study of advanced cancer patients.
- Delirium motor subtypes, agitation (MDAS item 9), and communication capacity (CCS item 4) were assessed.
- Assessments occurred at admission (T0), before death (T1), and daily.
Main Results
- Over 9,000 delirium assessments were analyzed from 1,633 patients.
- 57% of patients remained in their initial delirium motor subtype (hypoactive or hyperactive/mixed) until death.
- Patients with delirium at admission were less likely to maintain communication capacity without moderate-to-severe agitation at the end of life.
Conclusions
- Delirium motor subtypes show considerable stability during palliative care.
- Balancing patient comfort and communication capacity is a key challenge.
- Individualized delirium management goals require discussion with caregivers.
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