Delirium in Chilean elderly inpatients: an overlooked problem

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dc.contributor.authorCarrasco, M
dc.contributor.authorHoyl, T
dc.contributor.authorMarin, PP
dc.contributor.authorHidalgo, J
dc.contributor.authorLagos, C
dc.contributor.authorLongton, C
dc.contributor.authorChavez, P
dc.contributor.authorValenzuela, E
dc.contributor.authorArriagada, D
dc.date.accessioned2024-01-10T13:47:23Z
dc.date.available2024-01-10T13:47:23Z
dc.date.issued2005
dc.description.abstractBackground: Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost. Aim: To evaluate the prevalence of delirium as hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium. Patients and methods: In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary. Results: One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6+/-5, were evaluated. Fifty seven patients (52% women, age range 65-94 years) with an APACHE II score of 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger; p <0.05) and among patients with more severe conditions (88% among those with an APACHE score over 16 versus 47% below that value, p <0.05). Medical records of patients with delirium showed that this diagnosis was present only in 32% and cognitive deficit was described in 73%. Ten percent of patients with delirium received sedative medication and 38% were physically restricted. There were no environmental interventions to prevent or control delirium. Conclusions: Delirium in elderly inpatients at this until is an extraordinarily prevalent problem, seriously under diagnosed (68%) and under treated. This study should alerts our medical community to improve the diagnosis and management of delirium in elderly inpatients.
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:16446872
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79264
dc.identifier.wosidWOS:000235129100006
dc.information.autorucMedicina;Hoyl T;S/I;73074
dc.issue.numero12
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final1454
dc.pagina.inicio1449
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsregistro bibliográfico
dc.subjectaged
dc.subjectdelirium
dc.subjectfrailelderly
dc.subjecthospitalized
dc.subjectOLDER PATIENTS
dc.subjectPREVALENCE
dc.subjectCONFUSION
dc.subjectMODEL
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleDelirium in Chilean elderly inpatients: an overlooked problem
dc.typeartículo
dc.volumen133
sipa.codpersvinculados73074
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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