Hospital costs associated with delirium in older medical patients

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dc.contributor.authorGonzalez Tugas, Matías
dc.contributor.authorUslar Nawrath, Wilhelm
dc.contributor.authorVillarroel del Pino, Luis A.
dc.contributor.authorCalderón Pinto, Jorge
dc.contributor.authorPalma Onetto, Carolina
dc.contributor.authorCarrasco Gorman, Marcela
dc.date.accessioned2020-01-12T03:51:25Z
dc.date.available2020-01-12T03:51:25Z
dc.date.issued2012
dc.description.abstractINTRODUCTION: Delirium is a common and serious complication in older patients, associated with increased, potentially preventable, morbidity and mortality. The aim of this study was to evaluate the associated costs of delirium during hospitalization in a university affiliated hospital in Chile. MATERIALS AND METHODS: Prospective cohort study of consecutive patients 65 years and older, admitted to a medical ward. A psychogeriatric team assessed patients during the first and every 48h until discharge using the Confusion Assessment Method (CAM-S), length of hospital stay, pharmacy and total hospitalization costs were analyzed. Statistical analysis was performed using bivariate and multivariate analysis according to delirium diagnosis. RESULTS: Data from 454 patients was analyzed, 160 of them in a delirium cohort (35.2%) and 294 in a non-delirium cohort (64.8%). The delirium cohort had a longer hospital stay (DATA) and higher mortality (7.0% versus 1.7%). The median of total costs of delirium during hospital stay was 38.7% higher than the non-delirium cohort (P<.001). Total costs were significantly higher in the delirium cohort after adjustment of covariables (P=.01). CONCLUSIONS: This study confirms that delirium is associated with significantly greater costs. Considering that effective delirium prevention is possible, the knowledge of associated costs can help health care providers to justify prevention strategies and finally give better care for older patients.
dc.fuente.origenFacultad de Medicina
dc.identifier.doi10.1016/j.regg.2011.03.005
dc.identifier.issn0211-139x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/27400
dc.issue.numeroNo. 1
dc.language.isoen
dc.revistaRev Esp Geriatr Gerontoles_ES
dc.rightsacceso restringido
dc.subjectAgedes_ES
dc.subjectAged, 80 and overes_ES
dc.subjectCohort Studieses_ES
dc.subjectCosts and Cost Analysises_ES
dc.subjectDelirium/*economics/therapyes_ES
dc.subjectFemalees_ES
dc.subjectHospitalization/*economicses_ES
dc.subjectHospitals, Universityes_ES
dc.subjectHumanses_ES
dc.subjectMalees_ES
dc.subjectProspective Studieses_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleHospital costs associated with delirium in older medical patientses_ES
dc.typeartículo
dc.volumenVol. 47
sipa.codpersvinculados1003224
sipa.codpersvinculados77182
sipa.codpersvinculados1001318
sipa.codpersvinculados1002005
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