Marabotto M.,Azienda Ospedaliera S. Croce e Carle di Cuneo |
Raspo S.,Azienda Ospedaliera S. Croce e Carle di Cuneo |
Bonetto M.,Azienda Ospedaliera S. Croce e Carle di Cuneo |
Gerardo B.,Azienda Ospedaliera S. Croce e Carle di Cuneo |
And 8 more authors.
Giornale di Gerontologia | Year: 2013
Introduction. Delirium is characterized by sudden onset and fluctuating course, inattention, altered level of consciousness, disorganized thinking and speech, disorientation and behavioural disturbances; it is common among the elderly and it is often unrecognized. Its clinical presentation is characterized by hyperactive, hypoactive and mixed forms. The prevention of delirium is possible using adequate preventive strategies focused on risk factors detection. We aimed to identify predictive factors of delirium in elderly patients hospitalized in the Acute Geriatric Ward of Cuneo. Methods. We analyzed the case history of 224 patients consecutively admitted to the Geriatric Ward of S. Croce e Carle Hospital of Cuneo from 9 December 2010 to 26 March 2011. The following variables were evaluated: demographics, cognition/function, comorbidity, history of dementia, alcohol consumption urinary ca-theterization, drugs administered at home and during hospitalization, presence and treatment of delirium. Results. We identify as predictors of delirium: age, index of dependence in the instrumental activities of daily living, cognitive impairment, history of delirium, presence of urinary catheter, comorbidity, urinary retention, in-hospital length of stay. Discussion. According to other previously published data from the literature, delirium is common among the elderly and it is often unrecognized, especially the hypoactive form. The most effective treatment of delirium is its prevention adopting specific strategies to reduce risk factors. Source