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Australas J Ageing. 2013 Mar;32(1):60-3. doi: 10.1111/ajag.12007. Epub 2013 Mar 5.

Management of delirium in medicine: experience of a Close Observation Unit.

Author information

  • 1The Prince Charles Hospital, Brisbane, Queensland, Australia. eamonn_eeles@health.qld.gov.au

Abstract

AIM:

A new model of care for the management of patients with delirium was developed and evaluated.

METHOD:

A four-bedded Close Observation Unit (COU) was introduced. The model comprised education for assistants in nursing (AINs), environmental adaptations and AIN-to-patient ratio of 1:4. Outcomes in all patients with delirium before and after introduction of the new model of care were compared.

RESULTS:

One hundred and five patients were admitted to COU, of whom 100 (95%) were diagnosed with delirium. In-hospital mortality improved after introduction of the unit (15% vs 5%; P = 0.002) without significant change in length of stay, discharge destination or falls frequency.

CONCLUSION:

A dedicated unit for delirium management within medicine achieved a reduction in mortality.

© 2013 The Authors. Australasian Journal on Ageing © 2013 ACOTA.

PMID:
23521739
[PubMed - indexed for MEDLINE]
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