Format

Send to

Choose Destination
Dement Geriatr Cogn Disord. 2018;46(1-2):27-41. doi: 10.1159/000490722. Epub 2018 Aug 9.

A Point Prevalence Study of Delirium in Italian Nursing Homes.

Author information

1
Geriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.
2
Geriatric Research Group, Brescia, Italy.
3
Department of Rehabilitation and Aged Care, "Fondazione Camplani" Hospital, Cremona, Italy.
4
Department of Clinical and Behavioral Neurology, Neuropsychiatry Laboratory, IRCCS Foundation Santa Lucia, Rome, Italy.
5
Redaelli Geriatric Institute, Milan, Italy.
6
Geriatric Medicine Research Unit, Department of Experimental and Clinical Medicine, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.
7
Section of Geriatrics, Città della Salute e della Scienza - Molinette, Turin, Italy.
8
Medicine and Rehabilitation Department, Istituto Clinico S. Anna, Brescia, Italy.
9
Department of Geriatric and Internal Medicine, Poliambulanza Hospital, Brescia, Italy.
10
Geriatric Unit, San Gerardo University Hospital, Monza, Italy.
11
Institute of Biomedical Technologies, National Research Council, Milan, Italy.
12
Italian Society of Neurology for Dementia (SINDEM), Siena, Italy.
13
Geriatric Unit, Department of Neuromotor Physiology, ASMN Hospital, Reggio Emilia, Italy.
14
Italian Society of Hospital and Community Geriatrics (SIGOT), Rome, Italy.
15
Department of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.
16
Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Telese, Telese Terme, Italy.
17
Italian Society of Gerontology and Geriatrics (SIGG), Florence, Italy.
18
Tor Vergata, Rome University, Rome, Italy.
19
Italian Psychogeriatric Association (AIP), Brescia, Italy.
20
School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.

Abstract

BACKGROUND:

Delirium is a common geriatric syndrome. Few studies have been conducted in nursing home (NH) residents. The aim of this project was to perform a point prevalence study of delirium in Italian NHs.

METHODS:

Data collected in 71 NHs are presented. Inclusion criteria were age ≥65 years and native Italian speaker. Exclusion criteria were coma, aphasia, and end-of-life status. Sociodemographic and medical data were recorded. Delirium was assessed using the Assessment Test for Delirium and Cognitive Impairment (4-AT). Patients with a 4-AT score ≥4 were considered to have delirium. Motor subtype was evaluated using the Delirium Motor Subtype Scale (DMSS).

RESULTS:

A total of 1,454 patients were evaluated (mean age 84.4 ± 7.4 years, 70.2% female), of whom 535 (36.8%) had delirium. In multivariate logistic regression analysis, variables significantly associated with delirium were education (OR 0.94, 95% CI 0.91-0.97), dementia (OR 3.12, 95% CI 2.38-4.09), functional dependence (OR 6.13, 95% CI 3.08-12.19 for ADL score 0; OR 1.99, 95% CI 1.03-3.84 for ADL score 1-5), malnutrition (OR 4.87, 95% CI 2.68-8.84), antipsychotics (OR 2.40, 95% CI 1.81-3.18), and physical restraints (OR 2.48, 95% CI 1.71-3.59).

CONCLUSION:

Delirium is common in older NH residents. Simple assessment tools might facilitate its recognition in this vulnerable population.

KEYWORDS:

Assessment; Delirium; Nursing home medicine; Prevalence

PMID:
30092581
DOI:
10.1159/000490722
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for S. Karger AG, Basel, Switzerland
Loading ...
Support Center