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Clin Geriatr Med. 2019 May;35(2):221-236. doi: 10.1016/j.cger.2019.01.004. Epub 2019 Mar 5.

The Overlap Between Falls and Delirium in Hospitalized Older Adults: A Systematic Review.

Author information

1
Center of Innovation in Long-Term Services and Supports, Providence VA Medical Center (650), 830 Chalkstone Avenue, Providence, RI 02908 USA; College of Nursing, The Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
2
Center of Innovation in Long-Term Services and Supports, Providence VA Medical Center (650), 830 Chalkstone Avenue, Providence, RI 02908 USA.
3
Center of Innovation in Long-Term Services and Supports, Providence VA Medical Center (650), 830 Chalkstone Avenue, Providence, RI 02908 USA; Department of Medicine, Warren Alpert Medical School, Brown University, Box G-A1, Providence, RI 02912, USA; Center of Gerontology and Health Research, Brown University School of Public Health, Providence, RI, USA. Electronic address: james.rudolph@va.gov.

Abstract

Falls frequently occur in persons with cognitive impairment, including delirium. This article presents a systematic review of the association between falls and delirium in adults aged 65 years or older. For the studies that compared falls and delirium, the risk ratio was consistently elevated (median RR 4.5, range 1.4-12.6) and statistically significant in all but one study. These results suggest that falls and delirium are inextricably linked. There is a need to further refine fall risk assessment tools and protocols to specifically include delirium for consideration as a risk factor that needs additional assessment and management.

KEYWORDS:

Delirium; Falls; Hospital; Older adults; Systematic review

PMID:
30929884
DOI:
10.1016/j.cger.2019.01.004

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