Regular Research ArticlesGeriatric Ward Hospitalization Reduced Incidence Delirium Among Older Medical Inpatients
Section snippets
Study Population, Setting, and Data Collection
The study was conducted within a University teaching hospital (San Giovanni Battista, Turin, northern Italy), with consecutive subjects aged 70 years and older, admitted from the emergency department to an AGMW or to an AGW. In this hospital there are eight internal medicine units, including seven AGMWs and one AGW; admissions to medicine units are independently decided by emergency department physicians and there is no compelling indication for selective admission to specific internal medicine
RESULTS
Of the 338 patients evaluated at admission to the acute wards, 64 were excluded (5 for delirium at entry; 12 for history of psychiatric disorder or alcohol abuse; 17 for primary diagnosis of stroke; 5 for coma or aphasia; 21 for absence of caregiver at entry; 4 for language barrier). Informed consent was not obtained for 13 patients and 9 patients were not included for missing or incomplete data. Therefore, 252 patients (mean age 82.4 ± 4.1 year, 53% women; 121 admitted to AGW and 131 admitted
DISCUSSION
Results of the present study suggest that among older medical inpatients AGW hospitalization is independently associated with less incident delirium, compared with AGMW admission. Although these results do not allow to draw definite conclusions and should better be regarded as exploratory and hypothesis-generating findings, nevertheless they were consistent across both statistical methods used; indeed, AGW hospitalization seemed to be independently protective either when conventional
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2022, American Journal of Emergency MedicineRisk Factors for Delirium in Older Adults in the Emergency Department: A Systematic Review and Meta-Analysis
2021, Annals of Emergency MedicineCitation Excerpt :Among incident delirium studies, there were a total of 2,238 geriatric patients free of delirium in the ED who were assessed for the development of delirium during hospitalization. The overall incidence of delirium during hospitalization in these studies ranged from 11%58 to 27%.64 The quality of the 7 studies was also heterogeneous but was of better quality overall, including 4 studies deemed to be at a low risk of bias and 3 at an unclear risk of bias.
Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness
2018, American Journal of Geriatric PsychiatryCitation Excerpt :The present analysis systematically updates a previous meta-analysis. Delirium incidence: Twelve studies of the HELP model10,18,19,21,23–26,29,30,53,54 measured delirium incidence. In total, the meta-analysis involved 3,605 patients and showed that the odds of delirium were 53% lower in the intervention group compared with controls (OR 0.47; 95% CI 0.37–0.59, I2 = 28%).