Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter?
Background. Features that may allow early identification of patients at risk of prolonged delirium, and therefore of poorer outcomes, are not well understood. The aim of this study was to determine if preoperative delirium risk factors and delirium symptoms (at onset and clinical symptomatology duri...
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doaj-7d638c4f20b14dc992080e1ceef9bb7b2020-11-25T00:05:35ZengHindawi LimitedCurrent Gerontology and Geriatrics Research1687-70631687-70712013-01-01201310.1155/2013/962321962321Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter?Chantal J. Slor0Joost Witlox1Dimitrios Adamis2David J. Meagher3Tjeerd van der Ploeg4Rene W. M. M. Jansen5Mireille F. M. van Stijn6Alexander P. J. Houdijk7Willem A. van Gool8Piet Eikelenboom9Jos F. M. de Jonghe10Department of Geriatric Medicine, Medical Center Alkmaar, P.O. Box 501, 1800 AM Alkmaar, The NetherlandsDepartment of Geriatric Medicine, Medical Center Alkmaar, P.O. Box 501, 1800 AM Alkmaar, The NetherlandsResearch and Academic Institute of Athens, 27 Themistokleous Street and Akadimias, 106 77 Athens, GreeceUniversity Hospital Limerick and Department of Adult Psychiatry, University of Limerick Medical School, Limerick, IrelandMedical Center Alkmaar, Pieter van Foreest Institute for Education and Research, 1800 AM Alkmaar, The NetherlandsDepartment of Geriatric Medicine, Medical Center Alkmaar, P.O. Box 501, 1800 AM Alkmaar, The NetherlandsDepartment of Surgery, Medical Center Alkmaar, 1800 AM Alkmaar, The NetherlandsDepartment of Surgery, Medical Center Alkmaar, 1800 AM Alkmaar, The NetherlandsDepartment of Neurology, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The NetherlandsDepartment of Neurology, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The NetherlandsDepartment of Geriatric Medicine, Medical Center Alkmaar, P.O. Box 501, 1800 AM Alkmaar, The NetherlandsBackground. Features that may allow early identification of patients at risk of prolonged delirium, and therefore of poorer outcomes, are not well understood. The aim of this study was to determine if preoperative delirium risk factors and delirium symptoms (at onset and clinical symptomatology during the course of delirium) are associated with delirium duration. Methods. This study was conducted in prospectively identified cases of incident delirium. We compared patients experiencing delirium of short duration (1 or 2 days) with patients who had more prolonged delirium (≥3 days) with regard to DRS-R-98 (Delirium Rating Scale Revised-98) symptoms on the first delirious day. Delirium symptom profile was evaluated daily during the delirium course. Results. In a homogenous population of 51 elderly hip-surgery patients, we found that the severity of individual delirium symptoms on the first day of delirium was not associated with duration of delirium. Preexisting cognitive decline was associated with prolonged delirium. Longitudinal analysis using the generalised estimating equations method (GEE) identified that more severe impairment of long-term memory across the whole delirium episode was associated with longer duration of delirium. Conclusion. Preexisting cognitive decline rather than severity of individual delirium symptoms at onset is strongly associated with delirium duration.http://dx.doi.org/10.1155/2013/962321 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chantal J. Slor Joost Witlox Dimitrios Adamis David J. Meagher Tjeerd van der Ploeg Rene W. M. M. Jansen Mireille F. M. van Stijn Alexander P. J. Houdijk Willem A. van Gool Piet Eikelenboom Jos F. M. de Jonghe |
spellingShingle |
Chantal J. Slor Joost Witlox Dimitrios Adamis David J. Meagher Tjeerd van der Ploeg Rene W. M. M. Jansen Mireille F. M. van Stijn Alexander P. J. Houdijk Willem A. van Gool Piet Eikelenboom Jos F. M. de Jonghe Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? Current Gerontology and Geriatrics Research |
author_facet |
Chantal J. Slor Joost Witlox Dimitrios Adamis David J. Meagher Tjeerd van der Ploeg Rene W. M. M. Jansen Mireille F. M. van Stijn Alexander P. J. Houdijk Willem A. van Gool Piet Eikelenboom Jos F. M. de Jonghe |
author_sort |
Chantal J. Slor |
title |
Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? |
title_short |
Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? |
title_full |
Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? |
title_fullStr |
Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? |
title_full_unstemmed |
Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? |
title_sort |
predicting delirium duration in elderly hip-surgery patients: does early symptom profile matter? |
publisher |
Hindawi Limited |
series |
Current Gerontology and Geriatrics Research |
issn |
1687-7063 1687-7071 |
publishDate |
2013-01-01 |
description |
Background. Features that may allow early identification of patients at risk of prolonged delirium, and therefore of poorer outcomes, are not well understood. The aim of this study was to determine if preoperative delirium risk factors and delirium symptoms (at onset and clinical symptomatology during the course of delirium) are associated with delirium duration. Methods. This study was conducted in prospectively identified cases of incident delirium. We compared patients experiencing delirium of short duration (1 or 2 days) with patients who had more prolonged delirium (≥3 days) with regard to DRS-R-98 (Delirium Rating Scale Revised-98) symptoms on the first delirious day. Delirium symptom profile was evaluated daily during the delirium course. Results. In a homogenous population of 51 elderly hip-surgery patients, we found that the severity of individual delirium symptoms on the first day of delirium was not associated with duration of delirium. Preexisting cognitive decline was associated with prolonged delirium. Longitudinal analysis using the generalised estimating equations method (GEE) identified that more severe impairment of long-term memory across the whole delirium episode was associated with longer duration of delirium. Conclusion. Preexisting cognitive decline rather than severity of individual delirium symptoms at onset is strongly associated with delirium duration. |
url |
http://dx.doi.org/10.1155/2013/962321 |
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