Factors Associated with Hospital-Acquired Delirium in Patients 18–65 Years Old

Rohatgi, Nidhi; Weng, Yingjie; Ahuja, Neera; Lansberg, Maarten G.

doi:10.1007/s11606-020-06378-w

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Delirium is multifactorial in aetiology and can be influenced by several factors. 13 Based on the present diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), 4 delirium may be heterogeneous, with different pathological factors and varying prognoses. Delirium has been often defined as a reversible syndrome.…”

Section: Persistence Of Deliriummentioning

confidence: 99%

“…Several studies have reported that delirium was more significantly associated with mortality in younger patients than elderly patients. Rohatgi et al 13 assessed the rate of delirium diagnosed by International Classification of Diseases codes, among hospitalised adults aged 18-65 years in a retrospective study. Compared to 92 449 non-delirium patients, 2855 delirium patients had higher inpatient mortality (OR: 17.2) and more discharges to nursing homes (OR: 4.8).…”

Section: Patients Aged Younger Than 65 Yearsmentioning

confidence: 99%

“…Several studies have reported that delirium was more significantly associated with mortality in younger patients than elderly patients. Rohatgi et al 13 . assessed the rate of delirium diagnosed by International Classification of Diseases codes, among hospitalised adults aged 18–65 years in a retrospective study.…”

Section: Mortality and Institutionalisationmentioning

confidence: 99%

See 2 more Smart Citations

Poor prognostic impact of delirium: especially on mortality and institutionalisation

Tachibana

Inada

2022

Psychogeriatrics

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The course of delirium is associated with increased hospital costs, healthcare complications, increased mortality, and long‐term poor outcomes. Despite delirium being long recognised as one of the most important prognostic components of patients with illnesses, delirium remains poorly understood, effective management options are limited, and no effective treatment has yet been established. This review evaluated the effects of delirium on mortality, institutionalisation, and dementia in various situations to clarify its prognostic seriousness to elucidate important areas for clinical practice and future research. The effect of delirium on mortality in COVID‐19 patients was similar to that in other diseases. The effect of delirium on mortality in patients with delirium between the ages of 18 and 65 may be higher than in those with delirium aged over 65, but studies are scarce. Promoting recognition of delirium at all ages is needed. With careful attention to the specific factors in younger patients that contribute to delirium, healthcare providers may be able to decrease the poor impact of delirium on clinical outcomes. Evaluation of the association between interventions for delirium such as sedation in present clinical practice and the prognosis of delirium is lacking, and further clinical studies are essential.

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Section: Persistence Of Deliriummentioning

confidence: 99%

Section: Patients Aged Younger Than 65 Yearsmentioning

confidence: 99%