Mortality Rates during Hospitalization and Affecting Factors in Geriatric Delirium Patients: a Retrospective Cohort Study

Abstract

Background and Purpose The purpose of this study was to investigate the prevalence of mortality during hospitalization among patients diagnosed with delirium at geriatric consultations requested in the previous one year, together with the factors affecting this. Methods The electronic medical records of geriatric consultations requested from the psychiatry department between January 1, 2019 and December 31, 2019 were examined from the automation system. The 200 geriatric delirium patients were included in the study. Patients' age, sex, length of hospital stay (LOHS), time between hospitalization and consultation, the department requesting consultation, reason for consultation request, psychiatric recommendations after consultation, reason for hospitalization, number of comorbid medical diseases, number of daily medications used, and history of psychiatric disease were retrieved from the electronic medical records in the automation system. Results LOHS and time from hospitalization to consultation were longer in the exitus group. Numbers of comorbid disease and daily medications used were higher in the died patients. Male gender, higher numbers of comorbid diseases, and daily medications were predictors of death. Conclusions Early detection of delirium may be important for short term results of disease. When evaluating these patients, reviewing the drugs used as much as possible can affect the outcome of the disease.

Call for Manuscripts

“…45 Not only xerostomia but also the anticholinergic burden can alter consciousness such as delirium, which is associated with significantly increased morbidity and mortality rates in critically ill patients. [46][47][48] Deprescribing moves are to reduce the future risk of drug-induced adverse events and have been reported in older adults with comorbidities, indicating the feasibility and benefits of lowering medications with anticholinergic adverse effects in older adults. [49][50][51][52] In addition, several studies reported that recognizing xerostomia is critical in critical care settings.…”

Anticholinergic Burden and Xerostomia in Critical Care Settings

“…It is essential that clinicians consider alternatives or deprescribing medications with anticholinergic adverse effects by reviewing the benefit-harm ratio and the likelihood of withdrawal reaction 45 . Not only xerostomia but also the anticholinergic burden can alter consciousness such as delirium, which is associated with significantly increased morbidity and mortality rates in critically ill patients 46–48 . Deprescribing moves are to reduce the future risk of drug-induced adverse events and have been reported in older adults with comorbidities, indicating the feasibility and benefits of lowering medications with anticholinergic adverse effects in older adults 49–52 .…”

Veiksniai, Lemiantys Kartotinę Geriatrinių Pacientų Hospitalizaciją: Geriatrinių Pacientų Patirtis

“…Ieškoma galimybių sukurti darnų medikų ir slaugytojų kolektyvą, gebantį bendru darbu padėti šiai pacientų grupei pasiekti geresnių rezultatų [2]. Daug dėmesio skiriama tam tikroms specifinėms geriatrinių pacientų problemoms, tokioms kaip kritimai [3][4][5], demencija, delyras [6][7] ir pan. Pastaruoju metu mokslinėje literatūroje pradėta analizuoti ir kartotinė hospitalizacija [8][9][10], kuri dažnai yra geriatrinio amžiaus pacientų būtinybė, bet detalių tyrimų apie geriatrinių pacientų hospitalizaciją, jos aplinkybes bei priežastis nėra.…”