Abstract:
OBJECTIVE:To compare the 6 and 12 month outcomes of patients who recovered from delirium by 8 weeks with those who did not have an index episode. METHODS:Older medical inpatients were assessed for delirium using the Confusion Assessment Method. All patients with delirium and a sample of patients without delirium were enrolled. Recovery from delirium at 8 weeks was determined using the Delirium Index and an algorithm based on DSM-III-R criteria. The primary composite outcome was cognitive or functional decline, institutional residence or death at 6 and 12 months. We fitted two logistic regression models to predict outcome odds ratio (OR) of delirium-recovered vs no delirium groups, adjusting for co-morbidity, severity of physical illness and demographic variables. In secondary analyses, we examined each component of the primary outcome separately. RESULTS:Of 361 patients enrolled, 59 died, 33 withdrew and one was lost to follow-up before 8 weeks. Of 268 patients assessed at 8 weeks, 115 and 95 were in delirium-recovered and no delirium groups, respectively. The 6 month OR for the primary composite outcome was 0.89 (95% CI 0.46, 1.70); the 12 month OR was 1.5 (95% CI 0.77, 2.90). Secondary analyses revealed a clinically important increase in mortality at 6 and 12 months. CONCLUSION:Among patients who survived, there were no significant differences in cognition, function or institutional status between delirium-recovered and no delirium groups at 6 and 12 months. If replicated, these findings have potentially important implications for clinical practice and research.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Cole MG,You Y,McCusker J,Ciampi A,Belzile Edoi
10.1002/gps.1878subject
Has Abstractpub_date
2008-03-01 00:00:00pages
301-7issue
3eissn
0885-6230issn
1099-1166journal_volume
23pub_type
杂志文章abstract:OBJECTIVE:Among dementia professionals in several European countries, it is believed that dementia is under-diagnosed and under-treated to a greater extent among ethnic minorities than in the native population. It is unknown whether this belief holds true. The objective of this study was to compare the prevalence of re...
journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.2650
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:The aims of this study were to identify factors of significance in the development of acute confusional state (ACS) and the differences between patients who developed ACS and those who did not. METHOD AND RESULTS:Assessment, observations and interviews with 505 patients admitted to an orthopaedic clinic rev...
journal_title:International journal of geriatric psychiatry
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journal_title:International journal of geriatric psychiatry
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pub_type: 杂志文章,评审
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更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To elucidate the extent to which elderly people with cognitive impairment are able to answer questions about their quality of life.Design and setting308 elderly residents were interviewed within 2 weeks of admission to one of 30 residential or nursing homes in north-west England. MEASURES:The Mini-Mental Sta...
journal_title:International journal of geriatric psychiatry
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abstract:OBJECTIVE:To gain insight into caregivers' understanding of the causes of behaviours they find problematic in people with Alzheimer's disease in order to inform the development of educational strategies. METHODS:A qualitative, semi-structured interview was used. Participants were 205 caregivers for a person with Alzhe...
journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.1118
更新日期:2004-06-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章,meta分析
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更新日期:2018-04-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.4076
更新日期:2014-08-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.5135
更新日期:2019-10-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.426
更新日期:2001-07-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2005-04-01 00:00:00
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更新日期:2014-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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更新日期:2012-05-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/gps.2321
更新日期:2010-02-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.1687
更新日期:2007-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/gps.834
更新日期:2003-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-12-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.2618
更新日期:2011-09-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1002/gps.1486
更新日期:2006-05-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/(sici)1099-1166(199703)12:3<349::aid-gps50
更新日期:1997-03-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
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journal_title:International journal of geriatric psychiatry
pub_type: 杂志文章
doi:10.1002/gps.4044
更新日期:2014-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2007-05-01 00:00:00
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更新日期:2002-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1002/1099-1166(200102)16:2<155::aid-gps289>3.0.
更新日期:2001-02-01 00:00:00