Management and outcomes of delirious patients with hyperactive symptoms in a secured behavioral unit jointly used by geriatricians and pyschogeriatricians.

Abstract:

:To compare the clinical outcomes and length of stay (LOS) between delirious patients with hyperactive symptoms admitted directly and those admitted indirectly from Emergency Department into a secured, behavioral unit jointly used by geriatricians and pyschogeriatricians (the Unit). A retrospective study analyzing data from the medical records of 122 patients with an admission diagnosis of delirium with hyperactive symptoms and subsequently discharged from the Unit, including restraint, one-to-one nursing care, falls, absconding, duration of delirium, recovery from delirium, destination and LOS. Significantly fewer patients with direct admission (n=68) required physical restraint or chemical restraint compared with those transferred (n=54). Patients admitted directly showed a higher discharge rate back home, shorter LOS, shorter duration of delirium and a higher rate of recovery from delirium than transferred patients. Of the transferred patients, more received one-to-one nursing care before transfer than after transfer. Three (5.6%) absconded before transfer, but none absconded from the Unit. The falls rate reduced from 14.2 to 6.7 falls/1000 patient delirium days after transfer. Delirious patients with hyperactive symptoms admitted directly to the Unit fared better in clinical outcomes and LOS. They also required less restraint, less intensive nursing and were unlikely to abscond compared to those transferred.

journal_name

Arch Gerontol Geriatr

authors

Lu JH,Chan DK,O'Rourke F,Ong B,Shen Q,Reutens S,Ko A

doi

10.1016/j.archger.2010.02.001

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

66-70

issue

1

eissn

0167-4943

issn

1872-6976

pii

S0167-4943(10)00036-1

journal_volume

52

pub_type

杂志文章
  • Aspects of sleep in centenarians.

    abstract::Sleeping habits of 48 Calabrian centenarians (12 males, 36 females) were evaluated. Their average age was 102 +/- 1.87 years (range 100-107 years). Quantitative and qualitative aspects of sleep were recorded, such as the length of sleeping (hrs), the time of falling asleep (regular or variable) and the time of awakeni...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(96)86975-5

    authors: Spadafora FL,Curti A,Teti R,Belmonte M,Castagna A,Mercurio M,Infusino P,Tavernese G,Iannazzo PS,Iorio C,Mattace R

    更新日期:1996-01-01 00:00:00

  • The effects of plantar perception training on balance and falls efficacy of the elderly with a history of falls: A single-blind, randomized controlled trial.

    abstract:PURPOSE:The purpose of this study was to identify the effects of plantar perception training using a hardness discrimination task on balance and falls efficacy of the elderly who have experienced a fall. MATERIALS AND METHODS:Sixty-two elderly persons 65 years of age or older were randomly allocated to the experimenta...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.archger.2018.03.014

    authors: Park JH

    更新日期:2018-01-01 00:00:00

  • Loss of water from heart muscle cells during aging of rats as measured by X-ray microanalysis.

    abstract::Age-dependent changes of the intracellular water content (IWC) of the rat myocardium have been measured by X-ray microanalysis of deep-frozen bulk specimens (Zs.-Nagy et al., 1982), using a slow warming up and drying of a very superficial layer of the sample, in order to minimize space charging effects. These results ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(86)90030-0

    authors: Von Zglinicki T,Lustyik G

    更新日期:1986-12-01 00:00:00

  • Outcomes from a program of home care attendance in very frail elderly subjects.

    abstract::This study evaluated various outcomes of home care in a group of 121 chronically ill and frail elderly subjects followed for 24 months, starting from September 2001. The scheduled times of follow up were baseline, 6, 12, and 24 months. Subjects of both sexes were assigned to one of two groups. Control group (CG) (60 s...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2006.03.002

    authors: Giannini R,Petazzoni E,Savorani G,Galletti L,Piscaglia F,Licastro F,Bolondi L,Cucinotta D

    更新日期:2007-03-01 00:00:00

  • Non-pharmacological interventions on cognitive functions in older people with mild cognitive impairment (MCI).

    abstract::Mild cognitive impairment (MCI) can be a stage of pre-dementia. There is no consensus about pharmacological treatment for this population, so it is important to structure non-pharmacological interventions for increasing their cognitive reserve. We intended to analyze the effects of non-pharmacological interventions in...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,评审

    doi:10.1016/j.archger.2011.02.014

    authors: Teixeira CV,Gobbi LT,Corazza DI,Stella F,Costa JL,Gobbi S

    更新日期:2012-01-01 00:00:00

  • Association of empty nest and group activity with cognitive impairment in Chinese older adults: A cross-sectional study.

    abstract:OBJECTIVES:This study explored the associations of empty nest and group activity with cognitive impairment in Chinese older adults. MATERIALS AND METHODS:Data were analyzed from 10,349 participants of the second-round survey database of the Zhejiang Ageing and Health Cohort Study aged 60 years and over. Cognitive impa...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2020.104120

    authors: Zhai Y,Zhang T,Li Q,Lin J,Wang X,Li F,Gu X,Wu M,He F

    更新日期:2020-01-01 00:00:00

  • Factors associated with low levels of physical activity among elderly residents in a small urban area in the interior of the Brazilian Amazon.

    abstract::The aim of the present study was to investigate levels of physical activity and risk factors for inactivity in older adults living in an urban area in the interior of the Amazonas state, Brazil. Data were collected between 2013 and 2015 from 274 individuals 60 years of age or older who resided in the interior of the B...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.archger.2017.11.007

    authors: Freire Junior RC,Fernandes TG,Borges GF,Guerra RO,de Abreu DCC

    更新日期:2018-01-01 00:00:00

  • Promise and problems in relating cellular senescence in vitro to aging in vivo.

    abstract::According to the 'Hayflick limit', human fetal fibroblasts have a uniform, limited replicative lifespan of about 50 population doublings in cell culture. This concept was extrapolated to diverse cells in the body. It seemed to decrease with the age of the cell donor and, as a form of cell senescence, was thought to un...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/s0167-4943(01)00221-7

    authors: Rubin H

    更新日期:2002-05-01 00:00:00

  • Replicability and reliability of pain assessment forms in geriatrics.

    abstract::Aim of the study was to investigate the replicability and reliability of the multi-dimensional health assessment questionnaire (MDHAQ) and visual analog scale (VAS) in young and elderly individuals with chronic pain. Ambulatory patients, 20 of them aged above 65 years and complaining about chronic pain and 20 patients...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2010.10.017

    authors: Doventas A,Karadag B,Curgunlu A,Bilici A,Sut N,Erdincler DS,Beger T,Tezcan V

    更新日期:2011-07-01 00:00:00

  • The development of a Tai Chi exercise regimen for the prevention of conditions requiring long-term care in Japan.

    abstract::This study was to examine an effect of such an exercise program on preventing conditions requiring long-term care in the Japanese frail elderly who participated in a Tai Chi Yuttari-exercise program. The first-intervention group underwent an intervention program by participating in a Tai Chi Yuttari-exercise session o...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2010.11.010

    authors: Nomura T,Nagano K,Takato J,Ueki S,Matsuzaki Y,Yasumura S

    更新日期:2011-05-01 00:00:00

  • Antipsychotic treatment and the prevalence of diabetes among elderly patients in psychiatric rehabilitation.

    abstract::We aimed to compare the risk of diabetes in a Hungarian schizophrenic population treated with atypical antipsychotics with that of the non-schizophrenic population. We wished to reveal the effects of gender and age. A schizophrenic population (n=135 male and n=110 female patients of different age groups) was examined ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2007.09.005

    authors: Klebovich A,Hankó B,Orbán K,Zelkó R

    更新日期:2009-01-01 00:00:00

  • Health status and associated factors among the community-dwelling elderly in China.

    abstract::The objective of this study was to evaluate the health status and associated factors of the elderly Chinese population. A cross-sectional survey was administered to 849 elderly people aged 60 years and over living in a certain district of Nanjing, China. A health rating scale based on the characteristics of the elderl...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2012.10.001

    authors: Chao J,Li Y,Xu H,Yu Q,Wang Y,Liu P

    更新日期:2013-01-01 00:00:00

  • Quality of life in chronic diseases of the aged: the importance of cognitive deterioration.

    abstract::The interference of a chronic disease on the aging process reduces patients efficiency in confronting everyday life events and their Quality of Life (QOL). The purpose of this study was to examine the interaction between cognitive problems and emotional difficulties as related to several chronic diseases commonly pres...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(95)00693-1

    authors: Fioravanti M,Zavattini G,Buckely AE

    更新日期:1996-05-01 00:00:00

  • Prevalence and predictors of potentially inappropriate prescribing of central nervous system and psychotropic drugs among elderly patients: A national population study in Korea.

    abstract:OBJECTIVES:To investigate the prevalence of potentially inappropriate prescribing (PIP) of central nervous system and psychotropic (CNS-PS) drugs to the Korean elderly population, and to identify PIP-associated factors. METHODS:Ambulatory care visits were identified from the 2013 National Aged Patient Sample (HIRA-APS...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2017.08.013

    authors: Cho H,Choi J,Kim YS,Son SJ,Lee KS,Hwang HJ,Kang HY

    更新日期:2018-01-01 00:00:00

  • The influence of dementia on the prevalence of urinary and faecal incontinence in 85-year-old men and women.

    abstract::The influence of dementia on the prevalence of urinary and faecal incontinence was investigated in a random sample (n = 485) of the total population of 85-year-olds from the city of Gothenburg, Sweden. The subjects were assessed by a psychiatric interview, physical examinations, computed tomography of the head and ana...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(94)90021-3

    authors: Hellström L,Ekelund P,Milsom I,Skoog I

    更新日期:1994-07-01 00:00:00

  • Efficacy and safety of valproic acid in dementia: A systematic review with meta-analysis.

    abstract:INTRODUCTION:The neuroprotective effect of valproic acid has been observed in the animal models of neurodegeneration, which suggests it as a potential candidate for clinical trials. In this paper, we aimed to systematically analyze the efficacy and safety of valproic acid in the treatment of dementia. METHODS:We searc...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.archger.2020.104091

    authors: Liu J,Wang LN

    更新日期:2020-01-01 00:00:00

  • Trends and determinants of informal and formal caregiving in the community for disabled elderly people in Taiwan.

    abstract::Although family caregiving for elderly people has been the backbone of long-term care in Taiwan, it is not clear whether informal help from family members has diminished in recent years due to changes in social structure and traditions. The objective of this study is to examine the trend and the factors influencing th...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2012.11.005

    authors: Ku LJ,Liu LF,Wen MJ

    更新日期:2013-03-01 00:00:00

  • Role of aging in malnutrition and in restitution of nutritional parameters by tube feeding.

    abstract::Aging and malnutrition are connected by social and pathological factors; many studies show that 60-80% of hospitalized elderly patients are malnourished. The aim of this study was to establish a correlation between age and nutritional parameters in malnourished, hospitalized, elderly patients before and after restitut...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(96)87005-1

    authors: Vetta F,Gianni W,Ronzoni S,Donini LM,Palleschi L,Peppe T,Lato PF,Migliori M,Cacciafesta M,Marigliano V

    更新日期:1996-01-01 00:00:00

  • Verification of the membrane hypothesis of aging on the identified giant neurons of the snail Lymnaea stagnalis L. (Gastropoda, Pulmonata) by a combined application of intracellular electrophysiology and X-ray microanalysis.

    abstract::The validity of the membrane hypothesis of aging (Zs.-Nagy, 1978) was tested on identified giant neurons of the snail Lymnaea stagnalis L. by using a combination of intracellular microelectrophysiology and X-ray microanalysis of the intracellular water and electrolyte concentrations on the very same cells. The snails ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(85)90018-4

    authors: Nagy I,Tóth S,Lustyik G

    更新日期:1985-04-01 00:00:00

  • Effect of upper gastrointestinal endoscopy on cardiopulmonary changes in very old patients.

    abstract::Although routine gastroscopy is regarded as a safe examination, it is sometimes associated, especially in elderly patients, with serious arrhythmias. We studied the influence of gastroscopy in very old patients on the occurrence and number of ECG changes and on oxygen saturation. Electrocardiographic (ECG) changes on ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/s0167-4943(03)00002-5

    authors: Seinelä L,Reinikainen P,Ahvenainen J

    更新日期:2003-07-01 00:00:00

  • Implication of the G145C polymorphism (rs713598) of the TAS2r38 gene on food consumption by Brazilian older women.

    abstract::To evaluate the capacity to perceive bitter taste in a sample of the elderly population of the Brazilian Federal District, and to investigate its association with the consumption profile of distinct food groups. A total of 255 female outpatients aged 60 years or older took part in this cross-sectional study. The follo...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2011.05.019

    authors: Colares-Bento FC,Souza VC,Toledo JO,Moraes CF,Alho CS,Lima RM,Cordova C,Nobrega OT

    更新日期:2012-03-01 00:00:00

  • Effect of leisure activities on inflammation and cognitive function in an aging sample.

    abstract::Cardiovascular disease risk factors (CVDRFs) increase the risk of dementia. The purpose of this study was to examine whether leisure activities (mental, physical, and social activities) modified the effect of CVDRFs on inflammatory markers and cognitive function in middle and old age. A secondary-data analysis study w...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2012.02.002

    authors: Lin F,Friedman E,Quinn J,Chen DG,Mapstone M

    更新日期:2012-05-01 00:00:00

  • Insulin resistance as cause of increased blood pressure in the elderly: effects on intracellular ion contents.

    abstract::Previous reports have evidenced a strong relationship between high plasma insulin levels and blood pressure in diabetic and obese subjects but not in the elderly. During aging many patho-physiological changes in cardiovascular functions and autonomic nervous system occur, so that aging per se might be a cause of a 'ph...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(90)90053-9

    authors: Paolisso G,Marrazzo G,De Riu S,Sgambato S,Varricchio M,D'Onofrio F

    更新日期:1990-07-01 00:00:00

  • Prevalence of suicidal ideation, attempts, and completed suicide rate in Chinese aging populations: a systematic review.

    abstract:BACKGROUND:As one of the leading causes of death around the world, suicide is a global public health threat. Due to the paucity of systematic studies, there exist vast variations in suicide ideation, attempts and suicide rates between various regions of Chinese aging communities. OBJECTIVES:Our systematic study aims t...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,评审

    doi:10.1016/j.archger.2013.05.006

    authors: Simon M,Chang ES,Zeng P,Dong X

    更新日期:2013-11-01 00:00:00

  • Mini-Nutritional-Assessment (MNA) without body mass index (BMI) predicts functional disability in elderly Taiwanese.

    abstract::Nutritional status and functional ability are mutually dependent especially in the elderly. This study examined the functional status-predictive ability of the MNA in a cross-sectional study. We analyzed the dataset of the "Survey of Health and Living Status of the Elderly in Taiwan" (SHLSET). Subjects were 2948≥65 ye...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2011.12.006

    authors: Lee LC,Tsai AC

    更新日期:2012-05-01 00:00:00

  • Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: A four-year follow-up study with older adults.

    abstract:OBJECTIVE:Evaluate the cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization in older adults over a four-year period. METHOD:Four hundred five older adults (60-95 years; mean age: 70.62 ± 7.12 years), 57 % female. The frailty evaluation was performed using the clinical...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2019.104005

    authors: Brigola AG,Ottaviani AC,Alexandre TDS,Luchesi BM,Pavarini SCI

    更新日期:2020-01-01 00:00:00

  • Morphological aspects of aging liver: half a century of progress in Japan.

    abstract::The most important morphological aspects of the physiological changes of the liver with age are decreases in the numbers of hepatocytes and their mitochondria, coupled with increases in their volumes. The latter is considered to partially compensate for the decrease in numbers of hepatocytes and mitochondria, but lead...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(94)90035-3

    authors: Tauchi H,Sato T,Ito Y

    更新日期:1994-09-01 00:00:00

  • Serum albumin (SA) levels and 10-year mortality in a community-dwelling 70-year-old population.

    abstract::Although an association between SA concentrations and mortality in the patients is well known, this association is not conclusive in elderly community-dwelling populations. We therefore attempted to determine whether this association could be extended to a Japanese 70-year-old community-dwelling population. Seventy-ye...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2011.02.018

    authors: Takata Y,Ansai T,Yoshihara A,Miyazaki H

    更新日期:2012-01-01 00:00:00

  • Comparison of sarcopenic status between elderly leprosy survivors and general population.

    abstract::Because of chronicity and poor environments, elderly leprosy survivors might be at greater risk of developing obesity and sarcopenia than healthy individuals. This study aimed to investigate whether body composition and the prevalence of obesity and sarcopenia among elderly leprosy survivors with no or mild physical i...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2013.07.013

    authors: Kim W,Park HW,Hwang BK,Bae SO,Kim IK,Chung SG

    更新日期:2014-01-01 00:00:00

  • Determinants of depressive symptoms in Filipino senior citizens of the community-based ENGAGE study.

    abstract:OBJECTIVE:This study investigated the factors associated with depressive symptoms among community-dwelling Filipino senior citizens. METHODS:We conducted a cross-sectional study among 1021 Filipino senior citizens aged 60-91 years. We used multiple linear regression analysis to identify the factors independently assoc...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2019.02.014

    authors: Carandang RR,Shibanuma A,Kiriya J,Asis E,Chavez DC,Meana M,Murayama H,Jimba M

    更新日期:2019-01-01 00:00:00