当前位置： SCI文献检索 > JOURNAL OF CLINICAL NURSING期刊下所有文献 > Risk factors for incident delirium in an acute general medical setting: a retrospective case-control study.

Risk factors for incident delirium in an acute general medical setting: a retrospective case-control study.

Abstract：

AIMS AND OBJECTIVES:To determine predisposing and precipitating risk factors for incident delirium in medical patients during an acute hospital admission. BACKGROUND:Incident delirium is the most common complication of hospital admission for older patients. Up to 30% of hospitalised medical patients experience incident delirium. Determining risk factors for delirium is important for identifying patients who are most susceptible to incident delirium. DESIGN:Retrospective case-control study with two controls per case. METHODS:An audit tool was used to review medical records of patients admitted to acute medical units for data regarding potential risk factors for delirium. Data were collected between August 2013 and March 2014 at three hospital sites of a healthcare organisation in Melbourne, Australia. Cases were 161 patients admitted to an acute medical ward and diagnosed with incident delirium between 1 January 2012 and 31 December 2013. Controls were 321 patients sampled from the acute medical population admitted within the same time range, stratified for admission location and who did not develop incident delirium during hospitalisation. RESULTS:Identified using logistic regression modelling, predisposing risk factors for incident delirium were dementia, cognitive impairment, functional impairment, previous delirium and fracture on admission. Precipitating risk factors for incident delirium were use of an indwelling catheter, adding more than three medications during admission and having an abnormal sodium level during admission. CONCLUSIONS:Multiple risk factors for incident delirium exist; patients with a history of delirium, dementia and cognitive impairment are at greatest risk of developing delirium during hospitalisation. RELEVANCE TO CLINICAL PRACTICE:Nurses and other healthcare professionals should be aware of patients who have one or more risk factors for incident delirium. Knowledge of risk factors for delirium has the potential to increase the recognition and understanding of patients who are vulnerable to delirium. Early recognition and prevention of delirium can contribute to improved patients safety and reduction in harm.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Tomlinson EJ,Phillips NM,Mohebbi M,Hutchinson AM

doi

10.1111/jocn.13529

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

658-667

issue

5-6

eissn

0962-1067

issn

1365-2702

journal_volume

pub_type

杂志文章

在线工具

Risk factors for incident delirium in an acute general medical setting: a retrospective case-control study.