Precipitating factors for delirium in hospitalized elderly persons: Predictive model and interrelationship with baseline vulnerability

JAMA

Volumn 275, Issue 11, 1996, Pages 852-857

  Inouye, Sharon K ^a,b   Charpentier, Peter A ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b YALE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; DELIRIUM; DRUG USE; FEMALE; HOSPITALIZATION; HUMAN; IATROGENIC DISEASE; IMMOBILIZATION STRESS; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; URINE CATHETER;

EID: 0029917496     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.275.11.852     Document Type: Article

References (31)

1. Inouye SK. The dilemma of delirium: clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients. Am J Med. 1994;97:278-288.
2. Williams MA, Campbell EB, Raynor WJ, Musholt MA, Mlynarczyk SM, Crane LF. Predictors of acute confusional states in hospitalized elderly patients. Res Nurs Health. 1985;8:31-40.
3. Gustafson Y, Berggren D, Brannstron B, et al. Acute confusional states in elderly patients treated for femoral neck fracture. J Am Geriatr Soc. 1988; 36:525-030.
4. Foreman MD. Confusion in the hospitalized elderly: incidence, onset, and associated factors. Res Nurs Health. 1989;12:21-29.
5. Rockwood K. Acute confusion in elderly medical patients. J Am Geriatr Soc. 1989;37:150-154
6. Rogers MP, Liang MH, Daltroy LH, et al. Delirium after elective orthopedic surgery: risk factors and natural history. Int J Psychiatry Med. 1989;19:109-121.
7. Francis J, Martin D, Kapoor WN. A prospective study of delirium in hospitalized elderly. JAMA. 1990;263:1097-1101.
8. Schor JD, Levkoff SE, Lipsitz LA, et al. Risk factors for delirium in hospitalized elderly. JAMA. 1992;267:827-831.
9. Williams-Russo P, Urquhart RN, Sharrock MD, Charlson ME. Post-operative delirium: predictors and prognosis in elderly orthopedic patients. J Am Geriatr Soc. 1992;40:759-767.
10. Marcantonio ER, Goldman L, Mangione CM, et al. A clinical prediction rule for delirium after elective noncardiac surgery. JAMA. 1994;271:134-139.
11. Pompei P, Foreman M, Rudberg MA, Inouye SK, Braund V, Cassel CK. Delirium in hospitalized older persons: outcomes and predictors. J Am Geriatr Soc. 1994;42:809-815.
12. Tinetti ME, Inouye SK, Gill TM, Doucette JT. Shared risk factors for falls, incontinence, and functional dependence: unifying the approach to geriatric syndromes. JAMA. 1995;273:1348-1353.
13. Inouye SK, Viscoli CM, Horwitz RI, Hurst LD, Tinetti ME. A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med. 1993;119:474-481.
14. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL, a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-919.
15. Folstein MF, Folstein SE, McHugh PR. The Folstein Mini-Mental State Examination: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
16. Ventry IM, Weinstein B. The Hearing Handicap Inventory for the elderly: anew tool. Ear Hear. 1982;3:128-134.
17. Beck S, Brook RH, Lohr KN, Goldberg GA. Conceptualization and Measurement of Physiologic Health for Adults: Hearing Loss. Santa Monica, Calif: RAND; 1981;14:72-75. RAND publication RAND/R-2262-14-HHS.
18. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the Confusion Assessment Method: a new method for detection of delirium. Ann Intern Med. 1990;113:941-949.
19. Inouye SK, Wagner DR, Acampora D, et al. A predictive index for functional decline in hospitalized elderly medical patients. J Gen Intern Med. 1993;8:645-602.
20. Charlson ME, Sax FL, MacKenzie CR, Fields SD, Braham RL, Douglas RG. Assessing illness severity: does clinical judgment work? J Chronic Dis. 1986;39:439-452.
21. Blessed G, Tomlinson BE, Roth M. The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. Br J Psychiatry. 1968;114:797-811.
22. Uhlmann EF, Larson EB, Buchner DM. Correlations of Mini-Mental State and Modified Dementia Rating Scale to measures of transitional health status in dementia. J Gerontol. 1987;42:33-36.
23. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818-829.
24. Becker PM, McVey LJ, Saltz CC, Feussner JE, Coften HJ. Hospital-acquired complications in a randomized controlled clinical trial of a geriatric consultation team. JAMA. 1987;257:2813-2317.
25. Steel K, Gertman PM, Crescenzi C, Anderson J. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304:638-642.
26. Wacholder S. Binomial regression in GLIM: estimating risk ratios and risk differences. Am J Epidemiol. 1986;123:174-184.
27. Hosmer DW, Lemeshow S. Applied Logistic Regression. New York, NY: John Wiley & Sons Inc; 1989:131-133.
28. McCullagh P, Neider JA. Generalized Linear -Models: Monographs on Statistics and Applied Probability. New York, NY: Chapman & Hall; 1983: 79-86.
29. Feinstein AR. Clinimetrics. New Haven, Conn: Yale University Press; 1987:57-88.
30. Rosin AJ, Boyd RV. Complications of illness in geriatric patients in hospital. J Chronic Dis. 1966; 19:307-313.
31. Hodkinson HM. Mental impairment in the elderly. J R Coll Physicians Lond. 1973;7:305-317.