A multifactorial intervention to reduce prevalence of delirium and shorten hospital length of stay

Journal of the American Geriatrics Society

Volumn 53, Issue 1, 2005, Pages 18-23

  Naughton, Bruce J ^a,b,d   Saltzman, Susan ^a,b   Ramadan, Fadi ^a,b   Chadha, Noshi ^a   Priore, Roger ^a   Mylotte, Joseph M ^a,c  

^a UNIVERSITY AT BUFFALO   (United States)

^b Division of Geriatrics   (United States)

^c ERIE COUNTY MEDICAL CENTER   (United States)

^d NONE   (United States)

Author keywords

Delirium; Hospital care; Quality improvement

Indexed keywords

ANTIDEPRESSANT AGENT; ANTIHISTAMINIC AGENT; BENZODIAZEPINE; NEUROLEPTIC AGENT; PSYCHOTROPIC AGENT;

AGED; ARTICLE; COGNITIVE DEFECT; CONTROLLED STUDY; DELIRIUM; DRUG USE; FEMALE; HEALTH CARE QUALITY; HOSPITAL CARE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NURSE; PHYSICIAN; PREVALENCE; STATISTICAL ANALYSIS; CLINICAL TRIAL; ELDERLY CARE; EMERGENCY HEALTH SERVICE; HOSPITAL ADMISSION; INTERVENTION STUDY;

AGED; AGED, 80 AND OVER; COGNITION DISORDERS; DELIRIUM; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH SERVICES FOR THE AGED; HUMANS; INTERVENTION STUDIES; LENGTH OF STAY; MALE; PATIENT ADMISSION; PREVALENCE; PSYCHOTROPIC DRUGS;

EID: 14544277618     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2005.53005.x     Document Type: Article

References (23)

1. Inouye S, Schlesinger M, Lydon T. Delirium: A symptom of how hospital care is failing older persons and a window to improve quality of hospital care. Am J Med l999;106:565-573.
2. Carnes M, Francis J, Howell T et al. Physicians vary in approaches to the clinical management of delirium. J Am Geriatr Soc 2003;51:234-239.
3. Berwick D. Disseminating innovations in health care. JAMA 2003;289: 1969-1975.
4. Greco P, Eisenberg J. Changing physicians' practices. N Engl J Med 1993;329:1271-1274.
5. Borgiel A, Williams JI, Davis D et al. Evaluating the effectiveness of 2 educational interventions in family practice. Can Med Assoc J 1999;161:965-970.
6. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: The Confusion Assessment Method, a new method for detection of dementia. Ann Intern Med 1990;113:941-948.
7. Linn BS, Linn MW, Gurel L. Cumulative Illness Rating Scale. J Am Geriatr Soc 1968;16:622-626.
8. Rochon PA, Katz JN, Morrow LA et al. Comorbid illness is associated with survival and length of hospital stay in patients with chronic disability. Med Care 1996;34:1093-1101.
9. Folstein M, Folstein S, McHugh P. 'Mini-mental state'. A practical method for grading the cognitive status of patients or the clinician. J Psychiatr Res 1975;12:189-198.
10. Ramadan FH, Naughton BJ. Prospective measurement of behavioral disturbances in nursing homes. J Am Med Dir Assoc 2000;4:149-153.
11. Inouye S, Bogardu S, Charpentier P et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999; 340:669-676.
12. Rubenstein LZ, Stuck AE, Siu AL et al. Impacts of geriatric evaluation and management programs on defined outcomes: Overview of the evidence. J Am Geriatr Soc 1991;39:8S-16S.
13. Applegate W, Deyo R, Kramer A et al. Geriatric evaluation and management: Current status and future research directions. J Am Geriatr Soc 1991;39S: 2S-7S.
14. Rubenstien LZ. Geriatric assessment: An overview of its impacts. Clin Geriatr Med 1987;3:1-15.
15. Lewis L, Miller D, Morley J et al. Unrecognized delirium in geriatric patients seen in the emergency department. Am J Emerg Med 1995;13:l-4.
16. Bair B. Frequently missed diagnosis in geriatric psychiatry. Psychiatr Clin N Am 1998;21:941-971.
17. Rockwood K, Cosway S, Stolee P et al. Increasing the recognition of delirium in elderly patients. J Am Geriatr Soc 1994;42:252-256.
18. Karuza J, Calkins E, Feather J et al. Enhancing physician adoption of practice guidelines. Arch Intern Med 1995;155:625-632.
19. Davis DA, Taylor-Vaisey A. Translating guidelines into practice: A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. Can Med Assoc J 1997;157: 408-416.
20. Oxman AD, Thomson MA, Davis DA et al. No magic bullets: A systematic review of 102 trials of interventions to improve professional practice. Can Med Assoc J 1995;153:1423-1431.
21. Grimshaw J, Russell I. Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluation. Lancet 1993;342:1317-1322.
22. Pompei P, Foreman M, Rudberg MA et al. Delirium in hospitalized older persons: Outcomes and predictors. J Am Geriatr Soc 1994;42:809-815.
23. Francis J, Martin D, Kapoor W. A prospective study in delirium in hospitalized elderly. JAMA 1990;263:1097-1101.