Delirium among elderly general medical patients in a New Zealand hospital

Internal Medicine Journal

Volumn 38, Issue 8, 2008, Pages 629-634

  Holden, J ^a   Jayathissa, S ^b   Young, G ^b  

^a Kenepuru Hospital   (New Zealand)

^b HUTT HOSPITAL   (New Zealand)

Author keywords

Confusion; Delirium; Elderly

Indexed keywords

BENZODIAZEPINE; HALOPERIDOL; NEUROLEPTIC AGENT; RISPERIDONE; THIORIDAZINE;

AGED; ARTICLE; COHORT ANALYSIS; CONFUSION; CONTROLLED STUDY; DELIRIUM; DRUG INTOXICATION; ELECTROLYTE DISTURBANCE; FEMALE; GERIATRIC PATIENT; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; INCIDENCE; INFECTION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL SERVICE; MINI MENTAL STATE EXAMINATION; MORTALITY; NEW ZEALAND; NURSING CARE; PREVALENCE; PRIORITY JOURNAL; PROGNOSIS; PROSPECTIVE STUDY; SCREENING TEST;

AGED; AGED, 80 AND OVER; COHORT STUDIES; DELIRIUM; FAMILY PRACTICE; FEMALE; HOSPITALIZATION; HUMANS; MALE; NEW ZEALAND; PROSPECTIVE STUDIES;

EID: 51349111798     PISSN: 14440903     EISSN: 14455994     Source Type: Journal    
DOI: 10.1111/j.1445-5994.2007.01577.x     Document Type: Article

References (25)

1. Lipowski ZJ. Delirium: acute confusional state. Oxford : Oxford University Press 1990.
2. Lindesay J, Macdonald A, Starke I. Delirium in the elderly. Oxford : Oxford University Press 1990.
3. Anthony JC, Le Resche L, Niaz U, von Korff MR, Folstein MF. Limits of the "Mini Mental State" as a screening test for dementia and delirium among hospital patients. Psychol Med 1982 12 : 397 408.
4. Hodgkinson HM. Mental impairment in the elderly. J R Coll Physicians 1973 7 : 305 17.
5. Johnson JC, Gottlieb GL, Sullivan, Warnich C. Using DSM-3 criteria to diagnose delirium in elderly general medical patients. J Gerontology 1990 45 : M113 9.
6. Gillock MR, Serrell NA, Gillick LS. Adverse consequences of hospitalization in the elderly. Soc Sci Med 1982 16 : 1033 8.
7. Levokoff SE, Besdine RW, Wetle T. Acute confusional states (delirium) in the hospitalized elderly. Annu Rev Gerontol Geriatr 1986 6 : 1 26.
8. Bedford PD. General medical aspects of confusional states in elderly people. Br Med J (Clin Res) 1959 2 : 185 8.
9. Lipowski ZJ. Transient cognitive disorders (delirium, acute confusional states) in the elderly. Am J Psychiatry 1983 140 : 1429 36.
10. Foreman MD. Confusion in the hospitalized elderly: incidence, onset, and associated factors. Res Nurs Health 1989 12 : 21 9.
11. Lipowski ZJ. Delirium (acute confusional states). JAMA 1987 258 : 1789 92.
12. Wedding WW Jr. The mortality of delirium: an underappreciated problem. Psychosomatics 1982 23 : 1232 5.
13. Lamont CT, Sampson S, Matthias R, Kane R. The outcome of hospitalization for acute illness in the elderly. J Am Geriatr Soc 1983 31 : 282 8.
14. Francis J, Strong S, Martin D, Kapoor W. Delirium in elderly general medical patients: common but often under recognized [abstract]. Clin Res 1988 36 : 711A.
15. Inouye SK. Delirium in hospitalized older patients. Clin Geriatr Med 1998 4 : 745 64.
16. Inouye SK, Viscoli CM, Horwitz RJ, Hurst LD, Tinnetti ME. A predictive model for delirium in hospitalized elderly medical patient based on admission characteristics. Ann Intern Med 1993 119 : 474 81.
17. Dolan MM, Hawkes WG, Zimmerman SI, Morrison RS, Gruber-Baldini AL, Hebel JR et al. Delirium on hospital admission in aged hip fracture patients: prediction of mortality and 2-year functional outcomes. J Gerontol 2000 55 : M529 34.
18. Levkoff SE, Evans DA, Liptzin B, Cleary PD, Lipsitz LA, Wetle TT et al. Delirium: the occurrence and persistence of symptoms among elderly and hospitalized patients. Arch Intern Med 1992 152 : 334 9.
19. Inouye SK, Schlesinger MJ, Lydon TY. Delirium: a symptom of how hospital care is failing older persons and a window to improve quality of hospital care. Am J Med 1992 106 : 565 73.
20. Inouye SK, Van Dyck CH, Allessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method. Ann Intern Med 1990 113 : 941 8.
21. Folstein MF, Folstein SE, McHugh PR. The Folstein mini-mental examination: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975 12 : 189 98.
22. Foreman M. The cognitive and behavioural nature of acute confusional states. Scholarly Inquiry Nurs Pract Int J 1991 5 : 3 16.
23. O'Keefe S, Lavan J. The prognostic significance of delirium in older hospital patients. J Am Geriatr Soc 1997 45 : 174 8.
24. Lundstrom, Edlund A, Karlsson S, Brannstrom B, Bucht G, Gustafson Y. A multifactorial intervention program reduces the duration of delirium, length of hospitalisation, and mortality in delirious patients. J Am Geriatrics Society 2005 53 : 622 8.
25. Inouye SK, Bogardus ST, Charpentier PA, Leo Summers L, Acampora D, Holford TR et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999 340 : 669 70.