A Delirium Risk Modification Program Is Associated With Hospital Outcomes

Journal of the American Medical Directors Association

Volumn 15, Issue 12, 2014, Pages 957.e7-957.e11

  Rudolph, James L ^a,b,c   Archambault, Elizabeth ^a   Kelly, Brittany ^a,d  

^a VA BOSTON HEALTHCARE SYSTEM   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d REGIS COLLEGE   (United States)

Author keywords

Aged; Delirium; Health care cost; Prevention; Rehabilitation; Risk stratification

Indexed keywords

AGED; ARTICLE; COGNITIVE DEFECT; DEHYDRATION; DELIRIUM; ELECTRONIC MEDICAL RECORD; FEMALE; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH PROGRAM; HOSPITAL; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; RISK ASSESSMENT; RISK FACTOR; SEX DIFFERENCE; SLEEP; VETERAN; VISUAL IMPAIRMENT; INTERVENTION STUDY; PUBLIC HOSPITAL; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME;

AGED; DELIRIUM; FEMALE; HOSPITALIZATION; HOSPITALS, VETERANS; HUMANS; INTERVENTION STUDIES; MALE; PATIENT DISCHARGE; RISK ASSESSMENT; TREATMENT OUTCOME;

EID: 84912528898     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2014.08.009     Document Type: Article

References (38)

1. Inouye S., Rushing J., Foreman M., et al. Does delirium contribute to poor hospital outcomes?. JGen Intern Med 1998, 13:234-242.
2. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. 4th-TR 2000, American Psychiatric Association, Washington, DC.
3. Reston J.T., Schoelles K.M. In-facility delirium prevention programs as a patient safety strategy: A systematic review. Ann Intern Med 2013, 158:375-380.
4. Marcantonio E.R., Flacker J.M., Michaels M., Resnick N.M. Delirium is independently associated with poor functional recovery after hip fracture. JAm Geriatr Soc 2000, 48:618-624.
5. Inouye S.K. Delirium in older persons. NEngl J Med 2006, 354:1157-1165.
6. Rudolph J.L., Marcantonio E.R. Postoperative delirium: Acute change with long-term implications. Anesth Analg 2011, 112:1202-1211.
7. Flaherty J.H., Morley J.E. Delirium in the nursing home. JAm Med Dir Assoc 2013, 14:632-634.
8. McNicoll L., Pisani M.A., Zhang Y., et al. Delirium in the intensive care unit: Occurrence and clinical course in older patients. JAm Geriatr Soc 2003, 51:591-598.
9. Girard T.D., Pandharipande P.P., Ely E.W. Delirium in the intensive care unit. Crit Care 2008, 12:S3.
10. Marcantonio E.R. In the clinic. Delirium. Ann Intern Med 2011, 154:1-16.
11. Pandharipande P.P., Girard T.D., Jackson J.C., et al. Long-term cognitive impairment after critical illness. NEngl J Med 2013, 369:1306-1316.
12. Rudolph J.L., Inouye S.K., Jones R.N., et al. Delirium: An independent predictor of functional decline after cardiac surgery. JAm Geriatr Soc 2010, 58:643-649.
13. Rockwood K. Making delirium prevention acceptable in nursing homes. JAm Med Dir Assoc 2014, 15:6-7.
14. Jones R.N., Kiely D.K., Marcantonio E.R. Prevalence of delirium on admission to postacute care is associated with a higher number of nursing home deficiencies. JAm Med Dir Assoc 2010, 11:253-256.
15. Flaherty J.H., Rudolph J., Shay K., et al. Delirium is a serious and under-recognized problem: Why assessment of mental status should be the sixth vital sign. JAm Med Dir Assoc 2007, 8:273-275.
16. Saliba D., Jones M., Streim J., et al. Overview of significant changes in the minimum data set for nursing homes version 3.0. JAm Med Dir Assoc 2012, 13:595-601.
17. Inouye S.K., Baker D.I., Fugal P., Bradley E.H. Dissemination of the hospital elder life program: Implementation, adaptation, and successes. JAm Geriatr Soc 2006, 54:1492-1499.
18. Brummel N.E., Vasilevskis E.E., Han J.H., et al. Implementing delirium screening in the ICU: Secrets to success. Crit Care Med 2013, 41:2196-2208.
19. Rizzo J.A., Bogardus S.T., Leo-Summers L., et al. Multicomponent targeted intervention to prevent delirium in hospitalized older patients: What is the economic value?. Med Care 2001, 39:740-752.
20. Chester J.G., Harrington M.B., Rudolph J.L. Serial administration of a modified Richmond agitation and sedation scale for delirium screening. JHosp Med 2012, 7:450-453.
21. Han J.H., Wilson A., Vasilevskis E.E., et al. Diagnosing delirium in older emergency department patients: Validity and reliability of the delirium triage screen and the brief confusion assessment method. Ann Emerg Med 2013, 62:457-465.
22. Chester J.G., Grande L.J., Milberg W.P., et al. Cognitive screening in community-dwelling elders: Performance on the clock-in-the-box. Am J Med 2011, 124:662-669.
23. Grande L.J., Rudolph J.L., Milberg W.P., et al. Detecting cognitive impairment in individuals at risk for cardiovascular disease: The "clock-in-the-box" screening test. Int J Geriatr Psychiatry 2011, 26:969-975.
24. Inouye S.K., Viscoli C.M., Horwitz R.I., et al. Apredictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med 1993, 119:474-481.
25. Barnett P.G., Rodgers J.H. Use of the decision support system for VA cost-effectiveness research. Med Care 1999, 37:AS63-AS70.
26. Swindle R., Lukas C.V., Meyer D.A., et al. Cost analysis in the Department of Veterans Affairs: Consensus and future directions. Med Care 1999, 37:AS3-AS8.
27. Davidoff F., Batalden P., Stevens D., et al. Publication guidelines for improvement studies in health care: Evolution of the squire project. Ann Intern Med 2008, 149:670-676.
28. Dimick J.B., Weeks W.B., Karia R.J., et al. Who pays for poor surgical quality? Building a business case for quality improvement. JAm Coll Surg 2006, 202:933-937.
29. Leendertse A.J., Egberts A.C., Stoker L.J., van den Bemt P.M. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Intern Med 2008, 168:1890-1896.
30. Thomas D.R. The new F-tag 314: Prevention and management of pressure ulcers. JAm Med Dir Assoc 2006, 7:523-531.
31. Tinetti M.E. Clinical practice. Preventing falls in elderly persons. NEngl J Med 2003, 348:42-49.
32. Inouye S.K., Bogardus S.T., Charpentier P.A., et al. Amulticomponent intervention to prevent delirium in hospitalized older patients. NEngl J Med 1999, 340:669-676.
33. Marcantonio E.R., Flacker J.M., Wright R.J., Resnick N.M. Reducing delirium after hip fracture: A randomized trial. JAm Geriatr Soc 2001, 49:516-522.
34. Inouye S.K., Leo-Summers L., Zhang Y., et al. Achart-based method for identification of delirium: Validation compared with interviewer ratings using the confusion assessment method. JAm Geriatr Soc 2005, 53:312-318.
35. Rudolph J.L., Harrington M.B., Lucatorto M.A., et al. Validation of a medical record-based delirium risk assessment. JAm Geriatr Soc 2011, 59:S289-S294.
36. Van Rompaey B., Elseviers M.M., Van Drom W., et al. The effect of earplugs during the night on the onset of delirium and sleep perception: A randomized controlled trial in intensive care patients. Crit Care 2012, 16:R73.
37. Asch S.M., McGlynn E.A., Hogan M.M., et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Ann Intern Med 2004, 141:938-945.
38. Jha A.K., Wright S.M., Perlin J.B. Performance measures, vaccinations, and pneumonia rates among high-risk patients in Veterans Administration health care. Am J Public Health 2007, 97:2167-2172.