A longitudinal study on delirium in nursing homes

von Gunten, Armin; Mosimann, Urs Peter; Antonietti, Jean-Philippe (2013). A longitudinal study on delirium in nursing homes. American journal of geriatric psychiatry, 21(10), pp. 963-972. Elsevier 10.1016/j.jagp.2013.01.003

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OBJECTIVE To investigate the evolution of delirium of nursing home (NH) residents and their possible predictors. DESIGN Post-hoc analysis of a prospective cohort assessment. SETTING Ninety NHs in Switzerland. PARTICIPANTS Included 14,771 NH residents. MEASUREMENTS The Resident Assessment Instrument Minimum Data Set and the Nursing Home Confusion Assessment Method were used to determine follow-up of subsyndromal or full delirium in NH residents using discrete Markov chain modeling to describe long-term trajectories and multiple logistic regression analyses to determine predictors of the trajectories. RESULTS We identified four major types of delirium time courses in NH. Increasing severity of cognitive impairment and of depressive symptoms at the initial assessment predicted the different delirium time courses. CONCLUSION More pronounced cognitive impairment and depressive symptoms at the initial assessment are associated with different subsequent evolutions of delirium. The presence and evolution of delirium in the first year after NH admission predicted the subsequent course of delirium until death.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Geriatric Psychiatry and Psychotherapy

UniBE Contributor:

Mosimann, Urs Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1064-7481

Publisher:

Elsevier

Language:

English

Submitter:

Pascal Wurtz

Date Deposited:

24 Apr 2014 10:29

Last Modified:

11 Nov 2015 09:56

Publisher DOI:

10.1016/j.jagp.2013.01.003

PubMed ID:

23567403

Uncontrolled Keywords:

Delirium, elderly, nursing home, time course

BORIS DOI:

10.7892/boris.43021

URI:

https://boris.unibe.ch/id/eprint/43021

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