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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vonGunten_2013_AJGeriatPscyh_ALongStudyDeliriuminNursingHomes.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (438kB) |
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: |
05 Dec 2022 14:29 |
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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