Back to Search
Start Over
Preventing Delirium in Older Adults with Recent Hip Fracture Through Multidisciplinary Geriatric Consultation.
- Source :
-
Journal of the American Geriatrics Society . Apr2012, Vol. 60 Issue 4, p733-739. 7p. 1 Diagram, 1 Chart, 1 Graph. - Publication Year :
- 2012
-
Abstract
- Objectives To evaluate the effect of inpatient geriatric consultation teams ( IGCTs), which have been introduced to improve the quality of care of older persons hospitalized on nongeriatric wards, on delirium and overall cognitive functioning in older adults with hip fracture. Design Controlled trial. Setting Two trauma wards in a university hospital setting. Participants One-hundred seventy-one people with hip fracture aged 65 and older assigned to a multidisciplinary geriatric intervention (n = 94) or usual care (n = 77). Measurements Incidence and duration of delirium were measured using the Confusion Assessment Method, severity of delirium using the Delirium Index, and cognitive status using the 12-item Mini-Mental State Examination. Results Significantly more controls (53.2%; n = 41) than intervention group participants (37.2%; n = 35; P = .04; odds ratio ( OR) = 1.92, 95% confidence interval ( CI) = 1.04-3.54) were delirious at any point after surgery. No significant difference was found between the groups for duration or severity of delirium episodes. The proportion of participants with cognitive decline at discharge was higher in controls than in those assigned to geriatric intervention (38.7% vs 22.6%; P = .02; OR = 2.16, 95% CI = 1.10-4.24). Conclusion Delirium episodes and cognitive decline during hospitalization were found to be common in older adults with hip fracture, as expected, but an IGCT intervention reduced the incidence of these adverse outcomes. In participants who developed delirium, a geriatric consultation had no effect on severity or duration of the delirium episode. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEALTH care teams
*PSYCHOSES
*HIP joint injury treatment
*HIP surgery
*GERIATRIC assessment
*HOSPITAL care of older people
*ANALYSIS of variance
*CHI-squared test
*CLINICAL trials
*COGNITION disorders
*CONFIDENCE intervals
*EPIDEMIOLOGY
*BONE fractures
*LENGTH of stay in hospitals
*MEDICAL referrals
*HEALTH outcome assessment
*QUESTIONNAIRES
*STATISTICAL hypothesis testing
*T-test (Statistics)
*U-statistics
*INTENSIVE care units
*STATISTICAL power analysis
*DATA analysis
*CAUSAL models
*TREATMENT effectiveness
*RESEARCH bias
*PROPORTIONAL hazards models
*BLIND experiment
*SEVERITY of illness index
*GERIATRIC Depression Scale
*DATA analysis software
*DESCRIPTIVE statistics
*OLD age
*PSYCHOLOGY
*PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 60
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 74196550
- Full Text :
- https://doi.org/10.1111/j.1532-5415.2012.03899.x