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FRAILTY ASSESSMENT TO HELP PREDICT PATIENTS AT RISK OF ED-INDUCED DELIRIUM
Author(s) -
Michael J. Giroux,
Marcel Émond,
MarieJosée Sirois,
Valérie Boucher,
Raoul Daoust,
É. Gouin,
Mathieu Pelletier,
Simon Berthelot
Publication year - 2017
Publication title -
innovation in aging
Language(s) - English
Resource type - Journals
ISSN - 2399-5300
DOI - 10.1093/geroni/igx004.4829
Subject(s) - delirium , medicine , emergency department , triage , prospective cohort study , incidence (geometry) , emergency medicine , cohort study , adverse effect , cohort , intensive care medicine , psychiatry , physics , optics
account alterations of vigilance and behavior (hypoactive, hyperactive, mixed), and confirmed by clinical judgment. Starting from 539 consecutively admitted patients, 424 were enrolled. Of them, 156 (36.8%) developed delirium. The prevalence of motor subtypes was 6.8% for hypoactive, 17.0% for hyperactive, and 13.2% for mixed subtype. Oneyear mortality was 15.5% in patients who did not experience delirium, and 41.4%, 20.3%, and 38.2% in the hypoactive, hyperactive, and mixed delirium subgroups, respectively. After adjusting for potential confounders in a Cox regression analysis, mortality was significantly higher among subjects experiencing the hypoactive subtype (Hazard Ratio 2.78, 95% Confidence Interval: 1.15–6.71). In-hospital hypoactive delirium is significantly associated with higher one-year mortality in patients undergoing hip fracture surgery.

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