Retrospective delirium ascertainment from case notes: a retrospective cohort study.
delirium & cognitive disorders
geriatric medicine
medical education & training
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
28 05 2021
28 05 2021
Historique:
entrez:
29
5
2021
pubmed:
30
5
2021
medline:
4
6
2021
Statut:
epublish
Résumé
This study sets out to ascertain if recognition of delirium impacts on patient outcomes. Retrospective cohort study. Unscheduled admissions to acute care trust/secondary care UK hospitals. Six hundred and fifty-six older adults aged ≥65 years admitted on 14 September 2018. Delirium was ascertained retrospectively from case notes using medical notes. Documented delirium was classified as recognised delirium and retrospectively ascertained delirium was classified as unrecognised delirium. Primary outcome measure: inpatient mortality. length of stay, discharge destination. Delirium was present in 21.1% (132/626) of patients at any point during admission. The presence of delirium was associated with increased mortality (HR 2.65, CI 1.40 to 5.01). Recognition of delirium did not significantly impact on outcomes. Delirium is associated with adverse outcomes in hospitalised older adults. However, there is insufficient evidence that recognition of delirium affects outcomes. However, delirium recognition presents an opportunity to discuss a person's overall prognosis and discuss this with the patient and their family. Further research is needed to assess the pathophysiology of delirium to enable development of targeted interventions towards improved outcomes in patients with delirium.
Identifiants
pubmed: 34049901
pii: bmjopen-2020-042440
doi: 10.1136/bmjopen-2020-042440
pmc: PMC8166612
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e042440Subventions
Organisme : The Dunhill Medical Trust
ID : RTF107/0117
Pays : United Kingdom
Investigateurs
Abigail Wrathall
(A)
Aidan Ryan
(A)
Al Wakkass Mahmood
(AW)
Alexander Harbinson
(A)
Alice Wheeler
(A)
Amr Bazaraa
(A)
Amy Walter
(A)
Anekea Ross
(A)
Anna Reay
(A)
Benjamin Jelley
(B)
Carly Welch
(C)
Chenxian Wu
(C)
Chioma Iwu
(C)
Christopher Miller
(C)
Daisy Wilson
(D)
Dhruv Sarma
(D)
Elisabeth Hunter
(E)
Elizabeth J Ellis
(EJ)
Elizabeth Lonsdale-Eccles
(E)
Emily McNicholas
(E)
Fiona E Macdonald
(FE)
Fiona Herbert
(F)
Gerry McGonigal
(G)
Hannah J Robinson
(HJ)
Hannah Watson
(H)
Hussun-Ara Shah
(HA)
Ijeoma T Obi
(IT)
Imola Bargaoanu
(I)
James E Lucocq
(JE)
Jane Giddings
(J)
Jane Masoli
(J)
Jenni Burton
(J)
Joanne Taylor
(J)
Jodie Crofts
(J)
John Headlam
(J)
Kelli Torsney
(K)
Kumudhini Giridharan
(K)
Lahiru Satharasinghe
(L)
Laura J Beeley
(LJ)
Lauren McCluskey
(L)
Liji Ng
(L)
Lindsay Jones
(L)
Mary Ni Lochlainn
(MN)
Michael Sj Wilson
(MS)
Minal D Patel
(MD)
Mustafa Alsahab
(M)
Nader Nashed
(N)
Natalie Cox
(N)
Oliver Todd
(O)
Olivia Handley
(O)
Olugbenro Akintade
(O)
Philip Nwabufor
(P)
Philippa K Traill
(PK)
Phillipa Adams
(P)
Qurrat Ul Ain
(QU)
Rinata Farah
(R)
Robert Grange
(R)
Roisin Healy
(R)
Ruth Willott
(R)
Sarah Jagdeo
(S)
Sarah Richardson
(S)
Shonit Nagumantry
(S)
Simon M Stapley
(SM)
Sophie J Irwin
(SJ)
Sophie Wright
(S)
Srividya Sundara
(S)
Swetha Byravan
(S)
Tarunya Vedutla
(T)
Thomas A Jackson
(TA)
Thomas Arkle
(T)
Thyn Thyn
(T)
Vee-Han Lim
(VH)
Victoria Gaunt
(V)
Yathu Matheswaran
(Y)
Zeinab Majid
(Z)
Carly Welch
(C)
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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