科研之友
微信
新浪微博
Facebook
分享链接
摘要
Objectives To investigate whether complications in postacute care (PAC) are associated with delirium persistence 30days after PAC admission. Design Observational cohort study. Setting Eight Boston-area PAC facilities. Participants Three hundred fifty individuals with delirium at PAC admission. Measurements Participants were interviewed at PAC admission and 30days later. Delirium presence was determined using the Confusion Assessment Method. Medical record reviews were performed to ascertain new cardiac, noncardiac, and geriatric syndrome complications in PAC. Complication status was also determined 30days after admission or at PAC discharge, whichever came first. Results Participants (mean age 83.6, 66% female) experienced the following incidence of PAC complications: cardiac complications (7%), noncardiac complications (21%), and geriatric syndrome complications (39%). Delirium persisted in 56% of participants 1month after PAC admission. Neither cardiac nor noncardiac complications were associated with delirium persistence. Delirium persistence at 1month was significantly greater in participants, with more geriatric syndrome complications (no complications, 51%; one complication 61%; =2 complications, 100%, adjusted P=.048). There was also a trend toward greater delirium persistence in participants with unresolved geriatric syndrome complications (no complications, 51%; resolved complication, 61%; unresolved complication, 68%; adjusted P=.10). Conclusion Geriatric syndrome complications are common in individuals admitted to PAC with delirium and are associated with persistence of delirium 1month later. Proactively addressing risk factors for geriatric syndromes may improve outcomes of vulnerable individuals in PAC.
- 出版日期2012-6
