La Gro, H. (2013) De relatie tussen de ernst van een delier tijdens een ziekenhuisopname en het risico op permanente institutionalisering en mortaliteit. thesis, Medicine.
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Abstract
Context: Delirium is a common syndrome in elderly patients and often has far-reaching consequences for mortality and institutionalization. It doubles the risk for mortality, and triples the risk of institutionalization. Little is known about factors which predict the prognosis of delirium. The purpose of this study is to investigate the influence of the severity of delirium on mortality and institutionalization. Method and respondents: Patients were recruited of the geriatrics department of the Slotervaart hospital in Amsterdam, The Netherlands. Their records were retrospectively screened for the presence of delirium. All relevant information was collected from the medical records. After the follow-up period of 8 months, treating physicians were asked about their living arrangements and mortality was assessed. Using a cox regression analysis association between the severity of delirium and mortality and institutionalization is analysed. Results: Among 304 geriatric patients, 98 patients (32%) had a delirium at admission or during hospital stay. Of the patients who were not institutionalized before hospitalisation, 40% had to be institutionalised after discharge. Over 90% of these last patients remained permanently institutionalized. The severity of delirium has no significant association with institutionalisation after a delirium. Within 8 months after discharge, 45% of the patients with delirium have died. Patients with a mild delirium had a mortality rate of 21% up to 8 months after discharge, for patients with an average and severe delirium the mortality rate was 49% and 64%. The risk of dying within 8 months after discharge is five times as high for patients with a severe delirium compared to patient with a mild delirium, corrected for gender, age, dementia and severity of illness. Conclusion: Severity of delirium is predictive for mortality after a delirium, but has no association with institutionalization after a delirium.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Izaks, Dr. G.J. |
| Supervisor name: | Verfaille, Drs. R. and specialist ouderengeneeskunde, Amsta and Tulner, Dr. L.R. and klinisch geriater, Slotervaartziekenhuis |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:42 |
| Last Modified: | 25 Jun 2020 10:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/408 |
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