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Predicting delirium duration in elderly hip-surgery patients: does early symptom profile matter?

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Show simple item record Slor, Chantal J. Witlox, Joost Adamis, Dimitrios Meagher, David van der Ploeg, Tjeerd Jansen, Rene W.M.M. van Stijn, Mireille F.M. Houdijk, Alexander P.J. van Gool, Willem A. Eikelenboom, Piet de Jonghe, Jos F.M. 2018-10-26T15:16:08Z 2018-10-26T15:16:08Z 2013
dc.description peer-reviewed en_US
dc.description.abstract Background. Features thatmay allow early identification of patients at risk of prolonged delirium, and therefore of poorer outcomes, are not well understood.The aim of this study was to determine if preoperative delirium risk factors and delirium symptoms (at onset and clinical symptomatology during the course of delirium) are associated with delirium duration. Methods. This study was conducted in prospectively identified cases of incident delirium.We compared patients experiencing delirium of short duration (1 or 2 days) with patients who had more prolonged delirium (≥3 days) with regard to DRS-R-98 (Delirium Rating Scale Revised- 98) symptoms on the first delirious day. Delirium symptom profile was evaluated daily during the delirium course. Results. In a homogenous population of 51 elderly hip-surgery patients, we found that the severity of individual delirium symptoms on the first day of deliriumwas not associated with duration of delirium. Preexisting cognitive decline was associated with prolonged delirium. Longitudinal analysis using the generalised estimating equations method (GEE) identified that more severe impairment of longtermmemory across the whole deliriumepisode was associated with longer duration of delirium. Conclusion. Preexisting cognitive decline rather than severity of individual delirium symptoms at onset is strongly associated with delirium duration. en_US
dc.language.iso eng en_US
dc.publisher Hindawi Publishing Corporation en_US
dc.relation.ispartofseries Current Gerontology and Geriatrics Research;article ID 962321
dc.subject delirium en_US
dc.subject patients en_US
dc.subject symptoms en_US
dc.title Predicting delirium duration in elderly hip-surgery patients: does early symptom profile matter? en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1155/2013/962321
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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