La persistencia de delirium a los 3 meses del egreso de los pacientes ancianos hospitalizados en una clínica universitaria

Gustavo A. Constaín, María Victoria Ocampo Saldarriaga, Juan David Velásquez Tirado, María de los Ángeles Rodríguez-Gázquez, Lina Marcela Betancur Morales, Juan José Rico Escobar, Gustavo Adolfo Castilla Agudelo, Andrés Felipe Maya Osorno

    Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

    Resumen

    Objective: The purpose of the study was to determine the prevalence and characteristics of patients with persistent delirium (PD) at three months after hospital discharge. Methodology: Longitudinal descriptive study to assess the prevalence and characteristics of in-patients aged 65 years and older in the Clinica Universitaria Bolivariana who met DSM-5 criteria for delirium at admission, at discharge, and at a 3-month follow up assessment. Socio-demographic features were determined, and CGI-S and DRS-R98 scales used. Results: A total of 30 patients were evaluated between April and October 2013, but 6 did not fulfil the inclusion criteria. The study included 24 patients, with 9 (37.5%) dying during hospitalisation. Of the 15 surviving patients, five (20.8% of the total sample) had their delirium resolved at discharge, and ten (41.6% of the sample) continued with symptoms. These established the PD group, of whom five of them (20.8%) had full PD, and the other five (20.8%) sub-syndromal PD (SSPD). At the final assessment, only two patients (8.3%) continued with full PD, and another two (8.3%) with SSPD. Among the PD group, 30% had a full delirium at admission (prevalence), and 70% developed full delirium during hospitalization (incidence). Conclusions: A significant number of patients did not recover from delirium at leaving hospital, and remained symptomatic three months after discharge. The study findings suggest a course of gradual improvement of delirium, with a persistence of symptoms over time in 40% of the patients, which would have implications for the clinical practice.

    Título traducido de la contribuciónPersistent Delirium in Elderly patients Three Months After Hospital Discharge from a University Clinic
    Idioma originalEspañol
    Páginas (desde-hasta)56-64
    Número de páginas9
    PublicaciónRevista Colombiana de Psiquiatria
    Volumen47
    N.º1
    DOI
    EstadoPublicada - ene. 2018

    Nota bibliográfica

    Publisher Copyright:
    © 2016 Asociación Colombiana de Psiquiatría

    Palabras clave

    • Delirium
    • Neurocognitive disorder
    • Persistent delirium
    • Prevalence

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