Evidence map›Paper›PMID 26108254›Full record

ArticleBMC geriatrics2015

Room transfers and the risk of delirium incidence amongst hospitalized elderly medical patients: a case-control study.

Amanda Goldberg, Sharon E Straus, Jemila S Hamid, Camilla L Wong

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  18. Delirium: a guide for the general physician.Clinical medicine (London, England) · 2017
    Article
  19. Delirium: a guide for the general physician.Clinical medicine (London, England) · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Amanda GoldbergLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, 7th Floor East Building, Toronto, ON, M5B 1T8, Canada. amanda.goldberg@mail.utoronto.ca.
Sharon E StrausLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, 7th Floor East Building, Toronto, ON, M5B 1T8, Canada. sharon.straus@utoronto.ca.
Jemila S HamidLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, 7th Floor East Building, Toronto, ON, M5B 1T8, Canada. hamidj@smh.ca.
Camilla L WongLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, 7th Floor East Building, Toronto, ON, M5B 1T8, Canada. camilla.wong@utoronto.ca.
St. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoom transfers are suspected to promote the development of delirium in hospitalized elderly patients, but no studies have systematically examined the relationship between room transfers and delirium incidence. We used a case-control study to determine if the number of room transfers per patient days is associated with an increased incidence of delirium amongst hospitalized elderly medical patients, controlling for baseline risk factors.

methodsWe included patients 70 years of age or older who were admitted to the internal medicine or geriatric medicine services at St. Michael's Hospital between October 2009 and September 2010 for more than 24 h. The cases consisted of patients who developed delirium during the first week of hospital stay. The controls consisted of patients who did not develop delirium during the first week of hospital stay. Patients with evidence of delirium at admission were excluded from the analysis. A multivariable logistic regression model was used to determine the relationship between room transfers and delirium development within the first week of hospital stay.

results994 patients were included in the study, of which 126 developed delirium during the first week of hospital stay. Using a multivariable logistic regression model which controlled for age, gender, cognitive impairment, vision impairment, dehydration, and severe illness, room transfers per patient days were associated with delirium incidence (OR: 9.69, 95 % CI (6.20 to15.16), P < 0.0001).

conclusionsAn increased number of room transfers per patient days is associated with an increased incidence of delirium amongst hospitalized elderly medical patients. This is an exploratory analysis and needs confirmation with larger studies.

Indexed as

AgedAged, 80 and overCase-Control StudiesDeliriumFemaleGeriatricsHospitalizationHumansIncidenceInternal MedicineLength of StayMalePatient TransferRisk Factors

Identifiers

PMID26108254
PMCPMC4478641
OpenAlexW1492308083

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.