Evidence map›Paper›PMID 26848261›Full record

Trial reportClinical interventions in aging2016

Association between frailty and delirium in older adult patients discharged from hospital.

Henk Verloo, Céline Goulet, Diane Morin, Armin von Gunten

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Clinical interventions in aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04056871 (Comparing the Association of Different Frailty Scores to the Incidence of Post-operative Delirium and Cognitive Dysfunction), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT04056871 completednot on this mapstarted 2019, after this paper: background citation

Comparing the Association of Different Frailty Scores to the Incidence of Post-operative Delirium and Cognitive Dysfunction

TypeobservationalSponsorUniversity of MalayaRan2019 to 2020Enrolled400ConditionsFrail Elderly Syndrome, Postoperative Delirium, Postoperative Cognitive DysfunctionArmsFrailty Screening Tools
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Delirium among older adults living at home: a systematic review of prevalence, incidence, and risk factors.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
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  4. Observational
  5. Review
  6. Article
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  9. Review
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  12. Survival of Frail Elderly with Delirium.International journal of environmental research and public health · 2022
    Article
  13. Article
  14. Prevalence and Risk Factors for Delirium in Elderly Patients With Severe Burns: A Retrospective Cohort Study.Journal of burn care & research : official publication of the American Burn Association · 2020
    Article
  15. Observational
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  20. [A series of cases--too old for a pacemaker?].Wiener medizinische Wochenschrift (1946) · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Henk VerlooDepartment Nursing Sciences, University of Applied Sciences, Lausanne, Switzerland.
Céline GouletFaculty of Nursing Science, University of Montreal, Montreal, QC, Canada.
Diane MorinInstitut Universitaire de Formation et Recherche en Soins (IUFRS), Faculty of Biology and Medicine, University of Lausanne, Lausanne University Hospital, Lausanne, Switzerland; Faculty of Nursing Science, Université Laval, Québec, Canada.
Armin von GuntenDepartment of Psychiatry, Service Universitaire de Psychiatrie de l'Age Avancé (SUPAA), Lausanne University Hospital, Prilly, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelirium and frailty - both potentially reversible geriatric syndromes - are seldom studied together, although they often occur jointly in older patients discharged from hospitals. This study aimed to explore the relationship between delirium and frailty in older adults discharged from hospitals.

methodsOf the 221 patients aged >65 years, who were invited to participate, only 114 gave their consent to participate in this study. Delirium was assessed using the confusion assessment method, in which patients were classified dichotomously as delirious or nondelirious according to its algorithm. Frailty was assessed using the Edmonton Frailty Scale, which classifies patients dichotomously as frail or nonfrail. In addition to the sociodemographic characteristics, covariates such as scores from the Mini-Mental State Examination, Instrumental Activities of Daily Living scale, and Cumulative Illness Rating Scale for Geriatrics and details regarding polymedication were collected. A multidimensional linear regression model was used for analysis.

resultsAlmost 20% of participants had delirium (n=22), and 76.3% were classified as frail (n=87); 31.5% of the variance in the delirium score was explained by frailty (R (2)=0.315). Age; polymedication; scores of the Confusion Assessment Method (CAM), instrumental activities of daily living, and Cumulative Illness Rating Scale for Geriatrics; and frailty increased the predictability of the variance of delirium by 32% to 64% (R (2)=0.64).

conclusionFrailty is strongly related to delirium in older patients after discharge from the hospital.

Indexed as

Patient DischargeActivities of Daily LivingAgedAged, 80 and overCognition DisordersDeliriumFemaleFrail ElderlyGeriatric AssessmentHospitalsHumansLinear ModelsMaleNeuropsychological TestsProspective StudiesPsychiatric Status Rating Scalescognitive impairmentdelirium risk factorsEdmonton Frailty Scalephysical impairment

Identifiers

PMID26848261
PMCPMC4723030

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Registered trials

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.