Evidence map›Paper›PMID 31514465›Full record

ArticleGeriatrics (Basel, Switzerland)2019

Assessment of Delirium Using the Confusion Assessment Method in Older Adult Inpatients in Malaysia.

Hui Min Khor, Hwee Chin Ong, Bee Kuan Tan, Chung Min Low, Nor'Izzati Saedon, Kit Mun Tan, Ai Vyrn Chin, Shahrul B Kamaruzzaman, Maw Pin Tan

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
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

9 authors at 3 institutions in 1 country.

Hui Min Khor.Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 59100, Malaysia. hmkhor@ummc.edu.my.
Hwee Chin Ong.Taylor's University, Faculty of Health and Medical Sciences, Selangor 47500, Malaysia. hweechin33@hotmail.com.
Bee Kuan Tan.Taylor's University, Faculty of Health and Medical Sciences, Selangor 47500, Malaysia. beekuan328@gmail.com.
Chung Min Low.Department of Medicine, Hospital Sultan Ismail, Johor, Johor Bahru 81100, Malaysia. lowchungmin@gmail.com.
Nor'Izzati Saedon.Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 59100, Malaysia. izzati@ummc.edu.my.
Kit Mun Tan.Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 59100, Malaysia. kmtan@ummc.edu.my.
Ai Vyrn Chin.Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 59100, Malaysia. avchin@ummc.edu.my.
Shahrul B Kamaruzzaman.Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 59100, Malaysia. shahrulbahyah@ummc.edu.my.
Maw Pin Tan.Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 59100, Malaysia. mptan@ummc.edu.my.
University of Malaya · MYTaylor's University · MYSultan Ismail Specialist Hospital · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The detection of delirium in acutely ill older patients is challenging with the lack of informants and the necessity to identify subtle and fluctuating signs. We conducted a cross-sectional study among older patients admitted to a university hospital in Malaysia to determine the presence, characteristics, and mortality outcomes of delirium. Consecutive patients aged ≥65years admitted to acute medical wards were recruited from August to September 2016. Cognitive screening was performed using the mini-mental test examination (MMSE) and the Confusion Assessment Method (CAM). The CAM-Severity (CAM-S) score was also performed in all patients. Of 161 patients recruited, 43 (26.7%) had delirium. At least one feature of delirium from the CAM-S short and long severity scores were present in 48.4% and 67.1%, respectively. Older age (OR: 1.07, 95% CI: 1.01-1.14), immobility (OR: 3.16, 95% CI: 1.18-8.50), cognitive impairment (OR: 5.04, 95% CI: 2.07-12.24), and malnutrition (OR: 3.37; 95% CI: 1.15-9.85) were significantly associated with delirium. Older patients with delirium had a higher risk of mortality (OR: 7.87, 95% CI: 2.42-25.57). Delirium is common among older patients in our setting. A large proportion of patients had altered mental status on admission to hospital although they did not fulfill the CAM criteria of delirium. This should prompt further studies on strategies to identify delirium and the use of newer, more appropriate assessment tools in this group of vulnerable individuals.

Indexed as

confusiondeliriumhospitalinpatientMalaysiaolder

Identifiers

PMID31514465
PMCPMC6787739
OpenAlexW2972856663

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.