Evidence map›Paper›PMID 31623269›Full record

ArticleGeriatrics (Basel, Switzerland)2019

The Prevalence of Delirium in An Older Acute Surgical Population and Its Effect on Outcome.

Jonathan Hewitt, Stephanie Owen, Ben R Carter, Michael J Stechman, Hui Sian Tay, Matthew Greig, Caroline McCormack, Lyndsay Pearce, Kathryn McCarthy, Phyo K Myint and 1 more

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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

11 authors at 7 institutions in 1 country.

Jonathan HewittDivision of Population Medicine, Cardiff University, Heath Park, Cardiff, CF14 4XW, Wales, UK. hewittj2@cardiff.ac.uk.
Stephanie OwenDivision of Population Medicine, Cardiff University, Heath Park, Cardiff, CF14 4XW, Wales, UK. stephanie.owen2@wales.nhs.uk.
Ben R CarterDepartment of Biostatistics and Health Informatics, Kings College London, 16 De Crespigny Park, London SE5 8AF, UK. ben.carter@kcl.ac.uk.
Michael J StechmanDepartment of Surgery, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, Wales, UK. Michael.stechman@wales.nhs.uk.
Hui Sian TayDepartment of Medicine for the Elderly, NHS Grampian, Aberdeen, AB25 2ZN, UK. huisiantay@nhs.net.
Matthew GreigDepartment of Medicine for the Elderly, NHS Grampian, Aberdeen, AB25 2ZN, UK. matthew.greig@nhs.net.
Caroline McCormackDepartment of Medicine for the Elderly, NHS Grampian, Aberdeen, AB25 2ZN, UK. caroline.mccormack@nhs.uk.
Lyndsay PearceDepartment of Surgery, Salford Royal Infirmary, Stott Ln, Salford M6 8HD, UK. lpearce@doctors.org.uk.
Kathryn McCarthyDepartment of Surgery, North Bristol NHS Trust, Bristol, Southmead Rd, Bristol BS10 5NB, UK. drkathrynmccarthy@hotmail.co.uk.
Phyo K MyintDepartment of Medicine for the Elderly, NHS Grampian, Aberdeen, AB25 2ZN, UK. phyo.myint@abdn.ac.uk.
Susan J MougDepartment of Surgery, Royal Alexandra hospital Paisley, G12 9PF, UK. susanmoug@nhs.net.
NHS Grampian · GBCardiff University · GBKing's College London · GBNorth Bristol NHS Trust · GBRoyal Alexandra Hospital · GBSalford Royal Hospital · GBUniversity Hospital of Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith an ageing population, an increasing number of older adults are admitted for assessment to acute surgical units. Older adults have specific factors that may influence outcomes, one of which is delirium (acute cognitive impairment).

objectivesTo establish the prevalence of delirium on admission in an older acute surgical population and its effect on mortality. Secondary outcomes investigated include hospital readmission and length of hospital stay.

methodThis observational multi-centre study investigated consecutive patients, ≥65 years, admitted to the acute surgical units of five UK hospitals during an eight-week period. On admission the Confusion Assessment Method (CAM) score was performed to detect delirium. The effect of delirium on important clinical outcomes was investigated using tests of association and logistic regression models.

resultsThe cohort consisted of 411 patients with a mean age of 77.3 years (SD 8.1). The prevalence of admission delirium was 8.8% (95% CI 6.2-11.9%) and cognitive impairment was 70.3% (95% CI 65.6-74.7%). The delirious group were not more likely to die at 30 or 90 days (OR 1.1, 95% CI 0.2 to 5.1,

conclusionAdmission delirium occurs in just under 10% of older people admitted to acute surgical units, resulting in significantly longer hospital stays.

Indexed as

Cognitive impairmentdeliriumolder surgical patients

Identifiers

PMID31623269
PMCPMC6960557
OpenAlexW2980843730

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.