Evidence map›Paper›PMID 37940689›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2024

Delirium Due to Potentially Avoidable Hospitalizations Among Older Adults.

Caroline Whittington, Rachel M Skains, Yue Zhang, John D Osborne, Tobias O'Leary, Hyun B Freeman, Roy C Martin, Jasmine K Vickers, Kellie L Flood, Alayne D Markland and 3 more

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Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. 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

13 authors.

Caroline WhittingtonDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Rachel M SkainsDepartment of Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Yue ZhangDivision of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
John D OsborneDivision of General Internal Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Tobias O'LearyDivision of General Internal Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Hyun B FreemanDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Roy C MartinDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jasmine K VickersDepartment of Nursing Research and Scholarship, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kellie L FloodDivision of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Alayne D MarklandDivision of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-6567-6744
Thomas W BufordDivision of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Cynthia J BrownDepartment of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.ORCID 0000-0002-1629-5507
Richard E KennedyDivision of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-4638-126X

Funding

UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
Automating Delirium Identification and Risk Prediction in Electronic Health Records (Supplement)R01AG060993 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KENNEDY, RICHARD E · 2019 to 2022
$1.8M
Speed of Processing Training for Cognitive Deficits After Delirium in Older Adults.R21AG057982 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KENNEDY, RICHARD E · 2017 to 2018
$408k
AHRQ HHS T32 HS013852NIA NIH HHS R01 AG060993NIA NIH HHS R21 AG057982
6 · The paper itself

Abstract

backgroundDelirium is a common complication during acute care hospitalizations in older adults. A substantial percentage of admissions are for ambulatory care-sensitive conditions (ACSCs) or potentially avoidable hospitalizations-conditions that might be treated early in the outpatient setting to prevent hospitalization and hospital complications.

methodsThis retrospective cross-sectional study examined rates of delirium among older adults hospitalized for ACSCs. Participants were 39 933 older adults ≥65 years of age admitted from January 1, 2015 to December 31, 2019 to general inpatient units and ICUs of a large Southeastern academic medical center. Delirium was defined as a score ≥ 2 on the Nursing Delirium Screening Scale or positive on the Confusion Assessment Method for the Intensive Care Unit during admission, and ACSCs were identified from the primary admission diagnosis using standardized definitions. Generalized linear mixed models were used to examine the association between ACSCs and delirium, compared with admissions for non-ACSC diagnoses, adjusting for covariates and repeated observations for individuals with multiple admissions.

resultsDelirium occurred in 15.6% of admissions for older adults. Rates were lower for ACSC admissions versus admissions for other conditions (13.9% vs 15.8%, p < .001). Older age and higher comorbidity were significant predictors of the development of delirium.

conclusionsRates of delirium among older adults hospitalized for ACSCs were lower than rates for non-ACSC hospitalization but still substantial. Optimizing the treatment of ACSCs in the outpatient setting is an important goal not only for reducing hospitalizations but also for reducing risks for hospital-associated complications such as delirium.

Indexed as

DeliriumHospitalizationAgedAmbulatory CareCross-Sectional StudiesHumansRetrospective StudiesAmbulatory care-sensitive conditionsDeliriumOlder adultsPotentially avoidable hospitalizations

Identifiers

PMID37940689
PMCPMC12476945

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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.