Evidence map›Paper›PMID 38329618›Full record

ArticleEuropean geriatric medicine2024

Factors associated with delirium in a real-world acute-care setting: analysis considering the interdependence of clinical variables with the frailty syndrome.

Andrea Ticinesi, Alberto Parise, Davide Delmonte, Chiara Coppi, Beatrice Prati, Nicoletta Cerundolo, Angela Guerra, Antonio Nouvenne, Tiziana Meschi

Abstract read
In one paragraph

Article in European geriatric medicine, 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

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

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

9 authors.

Andrea TicinesiDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126, Parma, Italy. andrea.ticinesi@unipr.it.ORCID http://orcid.org/0000-0001-9171-8592
Alberto PariseGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Via Antonio Gramsci 14, 43126, Parma, Italy.
Davide DelmonteInstitute of Materials for Electronics and Magnetism, National Research Council (CNR), Parco Area delle Scienze 7/A, 43124, Parma, Italy.ORCID http://orcid.org/0000-0001-5367-527X
Chiara CoppiDoctoral School in Material Science, Department of Chemistry, Life Science and Environmental Sustainability, University of Parma, Parco Area delle Scienze 7/A, 43124, Parma, Italy.ORCID http://orcid.org/0000-0002-5173-9425
Beatrice PratiGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Via Antonio Gramsci 14, 43126, Parma, Italy.
Nicoletta CerundoloGeriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Via Antonio Gramsci 14, 43126, Parma, Italy.
Angela GuerraDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126, Parma, Italy.
Antonio NouvenneDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126, Parma, Italy.ORCID http://orcid.org/0000-0002-2680-2242
Tiziana MeschiDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126, Parma, Italy.ORCID http://orcid.org/0000-0002-7538-6863

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDelirium risk assessment in the acute-care setting generally does not account for frailty. The objective of this retrospective study was to identify factors associated with delirium, considering the interdependency of clinical variables with frailty syndrome in complex older patients.

methodsThe clinical records of 587 participants (248 M, median age 84) were reviewed, collecting clinical, anamnestic and pharmacological data. Frailty syndrome was assessed with the Clinical Frailty Scale (CFS). Delirium was the main study endpoint. The correlations of the considered anamnestic and clinical variables with delirium and its subtypes were investigated selecting only those variables not showing a high overlap with frailty. Correlations associated with a 25% excess of frequency of delirium in comparison with the average of the population were considered as statistically significant.

resultsDelirium was detected in 117 (20%) participants. The presence of one among age > 85 years old, CFS > 4 and invasive devices explained 95% of delirium cases. The main factors maximizing delirium incidence at the individual level were dementia, other psychiatric illness, chronic antipsychotic treatment, and invasive devices. The coexistence of three of these parameters was associated with a peak frequency of delirium, ranging from 57 to 61%, mostly hypoactive forms.

conclusionsIn acute-care wards, frailty exhibited a strong association with delirium during hospitalization, while at the individual level, dementia and the use of antipsychotics remained important risk factors. Modern clinical prediction tools for delirium should account for frailty syndrome.

Indexed as

DeliriumDementiaFrailtyAgedAged, 80 and overFrail ElderlyGeriatric AssessmentHumansRetrospective StudiesAcute cerebral dysfunctionCognitive impairmentDeliriumFrailtyGeriatric emergency medicine

Identifiers

PMID38329618
PMCPMC10997727

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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.