Evidence map›Paper›PMID 40256379›Full record

ArticleBelitung nursing journal2025

Factors predicting delirium among hospitalized older adults in an urban area, Thailand: A prospective cohort study.

Duangrat Kaveenuntachai, Naphatthorn Prueksaanantakal, Pirunnapa Benyapad, Pratin Chinpinkleaw, Sirichai Jiojinda

Abstract read
In one paragraph

Article in Belitung nursing journal, 2025. 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

5 authors.

Duangrat KaveenuntachaiKuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand.ORCID https://orcid.org/0009-0000-6463-6102
Naphatthorn PrueksaanantakalKuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand.ORCID https://orcid.org/0009-0003-3942-7351
Pirunnapa BenyapadKuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand.ORCID https://orcid.org/0009-0005-7540-9323
Pratin ChinpinkleawFaculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
Sirichai JiojindaFaculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Delirium is a common but often underrecognized complication in hospitalized older adults. It is associated with poor outcomes, including longer hospital stays, increased mortality, and long-term cognitive decline. While numerous studies have explored factors contributing to delirium, there is a lack of research on the context of older adults in Bangkok, Thailand. Understanding the predictors of delirium is crucial for early detection and prevention, particularly in an urban hospital setting. Objective: This study aimed to determine the incidence rate of delirium and identify factors associated with its development in hospitalized older adults. Methods: A prospective cohort study was conducted in four internal medicine wards of a large urban hospital in Bangkok, Thailand. Data were collected from 168 hospitalized older adults (≥60 years) over a 7-day period following admission. The Confusion Assessment Method (CAM), the Mini-Mental State Examination (TMSE), and the Systemic Inflammatory Response Syndrome (SIRS) scores were used to assess delirium and cognitive impairment. Data were collected between January 2022 and October 2022, and participants were evaluated on Day 1 (24 hours after admission), Day 3, and Day 7 or before discharge. Descriptive statistics and multivariate logistic regression were used to analyze predictors of delirium. Results: The incidence rate of delirium among hospitalized older adults was 20.80%, with 19.00% developing delirium within the first 24-48 hours of admission. Multivariate analysis revealed that cognitive impairment (OR_adj = 7.81, Conclusion: This study highlights the high incidence of delirium among hospitalized older adults and identifies key risk factors, including cognitive impairment, infection, age, and the presence of caregivers. Early delirium screening, including the use of the CAM and TMSE, should be integrated into nursing care for delirium prevention. Infection prevention and effective management strategies should also be prioritized to reduce delirium risk.

Indexed as

cognitive dysfunctiondeliriumhospitalizationinternal medicineolder adultsrisk factorsThailandurban hospitals

Identifiers

PMID40256379
PMCPMC12006811

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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.