ArticleDelirium communications2023
Delirium identification among older adults hospitalized while incarcerated.
Article in Delirium communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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9 authors.
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Abstract
Background: The rapidly growing population of older incarcerated patients is at increased risk of hospital-associated delirium as they have a high prevalence of comorbidities and face the unique process of accelerated aging. Objective: Our goal is to provide the first data available on identification of delirium via ICD-10 codes in this marginalized group; appropriate use of these codes communicates information across health systems and between clinicians. Methods: We examined 5,134 admissions of incarcerated patients over a 10-year period. Results: Delirium was coded in 0.4%, significantly less than in the non-incarcerated population. Those diagnosed with delirium were six times more likely to have previously been identified as cognitively impaired via ICD-10 codes. Conclusion: Incarcerated patients experience incarceration-specific care processes that increase their risk of delirium, suggesting that the rate we found is a severe underestimation. This data supports future studies aimed at assessing the true rate of and risk factors for delirium in this underserved population.
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