Overlooked Delirium Worsens Hospital Course for People With Dementia09/20/13
FRIDAY, Sept. 20 (HealthDay News) -- More than half of patients
with dementia will experience delirium while hospitalized -- and
failure to detect that delirium results in a quicker decline of
these patients' physical and mental health, according to a new
"This study is important, as delirium is often overlooked and minimized in the hospital setting, especially in persons with dementia," study principal investigator Donna Fick, a professor of nursing at Penn State University, said in a university news release. "And it illustrates that delirium is deadly, costly and impacts patient functioning."
Delirium is a serious -- and usually sudden -- disturbance in a
patient's thinking ability, involving confusion and disorientation.
It often can be resolved if diagnosed and treated early.
Dementia, by contrast, is an irreversible, ongoing condition
that affects both thinking and physical function, with symptoms
such as memory loss, inability to solve simple problems, problems
with language and thinking, and personality and behavior
Fick and her colleagues looked at 139 hospitalized patients,
aged 65 and older, with dementia and found that 32 percent of them
developed delirium. The patients who developed delirium had a 25
percent increased risk of dying within 30 days.
In addition, patients with delirium stayed in the hospital about
four days longer than those without delirium, had decreased levels
of mental and physical abilities when they left the hospital and
one month after discharge, and were more likely to have died a
month after their hospital stay.
The study was published in the September issue of the
Journal of Hospital Medicine.
Delirium can be caused by infections, dehydration and medication
changes. Among the patients in this study, one-third were
dehydrated when they arrived at the hospital.
"Preventing delirium is important because we want to discharge patients at their baseline or improved functioning," Fick said. "We do not want them to go home with worse functioning than when they came into the hospital."
The U.S. National Library of Medicine has more about
Copyright © 2013
. All rights reserved.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.