Prevalence and outcomes of delirium in community and non-acute care settings in people without dementia: a report from the Canadian Study of Health and Aging

Author:

Andrew Melissa K,Freter Susan H,Rockwood Kenneth

Abstract

Abstract Background While delirium is common among older adults in acute care hospitals, its prevalence in other settings has been less well studied. We examined delirium prevalence and outcomes in a large cohort of older Canadians living outside of acute care. Methods In this secondary analysis of the Canadian Study of Health and Aging, the prevalence of clinically diagnosed delirium was estimated and five-year survival was compared with that of individuals with dementia of graded severity. Results Delirium was very uncommon (prevalence <0.5%) and was associated with reduced survival, similar to that of moderate-to-severe dementia. Conclusion In this cohort of older Canadians, delirium in non-demented people was associated with very low 5-year survival, at levels comparable with advanced dementia. Although it is common in hospital, delirium is uncommon among older adults in their usual place of residence, suggesting that it is a potent stimulus to seek medical care.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Reference15 articles.

1. Lindesay J, Rockwood K, Rolfson D: The epidemiology of delirium. Delirium in old age. Edited by: Lindesay J, Rockwood K, MacDonald A. 2002, New York: Oxford University Press, 27-40.

2. Jarrett PG, Rockwood K, Carver D, Stolee P, Cosway S: Illness presentation in elderly patients. Arch Intern Med. 1995, 155 (10): 1060-1064. 10.1001/archinte.155.10.1060.

3. Marcantonio ER, Flacker JM, Michaels M, Resnick NM: Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc. 2000, 48 (6): 618-624.

4. McCusker J, Cole M, Dendukuri N, Belzile E, Primeau F: Delirium in older medical inpatients and subsequent cognitive and functional status: a prospective study. Cmaj. 2001, 165 (5): 575-583.

5. Inouye SK, Rushing JT, Foreman MD, Palmer RM, Pompei P: Does delirium contribute to poor hospital outcomes? A three-site epidemiologic study. J Gen Intern Med. 1998, 13 (4): 234-242. 10.1046/j.1525-1497.1998.00073.x.

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