Article

En ligne (consultation sur place) - Article
Incomplete functional recovery after delirium in elderly people: a prospective cohort study / ANDREW, Melissa K. ; FRETER, Susan H. ; ROCKWOOD, Kenneth.
BMC Geriatrics, 2005, vol. 5 (5), 8 p.

http://www.biomedcentral.com/content/pdf/1471-2318-5-5.pdf (08-06-2005)
Droits d'auteur : La reproduction de ce document à des fins non commerciales est autorisée à condition que la source soit dûment mentionnée.

Mots-clés principaux
:
Delirium
Guérison
Autonomie fonctionnelle
Étude de cohorte
Étude prospective


Résumé :

Background: Delirium often has a poor outcome, but why some people have incomplete recovery is not well understood. Our objective was to identify factors associated with short-term (by discharge) and long-term (by 6 month) incomplete recovery of function following delirium.

Methods: In a prospective cohort study of elderly patients with delirium seen by geriatric medicine services, function was assessed at baseline, at hospital discharge and at six months.

Results: Of 77 patients, vital and functional status at 6 months was known for 71, of whom 21 (30%) had died. Incomplete functional recovery, defined as 10 point decline in the Barthel Index, compared to pre-morbid status, was present in 27 (54%) of the 50 survivors. Factors associated with death or loss of function at hospital discharge were frailty, absence of agitation (hypoactive delirium), a cardiac cause and poor recognition of delirium by the treating service. Frailty, causes other than medications, and poor recognition of delirium by the treating service were associated with death or poor functional recovery at 6 months.

Conclusion: Pre-existing frailty, cardiac cause of delirium, and poor early recognition by treating physicians are associated with worse outcomes. Many physicians view the adverse outcomes of delirium as intractable. While in some measure this might be true, more skilled care is a potential remedy within their grasp.

L'objectif de cet article paru dans BMC Geriatrics est d'identifier les facteurs associés à la reprise partielle, à court et à long terme, des fonctions qui suivent les problèmes de délire chez les personnes âgées. Dans cette étude où les personnes âgées ayant des problèmes de délire ont été vu par des services de médecine gériatrique, les fonctions ont été évaluées à l'admission, à la sortie de l'hôpital et à six mois.


Langue : Anglais
Doc n° : 18923
NumRec : 1892303
1471-2318-5-5.PDF
1471-2318-5-5.PDF
 

       

  Copier Permanent URL de cette page Ajouter cette page

     

consultation sur place


Aller vers :   IUGM    Fondation IUGM   Centre de recherche IUGM