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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

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Delirium in care homes

  • Najma Siddiqi (a1), Andrew Clegg (a2) and John Young (a2)
  • DOI: http://dx.doi.org/10.1017/S0959259809990396
  • Published online: 01 February 2010
Abstract
Summary

Delirium is a distressing but preventable condition associated with increased morbidity and mortality, and significant financial costs. Most research on delirium has focused on high-risk patients in hospitals. Another group also at high risk are residents in care homes for older people. This report reviews the literature on the occurrence, aetiology, outcomes, prevention and treatment of delirium in long-term care. Delirium appears to be common in this setting, with a median point prevalence estimate of 14.2% in studies comparable to the UK. However, there is a paucity of high-quality studies, likely to reflect the difficulty in conducting research in this population and the particular challenges of investigating delirium. Addressing delirium successfully in care homes presents an opportunity to improve care standards and to reduce inequalities in health and social care. Well-designed prospective cohort studies and robust evaluations of interventions to prevent and treat delirium are needed.

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Corresponding author
Address for correspondence: Dr Najma Siddiqi, Meridian House, Bradford Road, Keighley BD21 4AD. Email: n.siddiqi@leeds.ac.uk
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1SK Inouye . Delirium in older persons. N Engl J Med 2006; 354: 1157–65.

2DL Leslie , ER Marcantonio , Y Zhang , L Leo-Summers , SK Inouye . One-year health care costs associated with delirium in the elderly population. Arch Intern Med 2008; 168: 2732.

3SK Inouye . Delirium in hospitalized older patients: recognition and risk factors. J Geriatr Psychiatry Neurol 1998; 11: 118–25; discussion 57–8.

5PZ Cacchione , PZ Cacchione . Four acute confusion assessment instruments: reliability and validity for use in long-term care facilities. J Gerontol Nursing 2002; 28: 1219.

6C Bowman , J Whistler , Ellerby M. A national census of care home residents. Age Ageing 2004; 33: 561–6.

7UG Cunha , AC Faria , VX de F Alves , SA Rigueirinho . Hypocortisolemia and delirium in an older patient. J Am Geriatr Soc 2001; 49: 688–9.

8SE Levkoff , DA Evans , B Liptzin , PD Cleary , LA Lipsitz , TT Wetle Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. Arch Intern Med 1992; 152: 334–40.

9ER Marcantonio , JM Flacker , Michaels M, Resnick NM. Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc 2000; 48: 618–24.

10C Wagner , G Van Der Wal , PP Groenewegen , DH de Bakker . The effectiveness of quality systems in nursing homes: a review. Quality in Health Care 2001; 10: 211–17.

11D Ames . Nursing homes. Psychiatry 2005; 4: 7982.

16JV Laurila , KH Pitkala , TE Strandberg , RS Tilvis . The impact of different diagnostic criteria on prevalence rates for delirium. Dement Geriatr Cogn Disord 2003; 16: 156–62.

17SK Inouye , CH van Dyck , CA Alessi , S Balkin , AP Siegal , RI Horwitz . Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med 1990; 113: 941–48.

18PT Trzepacz , RW Baker , J. Greenhouse A symptom rating scale for delirium. Psychiatry Res 1988; 23: 8997.

19J Mentes , K Culp , M Maas , M Rantz . Acute confusion indicators: risk factors and prevalence using MDS data. Res Nurs Health 1999; 22: 95105.

23KH Pitkala , JV Laurila , TE Strandberg , RS Tilvis . Prognostic significance of delirium in frail older people. Dement Geriatr Cogn Disord 2005; 19: 158–63.

26PZ Cacchione , K Culp , MJ Dyck , J Laing . Risk for acute confusion in sensory-impaired, rural, long-term-care elders. Clin Nurs Res 2003; 12: 340–55.

27BE Fries , DR Mehr , D Schneider , WJ Foley , R Burke . Mental dysfunction and resource use in nursing homes. Med Care 1993; 31: 898920.

28D Dosa , O Intrator , L McNicoll , Y Cang , J Teno . Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set. J Am Geriatr Soc 2007; 55: 1099–105.

29MK Andrew , SH Freter , K Rockwood . 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. BMC Med 2006; 4: article 15 (Epub).

30DM Fick , AM Kolanowski , JL Waller , SK Inouye . Delirium superimposed on dementia in a community-dwelling managed care population: a 3-year retrospective study of occurrence, costs, and utilization. J Gerontol A Biol Sci Med Sci 2005; 60: 748–53.

31K Culp , T Tripp-Reimer , K Wadle , B Wakefield , J Akins , P Mobily Screening for acute confusion in elderly long-term care residents. J Neurosci Nurs 1997; 29: 86–8, 95–100.

32DK Kiely , MA Bergmann , KM Murphy , RN Jones , EJ Orav , ER Marcantonio . Delirium among newly admitted postacute facility patients: prevalence, symptoms, and severity. J Gerontol A Biol Sci Med Sci 2003; 58: M44145.

33ER Marcantonio , SE Simon , MA Bergmann , RN Jones , KM Murphy , JN Morris . Delirium symptoms in post-acute care: prevalent, persistent, and associated with poor functional recovery. J Am Geriatr Soc 2003; 51: 49.

34KG Kelly , M Zisselman , T Cutillo-Schmitter , R Reichard , D Payne , SJ Denman . Severity and course of delirium in medically hospitalized nursing facility residents. Am J Geriatr Psychiatry 2001; 9: 7277.

36JV Laurila , KH Pitkala , TE Strandberg , RS Tilvis . Impact of different diagnostic criteria on prognosis of delirium: a prospective study. Dement Geriatr Cogn Disord 2004; 18: 240–44.

37ER Marcantonio , DK Kiely , SE Simon , E John Orav , RN Jones , KM Murphy Outcomes of older people admitted to postacute facilities with delirium. J Am Geriatr Soc 2005; 53: 963–69.

38MA Bergmann , KM Murphy , DK Kiely , RN Jones , ER Marcantonio . A model for management of delirious postacute care patients. J Am Geriatr Soc 2005; 53: 1817–25.

39JC Mentes , K Culp . Reducing hydration-linked events in nursing home residents. Clin Nurs Res 2003; 12: 210–25; discussion 26–28.

40K Culp , J Mentes , B Wakefield . Hydration and acute confusion in long-term care residents. West J Nurs Res 2003; 25: 251–66; discussion 67–73.

41N Siddiqi , J Young , FM Cheater , RA Harding . Educating staff working in long-term care about delirium: the Trojan horse for improving quality of care? J Psychosom Res 2008; 65: 261–66.

42AG Zermansky . Including care home residents in clinical research is fraught. BMJ 2005; 331: 1271–72.

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Reviews in Clinical Gerontology
  • ISSN: 0959-2598
  • EISSN: 1469-9036
  • URL: /core/journals/reviews-in-clinical-gerontology
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