Screening for delirium: a means to improved outcome in hospitalized elderly patients

1997 ◽  
Vol 7 (3) ◽  
pp. 235-256 ◽  
Author(s):  
Dominique L Musselman ◽  
Colleen N Hawthorne ◽  
Alan Stoudemire
Keyword(s):  
Nursing Home ◽  
Elderly Patients ◽  
Hospital Stay ◽  
Cognitive Deficits ◽  
Functional Decline ◽  
Length Of Hospital Stay ◽  
Accurate Diagnosis ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients ◽  
Improved Outcome

In recent years, psychiatrists have improved their accuracy and efficiency in diagnosing delirium, particularly in hospitalized elderly patients. Early and accurate diagnosis is essential as unrecognized and untreated delirium is associated with longer length of hospital stay and greater expense, accelerated functional decline, an increase in nursing home placements, persistent cognitive deficits, and elevated rates of mortality.

Impact of Glycemic Variability and Hypoglycemia on the Mortality and Length of Hospital Stay among Elderly Patients in Brazil

2020 ◽  
Vol 16 (2) ◽  
pp. 171-180 ◽  
Author(s):  
Danielle Bruginski ◽  
Dalton Bertolin Précoma ◽  
Ary Sabbag ◽  
Marcia Olandowski
Keyword(s):  
Blood Glucose ◽  
Elderly Patients ◽  
Hospital Stay ◽  
Critically Ill ◽  
Glucose Level ◽  
Length Of Hospital Stay ◽  
Glycemic Variability ◽  
Ease Of Use ◽  
Hospitalized Elderly ◽  
Enteral Diet

Background: Glycemic variability (GV) is an alternative diabetes-related parameter that has been associated with mortality and longer hospitalization periods. There is no ideal method for calculating GV. In this study, we used standard deviation and coefficient of variation due to their suitability for this sample and ease of use in daily clinical practice. Objective: This study aimed to investigate the association between GV, hypoglycemia, and the 90-day mortality and length of hospital stay (LOS) among non-critically ill hospitalized elderly patients. Methods: The medical records of 2,237 elderly patients admitted to the Zilda Arns Elderly Hospital over a 2.5-year period were reviewed. Hypoglycemia was defined as a glucose level <70 mg/dL (hypoglycemia alert value) and represented by the proportion of days in which the patient presented with this condition relative to the LOS. The Charlson comorbidity index was used to evaluate prognosis. Data were analyzed using multiple linear and logistic multivariate regression analyses. Results: Adjusted analysis of 687 patients (305 men [44.4%] and 382 women [55.6%], mean age of 77.86±9.25 years) revealed that GV was associated with a longer LOS (p=0.048). Mortality was associated with hypoglycemia (p=0.005) and mean patient-day blood glucose level (p=0.036). Variables such as age (p<0.001), Charlson score (p<0.001), enteral diet (p<0.001), and corticosteroid use (p=0.007) were also independently associated with 90-day mortality. Conclusion: Increased GV during hospitalization is independently associated with a longer LOS and hypoglycemia in non-critically ill elderly patients, while the mean patient-day blood glucose is associated with increased mortality.

The Yale Geriatric Care Program: A Model of Care To Prevent Functional Decline in Hospitalized Elderly Patients

1993 ◽  
Vol 41 (12) ◽  
pp. 1345-1352 ◽  
Author(s):  
Sharon K. Inouye ◽  
Denise Acampora ◽  
Ronald L. Miller ◽  
Terry Fulmer ◽  
Leslie D. Hurst ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Functional Decline ◽  
Care Program ◽  
Geriatric Care ◽  
Model Of Care ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

Analysis of prognosis in hospitalized elderly patients with pneumonia according to age groups

2017 ◽  
Vol 21 (3) ◽  
pp. 109-117
Author(s):  
Ayşegül Albay ◽  
Bengü Şaylan ◽  
Hacer Sali Çakır ◽  
Sema Basat
Keyword(s):  
Elderly Patients ◽  
Age Groups ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

PP145-SUN: High Protein Specific Diet in Hospitalized Elderly Patients

2014 ◽  
Vol 33 ◽  
pp. S74
Author(s):  
V. Aviles ◽  
H. Segurola ◽  
M. Comas ◽  
G. Cárdenas ◽  
N. Castillejos ◽  
...  
Keyword(s):  
Elderly Patients ◽  
High Protein ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients ◽  
Specific Diet
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