Delirium en centros residenciales para personas mayores. Estudio de la prevalencia y los factores asociados |
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Authors: | José Gutié rrez Rodrí guez,Marian Rodrí guez Piñ era,Eloy Ortiz Cachero,Anabel Gonzá lez Alonso,Paloma Pé rez Guillé n,Francisco Luis Jimé nez Muela,Arsenio Alonso Collada,Juan José Solano Jaurrieta |
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Affiliation: | 1. Área de Gestión Clínica de Geriatría, Hospital Monte Naranco, Oviedo, Asturias, España;2. Centro Gerontológico Ablaña, Mieres, Asturias, España;3. Sierra del Cuera, Llanes, Asturias, España;4. Atención Primaria, Área V, Gijón, Asturias, España;5. Ballesol, Gijón, Asturias, España;6. Palacio de Caldones, Gijón, Asturias, España;g Instituto Gerontológico Astur, Gijón, Asturias, España |
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Abstract: | ObjectivesTo study the prevalence of delirium in the residential environment and to analyse the associated clinical, functional and mental factors.Material and methodsA cross-sectional epidemic study was conducted on a population of elderly persons institutionalised in 2011 in 6 nursing homes in Asturias. Socio-demographic, clinical, functional (Barthel Index [BI]) and mental (Mini-Mental State Examination [MMSE]) variables were collected. Delirium was defined by the Confusion Assessment Method.ResultsA total of 505 elderly were included in the study (age 83.30 ± 7.33 years, with 67.70% women), and scores on the MMSE of 17.19 ± 10.35 and a BI score of 55.11 ± 35.82. The prevalence of delirium was 11.70%. On examining the risk of delirium among the studied variables, there was statistical significance when considering: BI, MMSE, dementia, pressure ulcers, or urinary catheter, and the prescribing of clomethiazole, ACTH-I or trazodone. In the analysis of the variables in the logistic regression with BI, diagnosis of dementia, the prescribing of clomethiazole or trazodone, in the equation, there was a statistical significance associated with delirium.ConclusionsThe prevalence of delirium in a residential environment in our study population was 11.7%. The results show that BI, diagnosis of dementia, and prescribing of clomethiazole or trazodone were associated with risk of delirium in institutionalised patients. |
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Keywords: | Delirium Valoració n cognitiva Demencia Residencia de ancianos |
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