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Órgano oficial de la Universidad Autónoma de Sinaloa

2021, Number 4

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Rev Med UAS 2021; 11 (4)

Factors associated with the development of delirium in patients of hospitalized adults in the internal medicine service

Espericueta-Gámez K, Kawano-Soto CA, Dehesa-López E, Peraza-Garay FJ

Language: Spanish
References: 19
Page: 311-319
PDF size: 99.34 Kb.


ABSTRACT

Introduction: Our population is aging, and it is increasingly common that the reason for consultation is derived from a geriatric syndrome such as delirium. Its early detection is important, because it impacts the prognosis and quality of life of the geriatric patient. Objective: To determine factors associated with the development of elderly patients who are hospitalized older adults. Methodology: Observational, prospective, cross-sectional and analytical study that included 195 adult patients aged 60 years and over, hospitalized in the Internal Medicine ward of the Civil Hospital of Culiacán between February and October 2018. A questionnaire was applied upon admission and again in two or more occasions until the exit. The data were coded and analyzed to determine the risk association in the SPSS version 22 program. Results: The development of delirium was associated with factors such as polypharmacy, chronic use of drugs, disorders such as anxiety or depression, chronic and acute cerebral vascular disease, intracerebral hemorrhage and hyponatremia. Discussion: In comparison with national and international statistics, our incidence is similar, our population was characterized by having multiple comorbidities, and the most strongly associated factors were identified. Conclusions: Delirium has high penetrance in hospitalized population, especially in those that have multiple factors that increase the risk, so the detection of these from their admission and the early start of preventive measures will decrease the adverse outcomes with which they have related.


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