RELATIONSHIP BETWEEN RISK MECHANISM, NUTRITIONAL STATUS WITH EFFECTS IN THE GERIATRICS

Trần Nguyễn Ngọc1,2,, Dương Minh Tâm1,2
1 National Mental Health Institute, Bach Mai Hospital
2 Hanoi Medical University

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Abstract

The study was conducted with the objective of analyzing the relationship between the risk of falls, nutritional status and delirium syndrome in the elderly. By cross-sectional descriptive method in 163 patients treated at the Emergency Department of the Central Geriatric Hospital, of which 106 patients had delirium. Research results show that delirium is more common in women than in men, the average age is about 78.3 ± 10.9 years old. In the 3 groups, the majority of patients lived with their families. Only a few live alone. In particular, there are 2 cases living in nursing homes, accounting for 1.9%. There is an association between malnutrition and delirium. Malnutrition had a risk of developing delirium 9.17 times higher than that of normal nutritional status (p < 0.01, 95% CI: 3.45 - 24.5). There is a relationship between the risk of delirium and with p < 0.001. The likelihood of having delirium in the group with the average fall risk was 4.1 times higher than that of the low risk group, and the likelihood of having delirium in the group with the risk of falling was 12.2 times higher than that of the low risk group.

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References

1. Kennedy M, Hwang U, Han JH. Delirium in the Emergency Department: Moving From Tool-Based Research to System-Wide Change. J Am Geriatr Soc. 2020;68(5):956-958. doi:10.1111/jgs.16437
2. Kiely DK, Marcantonio ER, Inouye SK, et al. Persistent Delirium Predicts Increased Mortality. J Am Geriatr Soc. 2009;57(1):55-61. doi:10.1111/j.1532-5415.2008.02092.x
3. Inouye SK, Westendorp RGJ, Saczynski JS. Delirium in elderly people. Lancet. 2014;383 (9920) : 911-922. doi:10.1016/S0140-6736(13)60688-1
4. Moran M. Diagnostic and Statistical Manual of Mental Disorders (DSM–5). Psychiatr News. 2016;51(13):1-1. doi:10.1176/appi.pn.2016.7a7
5. GRNBOOK.pdf. Carpenter CR, Bassett ER, Fischer GM, Shirshekan J, Galvin JE, Morris JC. Four sensitive screening tools to detect cognitive dysfunction in geriatric emergency department patients: brief Alzheimer’s Screen, Short Blessed Test, Ottawa 3DY, and the caregiver-completed AD8. Acad Emerg Med Off J Soc Acad Emerg Med. 2011;18(4):374-384. doi:10.1111/j.1553-2712.2011.01040.x
6. Han JH, Vasilevskis EE, Chandrasekhar R, et al. Delirium in the Emergency Department and Its Extension into Hospitalization (DELINEATE) Study: Effect on 6-month Function and Cognition. J Am Geriatr Soc. 2017; 65(6):1333-1338. doi:10.1111/ jgs.14824
7. McCusker J, Cole M, Abrahamowicz M, Primeau F, Belzile E. Delirium Predicts 12-Month Mortality. Arch Intern Med. 2002;162(4):457. doi:10.1001/archinte.162.4.457
8. Corsinovi L, Bo M, Ricauda Aimonino N, et al. Predictors of falls and hospitalization outcomes in elderly patients admitted to an acute geriatric unit. Arch Gerontol Geriatr. 2009;49(1):142-145. doi:10.1016/j.archger.2008.06.004