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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study
European Geriatric Medicine, Volume 14, No. 2, Year 2023
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Description
Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes. © 2023, The Author(s).
Authors & Co-Authors
Jackson, Thomas A.
United Kingdom, Birmingham
University of Birmingham
Magill, Laura
United Kingdom, Birmingham
University of Birmingham
Perry, Rita J.
United Kingdom, Birmingham
University of Birmingham
Welch, Carly
United Kingdom, Birmingham
University of Birmingham
Davis, Daniel H.J.
United Kingdom, Birmingham
University of Birmingham
Pinkney, Thomas D.
United Kingdom, Birmingham
University of Birmingham
Quinn, Terence J.
United Kingdom, Birmingham
University of Birmingham
Nightingale, Peter G.
United Kingdom, Birmingham
University of Birmingham
Makin, Stephen David James
United Kingdom, Birmingham
University of Birmingham
Masoli, Jane A.H.
United Kingdom, Birmingham
University of Birmingham
Todd, Oliver M.
United Kingdom, Birmingham
University of Birmingham
Yunus, Aayenah
United Kingdom, Birmingham
University of Birmingham
McCormack, Roisin
United Kingdom, Birmingham
University of Birmingham
Wilson, Michael Samuel James
United Kingdom, Birmingham
University of Birmingham
MacDonald, Fiona E.
United Kingdom, Birmingham
University of Birmingham
Foster, Katharine A.
United Kingdom, Birmingham
University of Birmingham
Jones, Laura L.
United Kingdom, Birmingham
University of Birmingham
Allain, Theresa Jane
United Kingdom, Birmingham
University of Birmingham
McKay, Siobhan Chloe
United Kingdom, Birmingham
University of Birmingham
Majid, Zeinab
United Kingdom, Birmingham
University of Birmingham
Taylor-Rowan, Martin
United Kingdom, Birmingham
University of Birmingham
Layton, Georgia R.
United Kingdom, Birmingham
University of Birmingham
Page, Valerie J.
United Kingdom, Birmingham
University of Birmingham
Statistics
Citations: 1
Authors: 23
Affiliations: 1
Identifiers
Doi:
10.1007/s41999-022-00737-y
ISSN:
18787649
Research Areas
Mental Health
Study Design
Cross Sectional Study
Cohort Study