Review: Delirium predicts 12-month mortality independent of dementia status: COMMENTARY

Fields, Suzanne D.
November 2003
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p80
Academic Journal
The systematic review by researchers D.M. Fick and colleagues has examined the prevalence and clinical consequences of delirium superimposed on dementia. A meta-analysis was not feasible because the articles that were retrieved were too heterogeneous in their design and setting. Prevalence rates of delirium ranged from 7% in nursing home patients, to 22% to 25% in community-dwelling patients with dementia, to 32% to 89% in hospitalized patients. Fick and colleagues have reviewed 2 intervention studies that showed that standardized protocols and recommendations could decrease the rate of new-onset delirium in hospitalized patients more than 65 years of age.


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