The relationship between frailty and delirium: insights from the 2017 Delirium Day study
| Title: | The relationship between frailty and delirium: insights from the 2017 Delirium Day study |
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| Authors: | Mazzola P; Tassistro E; Di Santo S; Rossi E; Andreano A; Valsecchi MG; Cherubini A; Marengoni A; Mossello E; Bo M; Inzitari M; Di Bari M; Udina C; Latronico N; Paolillo C; Morandi A; Bellelli G; Tarasconi A; Sella M; Auriemma S; Paternò G; Faggian G; Lucarelli C; De Grazia N; Alberto C; Margola A; Porcella L; Nardiello I; Chimenti E; Zeni M; Giani A; Famularo S; Romairone E; Minaglia C; Ceccotti C; Guerra G; Mantovani G; Monacelli F; Candiani T; Ballestrero A; Santolini F; Rosso M; Bono V; Sibilla S; Dal Santo P; Ceci M; Barone P; Schirinzi T; Formenti A; Nastasi G; Isaia G; Gonella D; Battuello A; Casson S; Calvani D; Boni F; Ciaccio A; Rosa R; Sanna G; Manfredini S; Cortese L; Rizzo M; Prestano R; Greco A; Lauriola M; Gelosa G; Piras V; Arena M; Cosenza D; Bellomo A; LaMontagna M; Gabbani L; Lambertucci L; Perego S; Parati G; Basile G; Gallina V; Pilone G; Giudice C; Pietrogrande L; Mosca M; Corazzin I; Rossi P; Nunziata V; D'Amico F; Grippa A; Giardini S; Barucci R; Cossu A; Fiorin L; Distefano M; Lunardelli M; Brunori M; Ruffini I; Abraham E; Varutti A; Fabbro E; Catalano A; Martino G; Leotta D; Marchet A; Scrimieri A; Davoli M; Casella M; Cartei A; Polidori G; Brischetto D; Motta S; Saponara R; Perrone P; Russo G; Pirina T; Franzoni S; Cotroneo A; Ghiggia F; Volpi G; Menichetti C; Panico A; Calogero P; Corvalli G; Mauri M; Lupia E; Manfredini R; Fabbian F; March A; Pedrotti M; Veronesi M; Strocchi E; Bianchetti A; Crucitti A; DiFrancesco V; Fontana G; Bonanni L; Barbone F; Serrati C; Ballardini G; Simoncelli M; Ceschia G; Scarpa C; Brugiolo R; Fusco S; Ciarambino T; Biagini C; Tonon E; Porta M; Venuti D; Del Sette M; Poeta M; Barbagallo G; Trovato G; Delitala A; Arosio P; Reggiani F; Zuliani G; Ortolani B; Mussio E; Girardi A; Coin A; Ruotolo G; Castagna A; Masina M; Cimino R; Pinciaroli A; Tripodi G; Cannistrà U; Cassadonte F; Vatrano M; Scaglione L; Fogliacco P; Muzzuilini C; Romano F; Padovani A; Rozzini L; Cagnin A; Fragiacomo F; Desideri G; Liberatore E; Bruni A; Orsitto G; Franco M; Bonfrate L; Bonetto M; Pizio N; Magnani G; Cecchetti G; Longo A; Bubba V; Marinan L; Cotelli M; Turla M; Sessa M; Abruzzi L; Castoldi G; LoVetere D; Musacchio C; Novello M; Cavarape A; Bini A; Leonardi A; Seneci F; Grimaldi W; Fimognari F; Bambara V; Saitta A; Corica F; Braga M; Ettorre E; Camellini C; Annoni G; Crescenzo A; Noro G; Turco R; Ponzetto M; Giuseppe L; Mazzei B; Maiuri G; Costaggiu D; Damato R; Formilan M; Patrizia G; Gallucci M; Paragona M; Bini P; Modica D; Abati C; Clerici M; Barbera I; NigroImperiale F; Manni A; Votino C; Castiglioni C; Degl'Innocenti M; Moscatelli G; Guerini S; Casini C; Dini D; D'Imporzano E; DeNotariis S; Bonometti F; Riccardi A; Tiozzo A; Samy Salama Fahmy A; DiBari M; Vanni S; Scarpa A; Zara D; Ranieri P; Alessandro M; Pezzoni D; Platto C; D'Ambrosio V; Ivaldi C; Milia P; DeSalvo F; Solaro C; Strazzacappa M; Cazzadori M; Confente S; Grasso M; Troisi E; Guerini V; Bernardini B; Corsini C; Boffelli S; Filippi A; Delpin K; Faraci B; Bertoletti E; Vannucci M; Tesi F; Crippa P; Malighetti A; Caltagirone C; DiSant S; Bettini D; Maltese F; Abruzzese G; Cosimo D; Azzini M; Colombo M; Procino G; Fascendini S; Barocco F; Mazzone A; Riva E; Dell'Acqua D; Cottino M; Vezzadini G; Avanzi S; Brambilla C; Orini S; Sgrilli F; Mello A; Lombardi L; Muti E; Dijk B; Fenu S; Gareri P; Passamonte M; Rigo R; Locusta L; Caser L; Rosso G; Cesarini S; Cozzi R; Santini C; Carbone P; Cazzaniga I; Lovati R; Cantoni A; Ranzani P; Barra D; Pompilio G; Dimori S; Cernesi S; Riccò C; Piazzolla F; Capittini E; Rota C; Gottardi F; Merla L; Barelli A; Millul A; Morrone G; Bigolari M; Macchi M; Zambon F; Pizzorni C; DiCasaleto G; Menculini G; Marcacci M; Catanese G; Sprini D; DiCasalet T; Bocci M; Borga S; Caironi P; Cingolani E; Avalli L; Greco G; Citerio G; Gandini L; Cornara G; Lerda R; Brazzi L; Simeone F; Caciorgna M; Alampi D; Francesconi S; Beck E; Antonini B; Vettoretto K; Meggiolaro M; Garofalo E; Notaro S; Varutti R; Bassi F; Mistraletti G; Marino A; Rona R; Rondelli E; Riva I; Scapigliati A; Vitale F; Pistidda L; D'Andrea R; Querci L; Gnesin P; Todeschini M; Lugano M; Castelli G; Ortolani M; Cotoia A; Maggiore S; DiTizio L; Graziani R; Testa I; Ferretti E; Castioni C; Lombardi F; Caserta R; Pasqua M; Simoncini S; Baccarini F; Rispoli M; Grossi F; Cancelliere L; Carnelli M; Puccini F; Biancofiore G; Siniscalchi A; Laici C; Torrini M; Pasetti G; Palmese S; Oggioni R; Mangani V; Pini S; Martelli M; Rigo E; Zuccalà F; Cherri A; Spina R; Calamai I; Petrucci N; Caicedo A; Ferri F; Gritti P; Brienza N; Fonnesu R; Dessena M; Fullin G; Saggioro D. |
| Contributors: | Mazzola, P; Tassistro, E; Di Santo, S; Rossi, E; Andreano, A; Valsecchi, Mg; Cherubini, A; Marengoni, A; Mossello, E; Bo, M; Inzitari, M; Di Bari, M; Udina, C; Latronico, N; Paolillo, C; Morandi, A; Bellelli, G; Tarasconi, A; Sella, M; Auriemma, S; Paternò, G; Faggian, G; Lucarelli, C; De Grazia, N; Alberto, C; Margola, A; Porcella, L; Nardiello, I; Chimenti, E; Zeni, M; Giani, A; Famularo, S; Romairone, E; Minaglia, C; Ceccotti, C; Guerra, G; Mantovani, G; Monacelli, F; Candiani, T; Ballestrero, A; Santolini, F; Rosso, M; Bono, V; Sibilla, S; Dal Santo, P; Ceci, M; Barone, P; Schirinzi, T; Formenti, A; Nastasi, G; Isaia, G; Gonella, D; Battuello, A; Casson, S; Calvani, D; Boni, F; Ciaccio, A; Rosa, R; Sanna, G; Manfredini, S; Cortese, L; Rizzo, M; Prestano, R; Greco, A; Lauriola, M; Gelosa, G; Piras, V; Arena, M; Cosenza, D; Bellomo, A; Lamontagna, M; Gabbani, L; Lambertucci, L; Perego, S; Parati, G; Basile, G; Gallina, V; Pilone, G; Giudice, C; Pietrogrande, L; Mosca, M; Corazzin, I; Rossi, P; Nunziata, V; D'Amico, F; Grippa, A; Giardini, S; Barucci, R; Cossu, A; Fiorin, L; Distefano, M; Lunardelli, M; Brunori, M; Ruffini, I; Abraham, E; Varutti, A; Fabbro, E; Catalano, A |
| Publication Year: | 2021 |
| Collection: | Università degli Studi di Ferrara: CINECA IRIS |
| Subject Terms: | Delirium Day; delirium; frailty; mortality; older people |
| Description: | Background: although frailty and delirium are among the most frequent and burdensome geriatric syndromes, little is known about their association and impact on short-term mortality. Objective: to examine, in hospitalized older persons, whether frailty is associated with delirium, and whether these two conditions, alone or in combination, affect these patients' 30-day survival. Design: observational study nested in the Delirium Day project, with 30-day follow-up. Setting: acute medical wards (n = 118) and rehabilitation wards (n = 46) in Italy. Subjects: a total of 2,065 individuals aged 65+ years hospitalized in acute medical (1,484 patients, 71.9%) or rehabilitation (581 patients, 28.1%) wards. Methods: a 25-item Frailty Index (FI) was created. Delirium was assessed using the 4AT test. Vital status was ascertained at 30 days. Results: overall, 469 (22.7%) patients experienced delirium on the index day and 82 (4.0%) died during follow-up. After adjustment for potential confounders, each FI score increase of 0.1 significantly increased the odds of delirium (odds ratio, OR: 1.66 [95% CI: 1.45-1.90]), with no difference between the acute (OR: 1.65 [95% CI: 1.41-1.93]) and rehabilitation ward patients (OR: 1.71 [95% CI: 1.27-2.30]). The risk of dying during follow-up also increased significantly for every FI increase of 0.1 in the overall population (OR: 1.65 [95% CI: 1.33-2.05]) and in the acute medical ward patients (OR: 1.61 [95% CI: 1.28-2.04]), but not in the rehabilitation patients. Delirium was not significantly associated with 30-day mortality in either hospital setting. Conclusions: in hospitalized older patients, frailty is associated with delirium and with an increased risk of short-term mortality. |
| Document Type: | article in journal/newspaper |
| File Description: | STAMPA |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/33792656; info:eu-repo/semantics/altIdentifier/wos/WOS:000743057600023; volume:50; issue:5; firstpage:1593; lastpage:1599; numberofpages:7; journal:AGE AND AGEING; https://hdl.handle.net/11392/2469635; https://academic.oup.com/ageing/article/50/5/1593/6168885?login=true |
| DOI: | 10.1093/ageing/afab042 |
| Availability: | https://hdl.handle.net/11392/2469635; https://doi.org/10.1093/ageing/afab042; https://academic.oup.com/ageing/article/50/5/1593/6168885?login=true |
| Rights: | info:eu-repo/semantics/openAccess ; license:PUBBLICO - Pubblico con Copyright ; license uri:iris.PUB02 |
| Accession Number: | edsbas.8B1E36ED |
| Database: | BASE |