دورية أكاديمية

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

التفاصيل البيبلوغرافية
العنوان: Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study
المؤلفون: Faheem, Waleed, Nandra, Taran, Richardson, Sarah, Saliu, David, Wilson, Daisy, Jackson, Thomas A., Magill, Laura, McCluskey, Lauren, Perry, Rita, Welch, Carly, Copeland, Claire, Cunningham, Emma L., Davis, Daniel, Treml, Jonathan, Pinkney, Thomas, Quinn, Terrence, Nightingale, Peter, Jelley, Benjamin, Gaunt, Victoria, Lochlainn, Mary Ni, Giridharan, Kumudhini, Alsahab, Mustafa, Makin, Stephen, Torsney, Kelli, Masoli, Jane, Ronan, Lindsay, Burton, Jenni K., Todd, Oliver, Taylor, Joanne, Willott, Ruth, Cox, Natalie, Healy, Roisin, Haddad, Nedaa, Ramakrishna, Sharan, Subhan, Zahid, Mazzoleni, Antonella, Nynaes, Olga, Crofts, Jodie, McNicholas, Emily, Robinson, Hannah J., Thyn, Thyn, Baillie, Jonathan, McKeown, William, Rice, Caroline, Sloan, Gerrard W., Williamson, Katherine, Hayat, Yasmeen, Lim, Vee Han, Millichamp, Katie, Bazaraa, Amr, Chilton, Angharad, Harbinson, Alexander, Headlam, John, Hunter, Elisabeth, Hussain, Zainab, Mahmood, Al Wakkass, Ng, Liji, Sundara, Srividya, Tan, Felicia, Wheeler, Alice, Wright, Sophie, Baldwin, Jack B. G., O’shea, Kate, Hodhody, Ghazal, Mayor, Kara, Patel, Riana, Bhakta, Shiv, Goujon, Marie, Jakupaj, Adriana, Dove, James, Kearney, Matthew, McCormack, Vincent, Moore, Kirsty, Pope, Leo, Shah, Hussun-Ara, Shaw, Megan E., Smith, Gemma M., Love, Ryan, Mukundan, Maya, Shahid, Muhammad, Alareed, Ahmad, Beharry, Karen, Bhat, Ganapathy, Bremakumar, Sanojan, Caines, Laurence, Darko, Sandra, Rai, Nisha, De Mucha, Pedro Vila, Adams, Phillipa, McDonald, Helen, Mills, Sam, Parry, Frances, Rickard, Frances, Winearls, Stuart, Farah, Rinata, Grange, Robert, Herbert, Fiona, Lonsdale-Eccles, Elizabeth, Ain, Qurrat Ul, Watson, Hannah, Bultynck, Celine, Cavaliere, Chiara, Doherty, Cal, Evans, Sarah, Furmedge, Daniel, MacCuish, Annabel Hentall, Hindley, Esther, Meyer, Caitlin, Mullarkey, Emma, Pullen, Rosamund, Ryan, Aidan, Sarma, Dhruv, Seymour, Elaine, Stambollouian, Katharine, Thayabaran, Darmiga, Wu, Chenxian, Peck, George, Raza, Mahrukh, Sahnan, Kapil, Dhillon, Amber, Abiola, Oluwatosin O., Bryant, Catherine, Bygate, Rachael, Frewen, John, Greaves, Isabel, Morrow, Olivia, Tetlow, Simon, Tinson, Guy, Yunus, Aayenah, Bedi, Simran, Evans, Olivia, Giet, Leeying, Behbahani, Abolfazl, Bhattacharya, Saurav, Hunt, Clare, Mishra, Rajeev, Connor, Louise, Poynton, Jack, Deacon, Elizabeth, Durcan, Rory, Fisken, Emma, Hall, Susan A., Noble, Jane, Prendergast, Emma L., Macharouthu, Ajay, Macrae, Victoria, Murphy-Ackroyd, Emily, Rose, Emily C., Watt, Nicola, Blair, Mairi, Mackenzie, Eilidh R., McCormack, Roisin, Irwin, Sophie J., Einarsson, Alice, Khor, Ming, Alhadadi, Baraa, Cameron, Ewen, Campbell, Angela, Capek, Eileen, Christie, Lorna, Connell, Laura, Cook, Alan, Deosaran, Jordanna, Elliott, Marianne, Evans, Elizabeth, Fancourt, Sarah, Henderson, Sarah, Hussain, Ambreen, Jones, Karen, Kelly, Dominic, McErlean, Catherine M., Miller, Hazel, Naeem, Fariha, Ostrowski, Caroline, Parkinson, Megan, Sami, Fadi, Shepherd, Alison, Whyte, Lindsay, Wright, Emily, Ferguson, Eilidh E. C., Gallagher, Michael, McCluskey, Heather J., Beveridge, Louise, Clements, Hollie A., Hart, Jasmine, Henderson, Neil, Lim, Su Kwan, Lucocq, James E., McCulloch, Alison, Murray, Adam A., Ngan, Esther E. Y., Traill, Philippa K., Walter, Amy, Wilson, Michael S. J., Wrathall, Abigail, Yap, Zhi Jiun, Anderson, Clementine, Abu-Arafeh, Hashem, Gluck, Ilan, Mitchell, Oliver, Robson, Richard, Sampson, Elizabeth L., Annamalai, Arunkumar, Bhatti, Jamal, Briggs, Laura, Fraser, Debbie, Gui, Jonathan, Leah, Eleanor, Matthews, Natasha R., Mithrakumar, Pryankaran, Moad, Mohammad, Sen, Michael, Straughan, Jacqui, Taranu, Roxana, Usmani, Kasim, Aamir, Ayesha, Achara, Amaka, Akintade, Olugbenro, Ellis, Elizabeth J., Gurung, Sneha, Iwu, Chioma, Khalid, Abdullah B., Koshedo, Sejlo, Nagumantry, Shonit, Nashed, Nader, Nwabufor, Philip, Obi, Ijeoma T., Visvaratnam, Parrthiepan, Wu, Edward, Bertagne, Marc, Jackson, Peter, Allen, James, Brown, Harriet, Champion, Jennifer, Christodoulides, Natasha, Handley, Olivia, Macdonald, Fiona E., Beeley, Laura J., Clayton, Victoria, Kay, Aaron, Marshall, John, Morgan, Hannah, Naish, George, Cleaver, Sarah L., Evans, Jenny, Morrow, Abbie, Amarnani, Raj, Cheah, Khai L., Cushen, Claire, Enfield-Bance, Amy, Glasser, Martin, Govindji, Suriti, Mani, Shama, Gregory, Jemma, Jatti, Puja, Khan, Asma, Lee, Helena, Millner, Helen, Naqvi, Huma, Williamson, Emily, Harkin, Teresa, Khizar, Bushra, Lewis, Anna, Pendleton, Hannah, Rutter, Steve, Ahmed, Rohan, Coffey, Farah, Hackett, Beth, Holmes, Elizabeth A. M., Khan, Ali, Mustafa, Zeeshan, Bowman, Mark A., Irvine, James, Patterson, Katherine, Horner, Sarah, Wong, Ting W., Cairns, Christopher, Foster, Kate, Hornsby, Alex, Horton, Robbie, Jones, Laura, King, Rachel, Lyon, Emily, Tencheva, Ani, Wilson, Faye, Young, Lesley J., Dama, Sindhoora, Giblin, Eleanor, Kunaselan, Lleika, Lowes, Olivia, Menezes, Reema, Taylor, Abigail, Timperley, Alex, Batho, Rachel, Bell, Charlotte, Carter, Sammy, Croft, Paul, Griffiths, Eliza, Hall, Giles, Hunt, William, Jacques, Holly, Leishman, Felicity, Murthy, Seema, Quinn, Sinead, Reidm, James, Walker, Amy, Matthews, Stephanie A., Behbahani, Ayoub, Ferreira, Ana Silva, Ashton, Caroline, Byravan, Swetha, Cummings, Laura, Faruq, Sana, Jagdeo, Sarah, Thomas, Philip, Broadhurst, Karen, Wilson, Joseph B., Bowden, Helen, Hoffman, Katrin, Jones, Howell T., Katz-Summercorn, Charles, Khambay, Ethan, Porter, Lucy, Speed, James, Austin, Keziah, Bahsoon, Farrah, Laud, Rose, Ali, Jawad, Fergusson, Niall, Wilkes, Claire, Babb, Laura, Gaywood, James, Green, Jessica, Kantczak, Ada, Madden, Katy F., Porter-Bent, Sasha, San, Moe Su Su, Babar, Laxmi, Chamberlain, Helen, Cricklow, Tamsin, Giles, Alexis, Gupta, Abhishek, Hughes, Clare, Lee, Tammy, Cheema, Anum, Matheswaran, Yathu, Nneamaka, Asiodu, Ross, Anekea, Vedutla, Tarunya, Allain, Theresa J., Bowen, Emily, Dovey, Julie, Gaskell, Natalie, Scott, Deborah, Stratton, Emma, Thake, Miriam, Bullock, Stuart, McKay, Siobhan, Radoja, Stephanie, Abdelbadiee, Sherif, Cohen, Samuel, Giddings, Jane, Miller, Christopher J., Mumtaz, Emma, Patel, Minal D., Prasad, Vishnu, Satharasinghe, Lahiru, Studley, Mark, Browne, Marylin, Durrant, Sabrina K., Jay, Emma, McQuillan, Alex, Offer, Megan, Varghese, Jessel, Baron, Alexander, Chourot, Christian, Kirrane, Kimberley, Rayner, Helen, Tantam, Kate, Tumi, Ebrahiem, Venkat, Shabnam, Aggarwal, Nisha, Astaire, Emma, Basker, Karthik, Berwick, L., Bilton, Edward, Chamboult, Aimee-Louise, Chapman, George, Chevolleau, Jasmine, Fenneley, Grace, House, Shannelle, Ingamells, Nathan, Jewell, Emilia, Kalyaani, Vickneswaran, Kiani, Mahum, Konda, Nagarjun, Kumar, Anusha, Lai, Jo, Large, Jamie, Livesey, Joanna, Majid, Zeinab, McCready, Jack, Moorey, Hannah, Morgan, Bethan, Morrison, Kirty, Mosley, Alice, Pailing, Adam, Pettler, Sophie, Rashid, Shayan, Rimmer, Lucy, Scarlett, Danielle, Sehmbi, Gurpreet, Smith, Abigail, Smith, Nina, Sprosen, Charles, Taylor, Emily, Taylor, Jemima, Tse, Connie, Turton, Sophie, Vardon, Henry, Virk, Jasmine, Warwicker, Sarah, Woodman, Hannah, Woodward, Beth L., Wynne, Luke, Yule, Ollie, Ahmad, Asim, Appiah-Odame, Paapa, Barlow, Ciaran, Kuek, Dorothy K. C., Nicholls, Isabelle, Norman, Emma, Pyc, Wioletta, Vasudev, Ashish, Adams, Lawrence A. T., Box, Emma, Chai, Chung Sien, Wilson, Darcy S., Drozdowska, Bogna, Elliott, Emma, Stirling, Adam, Taylor-Rowan, Martin, Webb, Hannah, Wong, Li, Abras, Ahmed, Adam, Muhammad, Amin, Zarah, Cooper, Olivia, Davies, Rhianna, Ikhwan, Wan Idoracaera C., Layton, Georgia R., Mohammedseid-Nurhussien, Awolkhier, Shakeel, Sohail, Waraich, Hana, Ahmed, Jabed, Ball, Katie, Debrah, Kwasi, Page, Valerie, Bei, Zhao Xiao, McCauley, Hannah, McShane, David, Cooper, Freya, Grundmann, Natalie, Haley, Michael, Le Poideven, Andre, McClelland, Sarah B., Moore, Emily, Pang, Norman, Currie, Hannah, Davies-Morris, Jayne, Edwards, Sarah, Janagal, Sureena, Jenkin, Rodric, Jones, Polly, Kumbun, Gary, Parry, Sarah, Tyagi, Bhavyas, Valentine, Janine, Abdullah, Saad, Abu, Emmy, Ahmad, Sarah, Ahmed, Bilquis, Ahmed, Hamza, Andrusca, Ana, Ansell, Matthew, Arkle, Thomas, Bargaoanu, Imola, Chuter, Charlotte, Houldershaw, Katie, Ibanichuka, Jacqueline, Iqbal, Shoaib, Kabia, Angela, Kadir, Ismail, Krishan, Anjli, McClean, Adam, McGonigal, Gerry, Mishra, Pranav, Ofoche, Gladys, Reay, Anna, Stapley, Simon M., Swietoslawski, Adam, Syed, Nihaad, Velusamy, Karthika, Wahballa, Afnan, Wilcockson, James
بيانات النشر: Springer
سنة النشر: 2023
المجموعة: University of Glasgow: Enlighten - Publications
الوصف: 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.
نوع الوثيقة: article in journal/newspaper
وصف الملف: text
اللغة: English
العلاقة: https://eprints.gla.ac.uk/311290/1/311290.pdfTest; Faheem, W. et al. (2023) 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 , 14(2), pp. 325-332. (doi:10.1007/s41999-022-00737-y ) (PMID:36696045) (PMCID:PMC10113325)
الإتاحة: https://doi.org/10.1007/s41999-022-00737-yTest
https://eprints.gla.ac.uk/311290Test/
https://eprints.gla.ac.uk/311290/1/311290.pdfTest
حقوق: cc_by_4
رقم الانضمام: edsbas.1E32C886
قاعدة البيانات: BASE