Prevalence of Delirium in Outpatient Clinics

Sponsor

Gulhane Training and Research Hospital (Other)

Overall Status

Recruiting

CT.gov ID

NCT04973709

Collaborator

(none)

714

Enrollment

Location

15.2

Anticipated Duration (Months)

46.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The aim of this study is to assess the prevalence and etiologic risk factors of delirium in outpatient geriatric patients and also hospitalized patients.

Condition or Disease	Intervention/Treatment	Phase
Delirium in Old Age Delirium Superimposed on Dementia Delirium With Dementia	Diagnostic Test: Confussion assessment method (CAM) Diagnostic Test: Dementia diagnosis

Detailed Description

This study aimed to investigate the frequency of delirium and examines the association between delirium and other possible risk factors and prognostic factors (dementia etc.)

Study Design

Study Type:

Observational

Anticipated Enrollment :

714 participants

Observational Model:

Cohort

Time Perspective:

Retrospective

Official Title:

Gulhane Training and Research Hospital

Anticipated Study Start Date :

Aug 5, 2021

Anticipated Primary Completion Date :

Oct 5, 2021

Anticipated Study Completion Date :

Nov 11, 2022

Arms and Interventions

Arm	Intervention/Treatment
Delirium with dementia Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.	Diagnostic Test: Confussion assessment method (CAM) Participants enrolled in the Delirium group according to the CAM. Diagnostic Test: Dementia diagnosis Participants enrolled in the Dementia group according to the CDR scores and MMSE scores and DSM4/5 criteria
Dementia without Delirium Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.	Diagnostic Test: Dementia diagnosis Participants enrolled in the Dementia group according to the CDR scores and MMSE scores and DSM4/5 criteria
Delirium without Dementia Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.	Diagnostic Test: Confussion assessment method (CAM) Participants enrolled in the Delirium group according to the CAM.
No dementia, No delirium Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.

Outcome Measures

Primary Outcome Measures

frequency of Mortality [1 year fellow-up]
1st year mortality according to the electronic national data base

Eligibility Criteria

Criteria

Ages Eligible for Study:

65 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

We included all 65 years older patients who evaluated according to a comprehensive geriatric assessment that is consistently performed during admission to the outpatients' clinic of the hospital.