Delirium Severity and Psychomotor Types: Their Relationship with Outcomes after Hip Fracture Repair

OBJECTIVES: To validate the Memorial Delirium Assessment Scale (MDAS) as a measure of delirium severity in a cohort of patients aged 65 and older; to examine the association between severity of delirium and patient outcomes; and to examine the association between psychomotor variants of delirium and...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2002-05, Vol.50 (5), p.850-857
Main Authors: Marcantonio, Edward, Ta, Timothy, Duthie, Edmund, Resnick, Neil M.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Cohort Studies
Delirium
Delirium - etiology
Delirium - mortality
Delirium - physiopathology
Elderly people
Female
Fractured hips
Geriatric psychology
hip fracture
Hip Fractures - complications
Hip Fractures - mortality
Hip Fractures - surgery
Hospitals
Humans
Injuries of the limb. Injuries of the spine
Length of Stay
Male
Medical sciences
Neuroses
Nursing Homes
older assessment
Outcome Assessment (Health Care)
Prospective Studies
Psychological tests
Psychomotor Disorders - complications
Psychomotor Disorders - mortality
Psychomotor Disorders - physiopathology
Recovery of Function - physiology
Severity of Illness Index
subsyndrosomal delirium
Traumas. Diseases due to physical agents
Validity
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:OBJECTIVES: To validate the Memorial Delirium Assessment Scale (MDAS) as a measure of delirium severity in a cohort of patients aged 65 and older; to examine the association between severity of delirium and patient outcomes; and to examine the association between psychomotor variants of delirium and each of those outcomes. DESIGN: Prospective assessment of sample. SETTING: Hospital. PARTICIPANTS: One hundred twenty‐two older patients (mean age ± standard deviation = 79 ± 8) who had undergone acute hip fracture surgery. MEASUREMENTS: We used standardized instruments to assess prefracture activities of daily living (ADLs), ambulatory status, cognition, and living situation. Postoperatively, each patient was interviewed daily. Delirium was diagnosed using the Confusion Assessment Method (CAM), and delirium severity was measured using the MDAS. The MDAS was also used to categorize the psychomotor types of delirium into “purely hypoactive” or “any hyperactivity.” Telephone or face‐to‐face interviews were conducted at 1 and 6 months to assess survival, ADL function, ambulatory status, and living situation. RESULTS: Of 122 patients, 40% developed CAM‐defined delirium. Delirious patients had higher average MDAS scores than nondelirious patients (11.7 vs 2.4, P
ISSN:0002-8614
1532-5415
DOI:10.1046/j.1532-5415.2002.50210.x