دورية أكاديمية
أعرض في EDS

Burden of delirium on mortality and healthcare resource utilization in geriatric patients hospitalized for inflammatory bowel disease.

التفاصيل البيبلوغرافية
العنوان: Burden of delirium on mortality and healthcare resource utilization in geriatric patients hospitalized for inflammatory bowel disease.
المؤلفون: Aldiabat M; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.; Department of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA., Aleyadeh W; Department of Medicine, Akron General Hospital, Akron, Ohio, USA., Rana T; Department of Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania, USA., Ta'ani OA; Department of Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania, USA., Alahmad M; Department of Medicine, University of Missouri-Columbia, Columbia, Missouri, USA., Ayoub M; Department of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA., Jaber F; Department of Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA., Obeidat A; Presbyterian Health System, Albuquerque, New Mexico, USA., Numan L; Division of Gastroenterology, SSM Health Saint Louis University Hospital, St. Louis, Missouri, USA., Manvar A; Division of Gastroenterology, NYU Langone Health, Mineola, New York, USA., Alhuneafat L; Department of Cardiovascular Disease, University of Minnesota, Minneapolis, Minnesota, USA.
المصدر: Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2024 Apr 22; Vol. 37 (4), pp. 509-515. Date of Electronic Publication: 2024 Apr 22 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Baylor Research Foundation Country of Publication: United States NLM ID: 9302033 Publication Model: eCollection Cited Medium: Print ISSN: 0899-8280 (Print) Linking ISSN: 08998280 NLM ISO Abbreviation: Proc (Bayl Univ Med Cent) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Dallas, Tex. : Baylor Research Foundation,
مستخلص: Background: Delirium is prevalent in elderly patients, linked to elevated mortality rates, heightened healthcare resource use, and caregiver burden. Inflammatory bowel disease (IBD) poses various delirium risk factors, yet the impact on geriatric IBD patient outcomes remains unexplored.
Methods: Using 2016-2019 National Inpatient Sample data, we identified ≥65-year-old patients admitted for IBD (Crohn's, ulcerative colitis) management stratified by delirium presence as a secondary diagnosis. The study aimed to assess delirium's impact on geriatric IBD patient outcomes.
Results: Among 67,534 elderly IBD admissions, 0.7% (470) developed delirium. The delirium group had a 4.8-fold increase in in-hospital mortality risk (odds ratio 4.80, P  < 0.001, 95% confidence interval [CI] 1.94-11.8). IBD patients with delirium experienced prolonged length of stay (adjusted mean difference 5.15 days, 95% CI 3.24-7.06, P  < 0.001) and increased care costs (adjusted mean difference $48,328, 95% CI $26,485-$70,171, P  < 0.001) compared to those without delirium.
Conclusion: Elderly IBD patients with delirium face higher mortality risk, prolonged hospitalization, and increased healthcare costs. Clinicians should recognize delirium's detrimental effects in this vulnerable group and adhere to preventive protocols for improved care.
Competing Interests: The authors report no funding or conflicts of interest.
(Copyright © 2024 Baylor University Medical Center.)
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فهرسة مساهمة: Keywords: Geriatrics; inflammatory bowel disease; outcomes research
تواريخ الأحداث: Date Created: 20240624 Latest Revision: 20240625
رمز التحديث: 20240625
مُعرف محوري في PubMed: PMC11188812
DOI: 10.1080/08998280.2024.2342106
PMID: 38910812
قاعدة البيانات: MEDLINE
الوصف
تدمد:0899-8280
DOI:10.1080/08998280.2024.2342106