Patient profile and management of delirium in older adults hospitalized due to COVID-19

Jorge Samitier, P. (Universidad de Zaragoza) ; Juárez-Vela, R. ; Santolalla-Arnedo, I. ; Antón-Solanas, I. (Universidad de Zaragoza) ; Gea-Caballero, V. ; Sánchez-González, J. L. ; Fernández Rodrigo, M. T. (Universidad de Zaragoza)

Resumen: SARS-CoV-2 can cause neurologic symptoms, as well as respiratory ones. Older adults are at risk of developing acute delirium in older persons (ADOP). The combination of experiencing respiratory isolation due to COVID-19, as well as other associated risk factors for older adults, may have had an impact on ADOP and ADOP management in the acute hospital setting. This study aimed to analyze the characteristics of ADOP in patients admitted to a COVID-19 unit. An observational prospective study on a sample of 108 patients was carried out between November 2020 and May 2021. The following data were collected: sociodemographic characteristics, risk factors for ADOP, management of ADOP, and impact on ADOP on both functional and cognitive deteriora-tion. A 29.6% proportion of older adults admitted to an acute COVID-19 unit presented hyperactive ADOP, mainly during the night. Management of ADOP in our sample involved mainly pharmaco-logical treatment and had a serious impact on hospital stay and both functional and cognitive dete-rioration. Preventive strategies and being accompanied by a relative or a carer may be useful to manage ADOP during hospital admission due to COVID-19.

Idioma: Inglés

DOI: 10.3390/healthcare10040724

Año: 2022

Publicado en: Healthcare (Switzerland) 10, 4 (2022), 724 [12 pp.]
ISSN: 2227-9032

Factor impacto JCR: 2.8 (2022)

Categ. JCR: HEALTH POLICY & SERVICES rank: 43 / 87 = 0.494 (2022) - Q2 - T2
Categ. JCR: HEALTH CARE SCIENCES & SERVICES rank: 57 / 106 = 0.538 (2022) - Q3 - T2

Factor impacto CITESCORE: 2.7 - Health Professions (Q2) - Medicine (Q3)

Factor impacto SCIMAGO: 0.55 - Health Policy (Q2) - Leadership and Management (Q2) - Health Informatics (Q3) - Health Information Management (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)