Kathryn J. Eubank, MD; Kenneth E. Covinsky, MD, MPH
Disclaimer: The opinions expressed are those of the authors and not necessarily those of the funders or the Department of Veterans Affairs.
Grant Support: From the Donald W. Reynolds Foundation and the National Institute on Aging, including the UCSF Older Americans Independence Center (P30AG044281) and a MidCareer Research and Mentoring Award (K24AG029812; Dr. Covinsky).
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0553.
Requests for Single Reprints: Kathryn J. Eubank, MD, 4150 Clement Street, Building 203, Room 1B-77, San Francisco, CA 94121; e-mail, email@example.com.
Current Author Addresses: Drs. Eubank and Covinsky: Division of Geriatrics, University of California, San Francisco, San Francisco Veterans Affairs Medical Center, 4150 Clement Street, Suite 181G, San Francisco, CA 94121.
Eubank K., Covinsky K.; Delirium Severity in the Hospitalized Patient: Time to Pay Attention. Ann Intern Med. 2014;160:574-575. doi: 10.7326/M14-0553
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Published: Ann Intern Med. 2014;160(8):574-575.
Delirium is an acute confusional state characterized by inattention, impaired cognition, psychomotor disturbances, and a waxing and waning course. It is common in hospitalized older adults, ranging in prevalence from 20% to 50% in general medical–surgical units and from 70% to 80% in intensive care units (1).
Delirium is a strong predictor of poor patient outcomes. Patients with the condition have increased rates of mortality, cognitive and functional decline, and institutionalization and longer lengths of stay (1, 2). Delirium costs the U.S. health care system more than $150 billion every year (3). Studies show that 30% to 40% of cases can be prevented by using low-tech, high-touch, and cost-saving interventions (1, 2).
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Hospital Medicine, Neurology, Delirium.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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