The Overlap Between Falls and Delirium in Hospitalized Older Adults: A Systematic Review

被引：44

作者：

Siliner, Andrea Yevchak ^{[1
,2
]}

Holle, Cynthia L. ^{[1
]}

Rudolph, James L. ^{[1
,3
,4
]}

机构：

[1] Providence VA Med Ctr 650, Ctr Innovat Long Term Serv & Supports, 830 Chalkstone Ave, Providence, RI 02908 USA

[2] Penn State Univ, Coll Nursing, 201 Nursing Sci Bldg, University Pk, PA 16802 USA

[3] Brown Univ, Warren Alpert Med Sch, Dept Med, Box G-A1, Providence, RI 02912 USA

[4] Brown Univ, Sch Publ Hlth, Ctr Gerontol & Hlth Res, Providence, RI 02912 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2019年 / 35卷 / 02期

关键词：

Falls; Delirium; Systematic review; Older adults; Hospital; RISK-ASSESSMENT; CARE; OUTCOMES; DEMENTIA; ASSOCIATION; VALIDATION; PREVENTION; INPATIENTS; PATIENT; FRAILTY;

D O I：

10.1016/j.cger.2019.01.004

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Falls frequently occur in persons with cognitive impairment, including delirium. This article presents a systematic review of the association between falls and delirium in adults aged 65 years or older. For the studies that compared falls and delirium, the risk ratio was consistently elevated (median RR 4.5, range 1.4-12.6) and statistically significant in all but one study. These results suggest that falls and delirium are inextricably linked. There is a need to further refine fall risk assessment tools and protocols to specifically include delirium for consideration as a risk factor that needs additional assessment and management.

引用

页码：221 / +

页数：17

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