1. ZHAW digitalcollection
  2. Gesundheit
  3. Publikationen
  4. Publikationen Gesundheit
Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3879
Full metadata record
DC FieldValueLanguage
dc.contributor.authorSchubert, Maria-
dc.contributor.authorSchürch, Roger-
dc.contributor.authorBoettger, Soenke-
dc.contributor.authorGarcia Nuñez, David-
dc.contributor.authorSchwarz, Urs-
dc.contributor.authorBettex, Dominique-
dc.contributor.authorJenewein, Josef-
dc.contributor.authorBogdanovic, Jasmina-
dc.contributor.authorStaehli, Marina Lynne-
dc.contributor.authorSpirig, Rebecca-
dc.contributor.authorRudiger, Alain-
dc.date.accessioned2018-07-17T14:16:33Z-
dc.date.available2018-07-17T14:16:33Z-
dc.date.issued2018-07-
dc.identifier.issn1472-6963de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/8240-
dc.description.abstractBackground: Delirium is a well-known complication in cardiac surgery and intensive care unit (ICU) patients. However, in many other settings its prevalence and clinical consequences are understudied. The aims of this study were: (1) To assess delirium prevalence in a large, diverse cohort of acute care patients classified as either at risk or not at risk for delirium; (2) To compare these two groups according to defined indicators; and (3) To compare delirious with non-delirious patients regarding hospital mortality, ICU and hospital length of stay, nursing hours and cost per case. Methods: This cohort study was performed in a Swiss university hospital following implementation of a delirium management guideline. After excluding patients aged < 18 years or with a length of stay (LOS) < 1 day, 29′278 patients hospitalized in the study hospital in 2014 were included. Delirium period prevalence was calculated based on a Delirium Observation Scale (DOS) score ≥ 3 and / or Intensive Care Delirium Screening Checklist (ICDSC) scores ≥4. Results: Of 10′906 patients admitted, DOS / ICDSC scores indicated delirium in 28.4%. Delirium was most prevalent (36.2–40.5%) in cardiac surgery, neurosurgery, trauma, radiotherapy and neurology patients. It was also common in geriatrics, internal medicine, visceral surgery, reconstructive plastic surgery and cranio-maxillo-facial surgery patients (prevalence 21.6–28.6%). In the unadjusted and adjusted models, delirious patients had a significantly higher risk of inpatient mortality, stayed significantly longer in the ICU and hospital, needed significantly more nursing hours and generated significantly higher costs per case. For the seven most common ICD-10 diagnoses, each diagnostic group’s delirious patients had worse outcomes compared to those with no delirium. Conclusions: The results indicate a high number of patients at risk for delirium, with high delirium prevalence across all patient groups. Delirious patients showed significantly worse clinical outcomes and generated higher costs. Subgroup analyses highlighted striking variations in delirium period-prevalence across patient groups. Due to the high prevalence of delirium in patients treated in care centers for radiotherapy, visceral surgery, reconstructive plastic surgery, cranio-maxillofacial surgery and oral surgery, it is recommended to expand the current focus of delirium management to these patient groups.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Health Services Researchde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectCost of diseases OR economic burden of diseasesde_CH
dc.subjectDeliriumde_CH
dc.subjectHospital mortalityde_CH
dc.subjectLength of stayde_CH
dc.subjectNeurocognitive disorderde_CH
dc.subject.ddc362.1041: Gesundheitsökonomiede_CH
dc.subject.ddc362.11: Krankenhäuser und verwandte Einrichtungende_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.titleA hospital-wide evaluation of delirium prevalence and outcomes in acute care patients : a cohort studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.21256/zhaw-3879-
dc.identifier.doi10.1186/s12913-018-3345-xde_CH
dc.identifier.pmid30005646de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end562de_CH
zhaw.pages.start550de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume18de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in collections:Publikationen Gesundheit

Files in This Item:
File Description SizeFormat 
publ-812-Schubert.pdf1.08 MBAdobe PDFThumbnail
View/Open
Show simple item record
Schubert, M., Schürch, R., Boettger, S., Garcia Nuñez, D., Schwarz, U., Bettex, D., Jenewein, J., Bogdanovic, J., Staehli, M. L., Spirig, R., & Rudiger, A. (2018). A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients : a cohort study. BMC Health Services Research, 18, 550–562. https://doi.org/10.21256/zhaw-3879
Schubert, M. et al. (2018) ‘A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients : a cohort study’, BMC Health Services Research, 18, pp. 550–562. Available at: https://doi.org/10.21256/zhaw-3879.
M. Schubert et al., “A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients : a cohort study,” BMC Health Services Research, vol. 18, pp. 550–562, Jul. 2018, doi: 10.21256/zhaw-3879.
SCHUBERT, Maria, Roger SCHÜRCH, Soenke BOETTGER, David GARCIA NUÑEZ, Urs SCHWARZ, Dominique BETTEX, Josef JENEWEIN, Jasmina BOGDANOVIC, Marina Lynne STAEHLI, Rebecca SPIRIG und Alain RUDIGER, 2018. A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients : a cohort study. BMC Health Services Research. Juli 2018. Bd. 18, S. 550–562. DOI 10.21256/zhaw-3879
Schubert, Maria, Roger Schürch, Soenke Boettger, David Garcia Nuñez, Urs Schwarz, Dominique Bettex, Josef Jenewein, et al. 2018. “A Hospital-Wide Evaluation of Delirium Prevalence and Outcomes in Acute Care Patients : A Cohort Study.” BMC Health Services Research 18 (July): 550–62. https://doi.org/10.21256/zhaw-3879.
Schubert, Maria, et al. “A Hospital-Wide Evaluation of Delirium Prevalence and Outcomes in Acute Care Patients : A Cohort Study.” BMC Health Services Research, vol. 18, July 2018, pp. 550–62, https://doi.org/10.21256/zhaw-3879.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.