Risk Factors for Delirium in Older Medical Inpatients in Tanzania.

Journal: Dementia and geriatric cognitive disorders

Volume: 44

Issue: 3-4

Year of Publication: 2018

Affiliated Institutions:  Institute of Tropical Medicine and International Health, Charité-Universitätsmedizin, Berlin, Germany.

Abstract summary 

The risk factors for prevalent delirium in older hospitalised adults in Sub-Saharan Africa (SSA) remain poorly characterised.A total of 510 consecutive admissions of adults aged ≥60 years to acute medical wards of Kilimanjaro Christian Medical Centre in northern Tanzania were recruited. Patients were assessed within 24 h of admission with a risk factor questionnaire, physiological observations, neurocognitive assessment, and informant interview. Delirium and dementia diagnoses were made according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM V) and DSM IV respectively, by an expert panel.Being male, current alcohol use, dementia, and physiological markers of illness severity were significant independent risk factors for delirium on multivariable analysis.The risk factors for prevalent delirium in older medical inpatients in SSA include pre-existing dementia, and are similar to those identified in high-income countries. Our data could help inform the development of a delirium risk stratification tool for older adults in SSA.

Authors & Co-authors:  Lewis Emma Grace EG Banks Jessica J Paddick Stella-Maria SM Duinmaijer Ashanti A Tucker Laura L Kisoli Aloyce A Cletus Jane J Lissu Carolyn C Kilonzo Kajiru K Cosker Glynis G Mukaetova-Ladinska Elizabeta Blagoja EB Dotchin Catherine C Gray William W Walker Richard R Urasa Sarah S

Study Outcome 

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Statistics
Citations : 
Authors :  15
Identifiers
Doi : 10.1159/000479058
SSN : 1421-9824
Study Population
Male,Female
Mesh Terms
Age Factors
Other Terms
Delirium;Dementia;Inpatient;Older adults;Risk factors;Sub-Saharan Africa
Study Design
Study Approach
Country of Study
Tanzania
Publication Country
Switzerland