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Predictive Model for the Risk of Delirium in Hospitalized Older Patients
Aug 8, 2014
•
Mark Morgan
categories:
Geriatrics & Longevity
Predictive Model for the Risk of Delirium in Hospitalized Older Patients
no
yes
<-- Cognitive impairment (inability to think, concentrate, reason, remember, formulate ideas)
no
yes
<-- Elevated blood urea nitrogen/serum creatinine ratio (greater than 18)
no
yes
<-- Severe illness (APACHE score greater than 16, or nurse rating of severe)
no
yes
<-- Vision impairment (corrected near vision worse than 20/70 in both eyes)
Score -->
number
score1=(cog)+(bun)+(ill)+(eye)
points
Interpretation -->
result
score2=(cog)+(bun)+(ill)+(eye);score2>2?'high risk, 80 percent chance of developing delirium':score2>0?'intermediate risk, 25 percent chance of developing delirium':'low risk, 10 percent chance of developing delirium'
display/hide references
reference:
#1
Inouye SK, Zhang Y, Jones RN, Kiely DK, Yang F, Marcantonio ER. Risk factors for delirium at discharge: development and validation of a predictive model. Arch Intern Med. 2007 Jul 9;167(13):1406-13.
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