Rates of 1-year cognitive impairment in older adults who developed delirium due to a systemic infection. (13th April 2021)

• Record Type: Journal Article
• Authors: Silva, A.R.; Cardoso, A.L.; Baldeiras, I.; Santana, I.; Cerejeira, J.
• Is Part Of: European psychiatry. Volume 64:Supplement 1(2021)
• Page Start: S137
• Page End: S138
• Publication Date: 2021-04-13
• Subjects: delirium -- cognitive impairment -- Hospitalization -- dementia; Psychiatry -- Periodicals; Mental illness -- Periodicals; Electronic journals; 616.89
• DOI: 10.1192/j.eurpsy.2021.379
• Languages: English
• ISSNs: 0924-9338

Abstract

Abstract : Introduction: Delirium affects a significant proportion of hospitalized older patients with acute infections. There is growing evidence that delirium accelerates the cognitive decline at long term. Objectives: We aimed to determine if delirium during hospitalization was independently associated with cognitive deterioration at one-year. Methods: From a total of 22 patients (12 C, 4 Dem, 2 D, and 4 DD) delirium (D and DD groups) was associated with a worse score in MOCA of 3-points (p<.02) and 2.5-points (p<.03), respectively, at one year, follow up. Dementia patients without delirium had a decrease of 2-point (p=.04) while cognitively healthy patients had a decrease in 1.08 points (p=.05) (Graph1). MOCA and NPI scores during hospitalization correlated significantly with cognitive decline in the four groups (r=.658, p<.01 and r=.439, p=.02, respectively.) Results: From a total of 22 patients (12 C, 4 Dem, 2 D and 4 DD) delirium (D and DD groups) was associated with a worse score in MOCA of 3-points (p<.02) and 2.5-points (p<.03), respectively, at one year follow up. Dementia patients without delirium had a of 2-point (p=.04) while cognitively healthy patients had a decrease in 1.08 points (p=.05) (Graph1). MOCA and NPI scores during hospitalization correlated significantly with cognitive decline in the four groups (r=.658, p<.01 and r=.439, p=.02, respectively.) Conclusions: Individuals developing delirium while recovering from infection have higher rates of cognitive decline after one year, but the cognitive decline is also present to a lower extent for individuals with infections that did not develop delirium. Disclosure: No significant relationships.