| Title |
The association of indwelling urinary catheter with delirium in hospitalized patients and nursing home residents: an explorative analysis from the “Delirium Day 2015”
|
|---|---|
| Published in |
Aging Clinical and Experimental Research, June 2018
|
| DOI | 10.1007/s40520-018-0974-1 |
| Pubmed ID | |
| Authors |
Mario Bo, Paola Porrino, Simona G. Di Santo, Andrea Mazzone, Antonio Cherubini, Enrico Mossello, Angelo Bianchetti, Massimo Musicco, Alberto Ferrari, Nicola Ferrara, Claudia Filippini, Marco Trabucchi, Alessandro Morandi, Giuseppe Bellelli, on behalf of the Italian Study Group on Delirium (ISGoD) |
| Abstract |
Use of indwelling urinary catheter (IUC) in older adults has negative consequences, including delirium. This analysis, from the "Delirium Day 2015", a nationwide multicenter prevalence study, aim to evaluate the association of IUC with delirium in hospitalized and Nursing Homes (NHs) patients. Patients underwent a comprehensive geriatric assessment, including the presence of IUC; inclusion criteria were age > 65 years, being Italian speaker and providing informed consent; exclusion criteria were coma, aphasia, end-of-life status. Delirium was assessed using the 4AT test (score ≥ 4: possible delirium; scores 1-3: possible cognitive impairment). Among 1867 hospitalized patients (mean age 82.0 ± 7.5 years, 58% female), 539 (28.9%) had IUC, 429 (22.9%) delirium and 675 (36.1%) cognitive impairment. IUC was significantly associated with cognitive impairment (OR 1.60, 95% CI 1.19-2.16) and delirium (2.45, 95% CI 1.73-3.47), this latter being significant also in the subset of patients without dementia (OR 2.28, 95% CI 1.52-3.43). Inattention and impaired alertness were also independently associated with IUC. Among 1454 NHs residents (mean age 84.4 ± 7.4 years, 70.% female), 63 (4.3%) had IUC, 535 (36.8%) a 4AT score ≥ 4, and 653 (44.9%) a 4AT score 1-3. The multivariate logistic regression analysis did not show a significant association between 4AT test or its specific items with IUC, neither in the subset of patients without dementia. We confirmed a significant association between IUC and delirium in hospitalized patients but not in NHs residents. Environmental and clinical factors of acute setting might contribute to IUC-associated delirium occurrence. |
X Demographics
The data shown below were collected from the profiles of 12 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 4 | 33% |
| Canada | 2 | 17% |
| Australia | 1 | 8% |
| Unknown | 5 | 42% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 50% |
| Practitioners (doctors, other healthcare professionals) | 4 | 33% |
| Scientists | 2 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 65 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 11 | 17% |
| Researcher | 9 | 14% |
| Student > Bachelor | 8 | 12% |
| Student > Doctoral Student | 4 | 6% |
| Lecturer | 3 | 5% |
| Other | 10 | 15% |
| Unknown | 20 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 18 | 28% |
| Nursing and Health Professions | 15 | 23% |
| Neuroscience | 5 | 8% |
| Biochemistry, Genetics and Molecular Biology | 3 | 5% |
| Business, Management and Accounting | 2 | 3% |
| Other | 4 | 6% |
| Unknown | 18 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 March 2022.
All research outputs
#6,246,795
of 25,402,889 outputs
Outputs from Aging Clinical and Experimental Research
#512
of 1,868 outputs
Outputs of similar age
#99,825
of 342,900 outputs
Outputs of similar age from Aging Clinical and Experimental Research
#8
of 28 outputs
Altmetric has tracked 25,402,889 research outputs across all sources so far. Compared to these this one has done well and is in the 75th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,868 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.9. This one has gotten more attention than average, scoring higher than 72% of its peers.
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We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.