Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study
Delirium; Geriatrics; Physical activity
| Authors: | ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2024 |
| Country: | España |
| Institution: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repository: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/11178 |
| Online Access: | https://hdl.handle.net/11351/11178 |
| Access Level: | Open access |
| Keyword: | Exercici Persones grans Hospitals - Pacients NAMED GROUPS::Persons::Patients::Inpatients DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise NAMED GROUPS::Persons::Age Groups::Adult::Aged DENOMINACIONES DE GRUPOS::personas::pacientes::pacientes ingresados ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano |
| _version_ | 1878733922240561152 |
|---|---|
| author | Evensen, Sigurd |
| author2 | Taraldsen, Kristin Aam, Stina Morandi, Alessandro |
| author2_role | author author author |
| author_browse | Aam, Stina Evensen, Sigurd Morandi, Alessandro Taraldsen, Kristin |
| author_facet | Evensen, Sigurd Taraldsen, Kristin Aam, Stina Morandi, Alessandro |
| author_role | author |
| collection | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| description | Delirium; Geriatrics; Physical activity |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_5faa7463d4f4e8bdc8451a04db657b0c |
| institution | Departament de Salut de la Generalitat de Catalunya (DS) |
| instname_str | Departament de Salut de la Generalitat de Catalunya (DS) |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:scientiasalut.gencat.cat:11351/11178 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| publisher | Springer |
| publisherStr | Springer |
| reponame_str | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| spelling | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study Evensen, Sigurd Taraldsen, Kristin Aam, Stina Morandi, Alessandro Exercici Persones grans Hospitals - Pacients NAMED GROUPS::Persons::Patients::Inpatients DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise NAMED GROUPS::Persons::Age Groups::Adult::Aged DENOMINACIONES DE GRUPOS::personas::pacientes::pacientes ingresados ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano Delirium; Geriatrics; Physical activity Deliri; Geriatria; Activitat física Delirio; Geriatría; Actividad física Background Delirium is common in geriatric inpatients and associated with poor outcomes. Hospitalization is associated with low levels of physical activity. Motor symptoms are common in delirium, but how delirium affects physical activity remains unknown. Aims To investigate differences in physical activity between geriatric inpatients with and without delirium. Methods We included acutely admitted patients ≥ 75 years in a prospective observational study at a medical geriatric ward at a Norwegian University Hospital. Delirium was diagnosed according to the DSM-5 criteria. Physical activity was measured by an accelerometer-based device worn on the right thigh. The main outcome was time in upright position (upright time) per 24 h (00.00 to 23.59) on the first day of hospitalization with verified delirium status. Group differences were analysed using t test. Results We included 237 patients, mean age 86.1 years (Standard Deviation (SD) 5.1), and 73 patients (30.8%) had delirium. Mean upright time day 1 for the entire group was 92.2 min (SD 84.3), with 50.9 min (SD 50.7) in the delirium group and 110.6 min (SD 89.7) in the no-delirium group, mean difference 59.7 minutes, 95% Confidence Interval 41.6 to 77.8, p value < 0.001. Discussion Low levels of physical activity in patients with delirium raise the question if immobilization may contribute to poor outcomes in delirium. Future studies should investigate if mobilization interventions could improve outcomes of delirium. Conclusions In this sample of geriatric inpatients, the group with delirium had lower levels of physical activity than the group without delirium. Open access funding provided by Diakonhjemmet Hospital. The Liaison Committee for education, research and innovation in Central Norway funded the project. The funder had no role in designing the study, in the collection and interpretation of data or in writing the manuscript. Springer https://hdl.handle.net/11351/11178 |
| spellingShingle | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study Evensen, Sigurd Exercici Persones grans Hospitals - Pacients NAMED GROUPS::Persons::Patients::Inpatients DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise NAMED GROUPS::Persons::Age Groups::Adult::Aged DENOMINACIONES DE GRUPOS::personas::pacientes::pacientes ingresados ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano |
| status_str | publishedVersion |
| title | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study |
| title_full | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study |
| title_fullStr | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study |
| title_full_unstemmed | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study |
| title_short | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study |
| title_sort | Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study |
| topic | Exercici Persones grans Hospitals - Pacients NAMED GROUPS::Persons::Patients::Inpatients DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise NAMED GROUPS::Persons::Age Groups::Adult::Aged DENOMINACIONES DE GRUPOS::personas::pacientes::pacientes ingresados ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano |
| topic_facet | Exercici Persones grans Hospitals - Pacients NAMED GROUPS::Persons::Patients::Inpatients DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium PHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::Exercise NAMED GROUPS::Persons::Age Groups::Adult::Aged DENOMINACIONES DE GRUPOS::personas::pacientes::pacientes ingresados ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional FENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físico DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano |
| url | https://hdl.handle.net/11351/11178 |