Delirium in geriatric population referred to a geriatric clinic in a rural medical college: A retrospective study

Background: Delirium is an acute disorder of attention and cognition, posing a significant concern among elderly individuals, often resulting from various medical conditions. Despite its prevalence and impact, delirium remains under-recognized in rural populations. Objective: To determine the preval...

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Bibliographic Details
Main Authors: Kshirod Kumar Mishra, Gaurav B Pawar, Harshal S Sathe
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Geriatric Mental Health
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Online Access:https://journals.lww.com/jgmh/fulltext/2024/11020/delirium_in_geriatric_population_referred_to_a.8.aspx
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Summary:Background: Delirium is an acute disorder of attention and cognition, posing a significant concern among elderly individuals, often resulting from various medical conditions. Despite its prevalence and impact, delirium remains under-recognized in rural populations. Objective: To determine the prevalence of different causes of delirium and their association with sociodemographic profiles in elderly patients visiting a geriatric psychiatry clinic at a tertiary care hospital. Methodology: A retrospective, cross-sectional, descriptive study design was employed, focusing on patient records of diagnosed delirium cases aged 60 years and above. The Delirium Etiology Checklist was used to document multifactorial etiologies contributing to delirium. Retrospective data for 4 years (January 2020 to December 2023) were analyzed using JASP software. Results: Analysis of 76 case records revealed predominantly male patients (73.7%), with a mean age of 72.16 ± 8.25 years. The most common cause of delirium was central nervous system (CNS) pathology (39.5%), followed by hyponatremia (26.3%) and renal derangement (7.89%). Other causes included malignancies, septicemia, and lung diseases. Hyponatremia was notably prevalent, especially among males (75%) in the 70–79 years’ age group. Conclusion: A diverse range of medical conditions contributes to delirium in the elderly, with CNS pathology, hyponatremia, and renal derangement being particularly significant factors.
ISSN:2348-9995
2395-3322