Factors associated with acute confusional syndrome in older adults in an acute geriatric unit in Lima, Peru

Beltrame S.M.S.; Sánchez Leguia G.; Becerra-Becerra Y. · Revista Chilena de Neuro-Psiquiatria (2024) · DOI: 10.4067/s0717-92272024000400302

Resumen

Introduction: Acute confusional syndrome (ACS) is the most common cause of acute cognitive dysfunction in hospitalized older adults, characterized by a sudden onset of altered consciousness. There are few national studies on prevalence and factors associated with ACS in a Peruvian Acute Geriatric Unit (UGA). Methods: This study is an observational, analytical, and cross-sectional study. We included adults over 60 years of age, who were admitted to the UGA of the Geriatric Military Hospital (HMG) in the period from July to October 2022. The collected data were processed in the Microsoft Excel program for further analysis using the STATA v.14 program. Odds Ratios (OR) were calculated by logistic regression, with 95% confidence intervals and significant p values (< 0.05). Results: During the study period, a total of 100 patients over 60 years of age were hospitalized in the UGA of the Geriatric Military Hospital from July to October 2022, the mean age was 83 years and 55 patients had ACS, of which 16 were women. The associated factors were age, sex, anemia, dementia, visual impairment, hearing impairment, accompanying caregiver, dismobility, functional dependence, comorbidity, with a (p<0.005). Conclusions: The factors that increase the ratio between older adults with ACS versus non-ACS were hearing impairment, functional dependence, and dismobility; and those factors that decreased this ratio were dementia, accompanying caregiver, visual impairment, and comorbidity.

Instituciones: Universidad Científica del Sur