Delirium, Dementia, Mild Cognitive Impairment
Conditions
Keywords
delirium, mild cognitive impairment, dementia
Brief summary
* Identify the degree of delirium in subjects with mild cognitive impairment and find the risk factors of delirium. Mortality, hospital stay, and medical expenses are analyzed as clinical consequences related to delirium incidence. * Dementia conversion rate and conversion period of subjects with mild cognitive impairment with delirium and it identifies the effect of delirium on dementia conversion. * Develop an AI(Artificial intelligence) algorithm for predicting dementia transition in subjects with mild cognitive impairment based on the research results of the 1st, 2nd, and 3rd years.
Interventions
DIAGNOSTIC_TESTDelirium assessment using S-CAM
Twice a day, the rounds of nurses in shifts, 8:00 am - 10:00 am, 4:00 pm - 6:00 pm Trained research assistants assessed delirium using S-CAM
Sponsors
Keimyung University Dongsan Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients 65 years of age or older who are admitted to a LTC * Patients diagnosed with mild cognitive impairment by doctors * Patients with a score of 18 or more and 23 or less on the Mini-Mental State Examination
Exclusion criteria
* Patients unable to measure the delirium assessment tool, The Short Confusion Assessment Methods (S-CAM) (Inouye, 2014) due to severe vision and hearing problems * Patients with serious psychiatric or neurological diagnosis,Patients who expire or were transferred on the day of admission - * Patients receiving emergency treatment at the time of the delirium assessment or unable to measure or intervene with S-CAM due to hospital circumstances
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dementia conversion rate and transition period in participants with mild cognitive impairment | The participant's dementia conversion is checked in units of 1 month, and the period until conversion to dementia is analyzed in units of 12 months for 36 months. | descriptive statistics |
| Delirium incidence in participants with mild cognitive impairment | The number of subjects evaluated as positive in the delirium assessment using S-CAM for 30 days from the 1st day of study participation is statistically calculated. | descriptive statistics |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors affecting participants' delirium | On the first day of data collection, the characteristics of subjects are collected through medical records. After 12 months, the risk factors affecting the occurrence of delirium among the characteristics of the subject are analyzed. | Logistic Regression |
| Mortality | It is statistically calculated in 30-day, 60-day, 12-month, 24-month, and 36-month increments. | Kaplan-Meier survival, Cox proportional hazard regression, Logistic Regression |
| hospital length of stay | The period from hospitalization to discharge is calculated in days and analyzed in units of 12 months. | Linear Regression |
| healthcare costs | From the healthcare costs consumed during the hospital length of stay, the direct healthcare costs used only for treatment are calculated in won units and analyzed in units of 12 months. | Linear Regression |
Countries
South Korea
Contacts
Primary ContactKyoung ja Moon, doctor
Backup Contactmin a Park
Outcome results
None listed