Predictive Model for the Risk of Delirium in Hospitalized Older Patients
Predictive Model for the Risk of Delirium in Hospitalized Older Patients [select name="cog" value="no=0|yes=1"] <-- Cognitive impairment (inability to think, concentrate, reason, remember, formulate ideas) [select name="bun" value="no=0|yes=1"] <-- Elevated blood urea nitrogen/serum creatinine ratio (greater than 18) [select name="ill" value="no=0|yes=1"] <-- Severe illness (APACHE score greater than 16, or nurse rating of severe) [select name="eye" value="no=0|yes=1"] <-- Vision impairment (corrected near vision worse than 20/70 in both eyes) Score --> [calc memo="number" value="score1=(cog)+(bun)+(ill)+(eye)"] points Interpretation --> [calc memo="result" value="score2=(cog)+(bun)+(ill)+(eye);score2>2?'high risk, 80 percent chance of developing delirium':score2>0?'intermediate risk, 25 percent chance of developing delirium':'low risk, 10 percent chance of developing delirium'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link url="//www.ncbi.nlm.nih.gov/pubmed/17620535" memo="#1"] Inouye SK, Zhang Y, Jones RN, Kiely DK, Yang F, Marcantonio ER. Risk factors for delirium at discharge: development and validation of a predictive model. Arch Intern Med. 2007 Jul 9;167(13):1406-13. [/conditional]
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