Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study

Delirium; Geriatrics; Physical activity

Bibliographic Details
Authors: Evensen, Sigurd, Taraldsen, Kristin, Aam, Stina, Morandi, Alessandro
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
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network_name_str España
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dc.title.none.fl_str_mv Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study
title Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study
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
title_short 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_sort Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study
dc.creator.none.fl_str_mv Evensen, Sigurd
Taraldsen, Kristin
Aam, Stina
Morandi, Alessandro
author Evensen, Sigurd
author_facet Evensen, Sigurd
Taraldsen, Kristin
Aam, Stina
Morandi, Alessandro
author_role author
author2 Taraldsen, Kristin
Aam, Stina
Morandi, Alessandro
author2_role author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Evensen S] Department of Medicine, Diakonhjemmet Hospital, Oslo, Norway. [Taraldsen K] Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University (OsloMet), Oslo, Norway. [Aam S] Department of Geriatric Medicine, Clinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Service, NTNU—Norwegian University of Science and Technology, Trondheim, Norway. [Morandi A] Intermediate Care and Rehabilitation, Azienda Speciale Di Cremona Solidale, Cremona Parc Sanitari Pere Virgili, Cremona, Italy. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv 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 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
description Delirium; Geriatrics; Physical activity
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/11178
url https://hdl.handle.net/11351/11178
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Aging Clinical and Experimental Research;36(1)
https://doi.org/10.1007/s40520-024-02699-6
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869409223926874112
spelling Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational studyEvensen, SigurdTaraldsen, KristinAam, StinaMorandi, AlessandroExerciciPersones gransHospitals - PacientsNAMED GROUPS::Persons::Patients::InpatientsDISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::DeliriumPHENOMENA AND PROCESSES::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Movement::Motor Activity::ExerciseNAMED GROUPS::Persons::Age Groups::Adult::AgedDENOMINACIONES DE GRUPOS::personas::pacientes::pacientes ingresadosENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusionalFENÓMENOS Y PROCESOS::fenómenos fisiológicos nerviosos y musculoesqueléticos::fenómenos fisiológicos musculoesqueléticos::movimiento::actividad motora::ejercicio físicoDENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::ancianoDelirium; Geriatrics; Physical activityDeliri; Geriatria; Activitat físicaDelirio; Geriatría; Actividad físicaBackground 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.SpringerInstitut Català de la Salut[Evensen S] Department of Medicine, Diakonhjemmet Hospital, Oslo, Norway. [Taraldsen K] Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University (OsloMet), Oslo, Norway. [Aam S] Department of Geriatric Medicine, Clinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Service, NTNU—Norwegian University of Science and Technology, Trondheim, Norway. [Morandi A] Intermediate Care and Rehabilitation, Azienda Speciale Di Cremona Solidale, Cremona Parc Sanitari Pere Virgili, Cremona, Italy. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202420242024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/11178Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésAging Clinical and Experimental Research;36(1)https://doi.org/10.1007/s40520-024-02699-6Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/111782026-06-12T09:38:37Z
score 15.811543

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