The Caregiver Burden of Delirium in Older Adults With Alzheimer Disease and Related Disorders.

ABSTRACT: OBJECTIVES:To measure the burden of delirium in older adults with or without Alzheimer disease or related disorders (ADRDs). DESIGN:Prospective, observational cohort. SETTING:Inpatient hospital and study participants' homes. PARTICIPANTS:A subset (n = 267) of older medical and surgical patients and their caregivers enrolled in the Better Assessment of Illness study. MEASUREMENTS:Delirium burden was measured using the DEL-B instrument (range = 0-40, with higher scores indicating greater burden) in caregivers (DEL-B-C) and patients 1 month after hospitalization. Severity of cognitive impairment (Montreal Cognitive Assessment [MoCA]), delirium presence (Confusion Assessment Method [CAM]), and delirium severity (CAM-Severity [CAM-S]) were measured during hospitalization and at 1-month follow-up. ADRD diagnosis was determined by a clinical consensus process. RESULTS:For patients with (n = 56) and without (n = 211) ADRD, both DEL-B instruments had good internal consistency. DEL-B-C scores had a median (interquartile range) among caregivers of patients with and without ADRD of 9 (5-15) and 5 (1-11), respectively (P?

SUBMITTER: Fong TG 

PROVIDER: S-EPMC6898752 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature