Prevalence of Dementia and Delirium in Outpatient Clinics (DESTAN Trial)

Gulhane Training and Research Hospital

Status: Enrolling

Conditions: Delirium Superimposed on Dementia; Delirium With Dementia; Delirium in Old Age

Treatments: Diagnostic Test: Dementia diagnosis; Diagnostic Test: Confussion assessment method (CAM)

Study type: Observational

Funder types: Other

Identifiers

NCT04973709

2020-382

Details and patient eligibility

About

The aim of this study is to assess the prevalence and etiologic risk factors of delirium in outpatient geriatric patients and also hospitalized patients.

Full description

This study aimed to investigate the frequency of delirium and examines the association between delirium and other possible risk factors and prognostic factors (dementia etc.)

Enrollment: 714 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• We included all 65 years older patients who evaluated according to a comprehensive geriatric assessment that is consistently performed during admission to the outpatients' clinic of the hospital.

Exclusion criteria

• Exclusion criteria were serious psychiatric disorders such as schizophrenia or major depression.

Trial design

714 participants in 4 patient groups

Delirium with dementia

Description:

Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.

Treatment:

Diagnostic Test: Confussion assessment method (CAM)

Diagnostic Test: Dementia diagnosis

Dementia without Delirium

Description:

Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.

Treatment:

Diagnostic Test: Dementia diagnosis

Delirium without Dementia

Description:

Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.

Treatment:

Diagnostic Test: Confussion assessment method (CAM)

No dementia, No delirium

Description:

Delirium was detected using the short form of the Confusion Assessment Method (CAM) both at admission and daily throughout the hospital stay. Cognitive status was determined using the Mini-Mental State Exam, Clinical Dementia Rating (CDR). Dementia was defined by a CDR score of 1. The primary independent variable was a composite of delirium and dementia diagnosis, and we examined the overlap by categorizing the cases into four groups: no delirium or dementia, dementia alone, delirium alone, and DSD.