TY - JOUR AU - Astika, Nyoman AU - Sindhughosa, Dwijo Anargha AU - Kuswardhani, R.A. Tuty AU - Manuaba, Ida Bagus Amertha Putra PY - 2021/08/18 Y2 - 2024/03/28 TI - A Preliminary Scoring Model to Predict In-hospital Mortality Risk for Geriatric Patients with Delirium JF - Open Access Macedonian Journal of Medical Sciences JA - Open Access Maced J Med Sci VL - 9 IS - B SE - Geriatrics DO - 10.3889/oamjms.2021.6599 UR - https://oamjms.eu/index.php/mjms/article/view/6599 SP - 872-877 AB - <div><p class="Pa6"><strong><span lang="EN-US">BACKGROUND: </span></strong><span lang="EN-US">Elderly patients are at an increased risk of death, particularly those with altered mental status.</span></p></div><div><p class="Pa6"><strong><span lang="EN-US">AIM: </span></strong><span lang="EN-US">We aimed to develop a scoring model from simple clinical data and routine laboratory testing to aid in predicting in-hospital mortality risk for geriatric patients with delirium.</span></p></div><div><p class="Pa6"><strong><span lang="EN-US">METHODS: </span></strong><span lang="EN-US">A total of 73 hospitalized geriatric patients with delirium were included in the study. A multivariate regression analysis employed to obtain independent risk factors to predict in-hospital mortality. All patients were followed until dead or discharged from hospital. The formula of (B/SE)/lowest B/SE was used to calculate the scores for each variable with strong discrimination power to be included in scoring system.</span></p></div><div><p class="Pa6"><strong><span lang="EN-US">RESULTS: </span></strong><span lang="EN-US">A total of 25 (34.2%) of patients were death when being hospitalized. The mean age of the patients was 73.27 ± 7.8. From a total of 20 probable variables, three variables were then included in constructing the scoring model; no caregiver (p &lt; 0.012), abnormal diastolic blood pressure (p &lt; 0.05), and abnormal serum SGOT levels (p &lt; 0.03). Each variable was scored as 1, following the use of formula. Total score ranges from 0 to maximum of 3. The cutoff score of ≥ 2 provided the best accuracy with sensitivity of 40% and specificity of 89.6% (p &lt; 0.001). The probability of in-hospital mortality was 8.8%, 32.6%, 70.8%, and 92.4% for the total score of 0, 1, 2, and 3, respectively.</span></p></div><div><strong>CONCLUSION: </strong>This novel scoring system with simple examination may aid to identify geriatric patients with delirium which possess higher risk for in-hospital mortality.</div> ER -