Table 3.
Predictors of Any, Prevalent, and Incident Delirium
Age (65–74) | Reference | Reference | Reference |
Age (75–84) | 1.32 [1.22, 1.42] | 1.44 [1.31, 1.58] | 1.22 [1.09, 1.35] |
Age (85–94) | 2.22 [2.00, 2.45] | 2.66 [2.37, 2.98] | 1.42 [1.23, 1.63] |
Age (95+) | 4.59 [3.71, 5.66] | 5.10 [4.08, 6.37] | 2.39 [1.78, 3.22] |
Race, White | Reference | Reference | Reference |
Race, Black or African American | 1.29 [1.19, 1.39] | 1.48 [1.36, 1.62] | 0.98 [0.89, 1.09] |
Race, other | 1.21 [1.01, 1.45] | 1.36 [1.10, 1.67] | 0.90 [0.69, 1.16] |
Gender, female | 0.95 [0.89, 1.02] | 1.08 [1.00, 1.17] | 0.89 [0.81, 0.97] |
Elixhauser score | 37.47 [31.85, 44.09] | 6.82 [5.74, 8.10] | 29.81 [23.98, 37.04] |
Dementia | 15.10 [13.62, 16.73] | 15.32 [13.73, 17.09] | 4.11 [3.58, 4.70] |
ACSC (Purdy) | 0.60 [0.54, 0.67] | 0.74 [0.65, 0.84] | 0.59 [0.51, 0.69] |
Observations | 64 020 | 60 823 | 49 317 |
Subjects | 39 933 | 38 200 | 32 151 |
Conditional R2 | 0.56 | 0.51 | 0.42 |
Marginal R2 | 0.24 | 0.19 | 0.15 |
AIC | 45 310.52 | 29 948.11 | 20 214.02 |
Notes: ACSC = ambulatory care-sensitive condition; AIC = Akaike’s information criterion; SIS = six item screener.
Any delirium was defined as delirium occurring at any time during hospitalization. Prevalent delirium was defined as delirium occurring within 1 day of admission, and incident delirium was defined as absence of delirium in the first day but presence of delirium at least once after the first day. Generalized linear mixed models were used to examine the association of ACSCs with each type of delirium, adjusting for covariates and for correlations among multiple hospitalizations for each participant.