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. Author manuscript; available in PMC: 2011 Jun 1.
Published in final edited form as: J Am Geriatr Soc. 2010 May 7;58(6):1019–1026. doi: 10.1111/j.1532-5415.2010.02871.x

Table 3.

Comparison of DAP and Usual Care delirium management practices based on medical record review

Key Steps of Delirium Management DAP
Group
N=282
(%)
Usual Care
Group
N=175
(%)
Step 1: Detection of Delirium
 • Delirium Documentation in Medical Record* 41 12
 • Notification of Physician/Nurse Practitioner of Delirium or Change in Mental Status 13 21
Step 2: Treat Reversible Causes of Delirium
 • Medications 32 42
 • Infection 10 23
 • Fluid balance disorder—congestive heart failure or dehydration 11 30
 • Inadequate Pain Control 16 37
 • Urinary Retention 25 16
 • Fecal Impaction 3 20
Step 3: Prevent or Manage Common Complications of Delirium
 • Urinary Incontinence 31 28
 • Pressure Ulcers 99 94
 • Falls/Injury 90 82
 • Sleep Problems 4 6
 • Malnutrition 75 76
 • Aspiration/Dysphagia 47 57
Step 4: Restore Function
 • Provision of appropriate sensory aids 8 9
 • Cognitive Re-orientation Program 2 1
 • Continuity of Patient Care 26 13
 • Family education about delirium 1 1
 • Nursing-based rehabilitation/restoration plan 9 12
 • Delirium Discharge Education 1 0

Abbreviation: DAP: Delirium Abatement Program

*

Based on a positive identification of delirium in the structured delirium assessment for the DAP facilities, and documentation of delirium in the medical record or admission Minimum Data Set evaluation in the usual care facilities

Similar to Table 1, the goal is to compare DAP and usual care sites for clinically meaningful differences in implementation rates. Therefore, P values comparing the rates are not provided. Also, since there are no missing data and to improve table readability, only percentages (no N’s) are reported.