Table 3.
Relationship of Delirium Identification Method and Clinical Outcomes. (N=300)
Post-operative Length of Staya | Post-operative Complicationsa | Post-acute Facility Dischargeb | |||||
---|---|---|---|---|---|---|---|
| |||||||
Delirium Definition | Delirium Cases | IRR 95% CI | Population Attributable Risk, %c | IRR 95% CI | Population Attributable Risk, % | OR 95% CI | Population Attributable Risk, % |
Delirium by Chart | 35 | 1.27 (1.10-1.47) | 2.50 | 1.94 (1.42-2.65) | 5.65 | 14.69 (3.78-57.03) | 4.91 |
Delirium by CAM | 68 | 1.17 (1.04-1.31) | 3.23 | 1.50 (1.13-1.99) | 7.56 | 4.78 (2.22-10.33) | 7.82 |
Combined Delirium | 82 | 1.18 (1.06-1.32) | 4.16 | 1.53 (1.17-2.01) | 9.49 | 6.16 (2.95-12.84) | 10.74 |
Note: Adjusted for age, female sex, nonwhite race, surgical type, pre-operative Charlson comorbidity index, pre-operative proxy Informant Questionnaire of Cognitive Decline in the Elderly (IQCODE), and post-operative Acute Physiology and Chronic Health Evaluation II (APACHE II) score;
Poisson Model
Logistic Regression Model;
Population attributable risk percentage is the product of a function of the relative risk (RR) of the outcome among those with delirium ([RR – 1])/RR) and the prevalence of delirium.
IRR = Incident rate ratio; 95% CI = 95% Confidence Interval; OR = Odds Ratio; CAM = Confusion Assessment Method