Table 1.
Demographic data and circumstances surrounding APs initiation
| Variable | N (%) Total = 300 |
|---|---|
| Gender | |
| Male | 161 (54) |
| Female | 139 (46) |
|
| |
| Inpatient Mortality Rate | 30 (10) |
|
| |
| Services | |
| Medicine | 202 (67) |
| Surgery | 98 (33) |
|
| |
| Indication for APs use | |
| Delirium | 249 (83) |
| Hallucinations | 19 (6) |
| Anxiety | 20 (7) |
| Other | 38 (13) |
|
| |
| Atypical APs | |
| Quetiapine | 257 (86) |
| Olanzapine | 29 (10) |
| Risperidone | 26 (9) |
|
| |
| Typical APs | |
| Haloperidol | 166 (55) |
| Thorazine | 4 (1) |
|
| |
| Use of CAM | 79 (32)a |
|
| |
| Physical Restraints | 89 (30) |
|
| |
| Documented or Suspected Dementia | 134 (45) |
|
| |
| Geriatrics Consults | 120 (40) |
|
| |
| Psychiatric Consults | 29 (10) |
|
| |
| EKG | |
| Prior to APs Administration | 265 (88) |
| After APs Administration | 157 (52) |
|
| |
| QTc Prolongation >500msec | |
| Prior to APs Administration | 41 (15)b |
| After APs Administration | 39 (25)c |
|
| |
| Admitted from SNF | 36 (12) |
|
| |
| Discharge Destination | |
| Home | 68 (23) |
| SNFs, Short & Long-term Rehabilitations | 199 (66) |
| Transfer to Other Acute Care Hospitals | 3 (1) |
|
| |
| Continuation of APs at discharge | 143 (48)d |
Abbreviations: APs, antipsychotics; CAM, confusion assessment method; QTc, QT interval; SNF, skilled nursing facility.
a
Denominator = 249; number of patients on whom APs were started for delirium
b
Denominator = 265; number of patients with EKG performed prior to APs administration
c
Denominator = 157; number of patients with EKG performed after APs administration
d
Denominator = 297; three patients who were transferred to other acute care hospitals were excluded