Burden of Delirium on Mortality and Healthcare Resource Utilization in Geriatric Patients Hospitalized for Inflammatory Bowel Disease

Overview

Journal Proc (Bayl Univ Med Cent)

Specialty General Medicine

Date 2024 Jun 24

PMID 38910812

Authors

Mohammad Aldiabat

Wesam Aleyadeh

Tabeer Rana

Omar Al Taani

Majd Alahmad

Malek Ayoub

Fouad Jaber

Adham Obeidat

Laith Numan

Amar Manvar

Laith Alhuneafat

Affiliations

Soon will be listed here.

Abstract

Background: Delirium is prevalent in elderly patients, linked to elevated mortality rates, heightened healthcare resource use, and caregiver burden. Inflammatory bowel disease (IBD) poses various delirium risk factors, yet the impact on geriatric IBD patient outcomes remains unexplored.

Methods: Using 2016-2019 National Inpatient Sample data, we identified ≥65-year-old patients admitted for IBD (Crohn's, ulcerative colitis) management stratified by delirium presence as a secondary diagnosis. The study aimed to assess delirium's impact on geriatric IBD patient outcomes.

Results: Among 67,534 elderly IBD admissions, 0.7% (470) developed delirium. The delirium group had a 4.8-fold increase in in-hospital mortality risk (odds ratio 4.80, < 0.001, 95% confidence interval [CI] 1.94-11.8). IBD patients with delirium experienced prolonged length of stay (adjusted mean difference 5.15 days, 95% CI 3.24-7.06, < 0.001) and increased care costs (adjusted mean difference $48,328, 95% CI $26,485-$70,171, < 0.001) compared to those without delirium.

Conclusion: Elderly IBD patients with delirium face higher mortality risk, prolonged hospitalization, and increased healthcare costs. Clinicians should recognize delirium's detrimental effects in this vulnerable group and adhere to preventive protocols for improved care.

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