Navigation Links
Patient isolation associated with hospital delirium: study
Date:12/12/2011

CHICAGO (December 12, 2011) -- A new study finds that patients who are moved into isolation during a hospital stay are nearly twice as likely to develop delirium, a potentially dangerous change in mental status that often affects hospital patients. Patients who began their stay in isolation were not at increased risk.

The study, published in the January issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, is the largest of its kind to examine the link between delirium and measures taken to prevent the spread of hard-to-treat infections such as MRSA. The measures, known as contact precautions, require patients to be isolated in their own room, and for healthcare personnel to wear masks, gowns, and other protective equipment. Some clinicians have been concerned that contact precautions may be disorienting to patients, making delirium more likely. Though delirium is generally a temporary condition, it can often adversely affect patient care. Symptoms include confusion, an inability to pay attention, and fluctuations in alertness.

A team of researchers led by Dr. Hannah Day of the University of Maryland School of Medicine examined two years of data from the university's 662-bed medical center. They found that patients who were placed on contact precautions at some point after admission to the hospital were 1.75 times more likely to develop delirium. However, patients on contact precautions starting at admission were no more likely to develop delirium. That finding, the researchers say, suggests that it may not be the precautions themselves causing delirium.

"Patients in our study who were placed on contact precautions later in their hospitalization were generally sicker than those who were on contact precautions from the outset," said Dr. Day. "So it's possible that the underlying illness rather than the precautions themselves is responsible for the association with delirium."

"Regardless of cause, we hope clinicians will view a move to isolation as a marker for increased risk of delirium and take appropriate precautions."

Dr. Day and her colleagues say patients on contact precautions should be educated about the reasons for and the goals of the intervention so they might be more comfortable with it. Clinicians should also take extra care to monitor medications and try not to interrupt patients' sleep patterns. In addition, isolation rooms should have clocks, calendars, and other orienting objects to help avoid sensory deprivation.


'/>"/>

Contact: Tamara Moore
tmoore@gymr.com
202-745-5114
Society for Healthcare Epidemiology of America
Source:Eurekalert

Related medicine news :

1. Survival rates increase with chemotherapy alone in patients with limited-stage Hodgkins lymphoma
2. Emerging lymphoma and myeloma treatments focus on improving individual patient response
3. Study favors as-needed treatment over maintenance therapy for patients with follicular lymphoma
4. Penn researchers repair immune system in leukemia patients following chemotherapy
5. Novel experimental agent is highly active in CLL patients, interim study shows
6. Mayo Clinic: How patients will respond to immunomodulator therapy for multiple myeloma
7. Breast cancer patients face increasing number of imaging visits before surgery
8. Obese Patients May Benefit the Most From Surgery for Irregular Heartbeat
9. Boceprevir: Indication of added benefit for specific patients
10. PSA testing, combined with other relevant patient data can reduce unnecessary prostate biopsies
11. Mayo Clinic: Obese patients with HER2-positive breast cancer may have worse outcomes
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/4/2016)... ... December 04, 2016 , ... Patients ... can now take advantage of a cosmetic procedure known as Carbon Dioxide ... reduces the appearance of age spots, fine lines, uneven coloration, wrinkles, scarring, ...
(Date:12/2/2016)... ... ... Lori G. Cohen and Sara K. Thompson , shareholders in ... Conference Institute’s 21st Drug & Medical Device Litigation Conference , taking place in New ... Cohen, who chairs the firm’s Pharmaceutical, Medical Device & Health Care Litigation Practice and ...
(Date:12/2/2016)... AL (PRWEB) , ... December 02, 2016 , ... ... from across the Dothan-Wiregrass Area in Alabama are expected to attend the UNCF ... Schmitz, will help provide scholarship funds for area students and operating support to ...
(Date:12/2/2016)... ... ... The annual time frame to change Medicare health and prescription drug coverage, ... Currently-enrolled Medicare beneficiaries who are looking to switch from their current plan to a ... changes during this period order for their new policy to go into effect in ...
(Date:12/2/2016)... ... 02, 2016 , ... Dr. Raffi Hovsepian, a leading plastic, ... 2016 “Guide to America’s Top Plastic Surgeons” for seven consecutive years. The prestigious ... experience, and professional associations. , One the most frequently honored surgeons in ...
Breaking Medicine News(10 mins):
(Date:12/4/2016)... -- A highly innovative, personalized cell-based treatment for a high-risk form of ... oncologists from Children,s Hospital of Philadelphia today reported ... leukemia (ALL). The physician-scientists presented findings at the annual meeting ... . Continue Reading ... ...
(Date:12/2/2016)... Columbia , December 2, 2016 bioLytical Laboratories, un ... la Compañía, el INSTI HIV Self Test , a los miembros de ... ... INSTI HIV Self Test! (PRNewsFoto/bioLytical Laboratories) ...      (Photo: http://photos.prnewswire.com/prnh/20161201/444905 ) ...
(Date:12/2/2016)... DUBLIN , Dec 2, 2016 Research ... Market Size, Share, Development, Growth and Demand Forecast to 2022" report ... , , ... revenue of $6 billion in 2015, and it is expected to grow ... ultrasound segment is expected to witness faster growth during the forecast period, ...
Breaking Medicine Technology: