Delirium is associated with low levels of upright activity in geriatric inpatients—results from a prospective observational study

• DOI: 10.1007/s40520-024-02699-6
• Publication Date: 2024-02-14T10:02:01Z
• Authors: Sigurd Evensen; Kristin Taraldsen; Stina Aam; Alessandro Morandi
• Keywords: Aged, 80 and over; Inpatients; Delirium; Hospitals, University; 03 medical and health sciences; Activity monitoring; Delirium; Geriatrics; Physical activity; 0302 clinical medicine; Humans; Original Article; Prospective Studies; Exercise; Aged

Abstract Background Delirium is common in geriatric inpatients and associated with poor outcomes. Hospitalization low levels of physical activity. Motor symptoms are delirium, but how delirium affects activity remains unknown. Aims To investigate differences between without delirium. Methods We included acutely admitted patients ≥ 75 years a prospective observational study at medical ward Norwegian University Hospital. was diagnosed according to the DSM-5 criteria. Physical measured by an accelerometer-based device worn on right thigh. The main outcome time upright position (upright time) per 24 h (00.00 23.59) first day hospitalization verified status. Group were analysed using t test. Results 237 patients, mean age 86.1 (Standard Deviation (SD) 5.1), 73 (30.8%) had Mean 1 for entire group 92.2 min (SD 84.3), 50.9 50.7) 110.6 89.7) no-delirium group, difference 59.7 minutes, 95% Confidence Interval 41.6 77.8, p value < 0.001. Discussion Low raise question if immobilization may contribute outcomes Future studies should mobilization interventions could improve Conclusions In this sample inpatients, lower than