title: Prevalence, presentation and prognosis of delirium in older people in the population, at home and in long term care: a review.
abstract: OBJECTIVE
  The aim of this study is to provide an overview of prevalence, symptoms, risk factors and prognosis of delirium in primary care and institutionalized long-term care.
  
  
  METHODS
  The method used in this study is a systematic PubMed search and literature review.
  
  
  RESULTS
  The prevalence of delirium in the population among the elderly aged 65+ years is 1-2%. Prevalence rises with age: 10% among a "general" population aged 85+ years. Prevalence rises up to 22% in populations with higher percentages of demented elder. In long-term care, prevalence ranges between 1.4% and 70%, depending on diagnostic criteria and on the prevalence of dementia. There is a significant increase of the risk of delirium with age and cognitive decline in all groups. Concerning prognosis, most studies agree that older people who previously experienced delirium have a higher risk of dementia and a higher mortality rate. Population and long-term care studies show the same tendency.
  
  
  CONCLUSIONS
  Delirium in a non-selected population aged 65+ years is uncommon. However, prevalence rises very quickly in selected older groups. Primary care doctors should be aware of a relatively high risk of delirium among the elderly in long-term care, those older than 85 years and those with dementia.
authors.affiliation: Academische huisartsenpraktijk Groningen, University Medical Center Groningen, Hanzeplein 1, Postbus 880, 9700, AW, Groningen, The Netherlands. e.de.lange@ahg.umcg.nl
authors.forename: E
authors.initials: E
authors.lastname: de Lange
authors.forename: P F M
authors.initials: PF
authors.lastname: Verhaak
authors.forename: K
authors.initials: K
authors.lastname: van der Meer
mesh_terms: D003693:Delirium / Q000453:epidemiology* / Q000523:psychology; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D008134:Long-Term Care / Q000706:statistics & numerical data*; D015995:Prevalence; D011379:Prognosis; D012307:Risk Factors