Gender Differences in Factors Associated With Delirium Severity in Older Adults With Dementia

  • Ann M. Kolanowski
    Correspondence
    Corresponding Author: Ann M. Kolanowski, PhD, RN, FAAN, The Pennsylvania State University, College of Nursing, Nursing 106 Health & Human Development, University Park, PA 16802.
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    The Pennsylvania State University, College of Nursing, University Park, PA
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    1 Tel.: +1 814 867 3265.
    Nikki L. Hill
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    The Pennsylvania State University, College of Nursing, University Park, PA
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    2 Tel.: +90 216 280 33 33.
    Esra Kurum
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    Istanbul Medeniyet University, Istanbul, Turkey
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    3 Tel.: +1 814 865 9325.
    Donna M. Fick
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    The Pennsylvania State University, College of Nursing, University Park, PA
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    4 Tel.: +1 412 396 6543.
    Andrea M. Yevchak
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    Duquesne University, School of Nursing, Pittsburgh, PA
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    5 Tel.: +1 814 867 4656.
    Paula Mulhall
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    The Pennsylvania State University, College of Nursing, University Park, PA
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    Linda Clare
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    Bangor University, School of Psychology, Gwynedd, UK
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    7 Tel.: +61 2 9114 4135.
    ,
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    8 Michael Valenzuela was supported by a National Health & Medical Research Council of Australia Clinical Career Development Fellowship (1004156).
    Michael Valenzuela
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    7 Tel.: +61 2 9114 4135.
    8 Michael Valenzuela was supported by a National Health & Medical Research Council of Australia Clinical Career Development Fellowship (1004156).
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    Regenerative Neuroscience Group, Brain and Mind Research Institute, University of Sydney, Sydney, Australia
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  • Author Footnotes
    1 Tel.: +1 814 867 3265.
    2 Tel.: +90 216 280 33 33.
    3 Tel.: +1 814 865 9325.
    4 Tel.: +1 412 396 6543.
    5 Tel.: +1 814 867 4656.
    6 Tel.: +44 1248 388178.
    7 Tel.: +61 2 9114 4135.
    8 Michael Valenzuela was supported by a National Health & Medical Research Council of Australia Clinical Career Development Fellowship (1004156).
Published:February 07, 2014DOI:https://doi.org/10.1016/j.apnu.2014.01.004

      Abstract

      The purpose of this descriptive correlational study was to explore potential gender differences in the relationship of dementia severity, age, APOE status, cognitive reserve and co-morbidity (two potentially modifiable factors), to delirium severity in older adults. Baseline data from an ongoing clinical trial and a Poisson regression procedure were used in the analyses. Participants were 148 elderly individuals with dementia and delirium admitted to post-acute care. In women, delirium severity was related to dementia severity (p = 0.002) and co-morbidity moderated that effect (p = 0.03). In men, education was marginally associated with delirium severity (p = 0.06). Implications for research are discussed.
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