4 groups of subjects were followed for 18 months after an emergency department visit: subjects with delirium, dementia, neither, and both. Outcome variables were activities of daily living (ADL), change in ADL, and the status of living at home. / Covariates were initial age, sex, marital status, living situation, ADL, cognitive status, type and number of chronic medical conditions, and number of medications. All subjects were living at home prior to their emergency department visit. / Unadjusted analyses suggested a trend toward poorer ADL at 6 and 12 months and a significant difference at 18 months in the delirium group versus the non-delirium group of the non-dementia stratum only. Unadjusted analyses showed significantly fewer individuals living at home at 6, 12 and 18 months in the delirium versus the non-delirium group of the non-dementia stratum only. / Multivariable linear and logistic regression confirmed the interaction between delirium and dementia for both ADL and living at home. Linear regression adjusting for covariates in the non-dementia stratum suggested that initial ADL and several chronic medical conditions, but not delirium, were independent predictors of ADL outcome. Logistic regression in the non-dementia stratum suggested that several chronic medical conditions and other variables, including delirium, were independent predictors of loss of living at home.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.79152 |
| Date | January 2003 |
| Creators | Vida, Stephen |
| Contributors | Wolfson, C. (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Department of Epidemiology and Biostatistics.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001975853, proquestno: AAIMQ88322, Theses scanned by UMI/ProQuest. |
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