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Table 2 Association between delirium symptom domain and mortality in included studies

From: Association between components of the delirium syndrome and outcomes in hospitalised adults: a systematic review and meta-analysis

Delirium symptom domain

Study

Mortality

Ratio type

Comparison

Assessment tool used for symptom domain

Ratio (95% CI)

p-value

Adjustments

Altered level of arousal

Ā 

Garcez 2020

30-day mortality

OR

Altered vs. Normal arousal

GCS

1.62 (1.13ā€“2.33)

0.009

Age, sex, delirium, comorbidities, nutritional status, baseline cognitive impairment, polypharmacy

Ā 

Han 2017

6-month mortality

HR

Decreased arousal/delirium vs. No delirium

RASS

1.4 (0.9ā€“2.1)

>ā€‰0.05

Age, sex, comorbidity burden, severity of illness, dementia, functional dependence, admission status

Ā 

Hall 2018

12-month mortality

OR

Altered vs Normal arousal

OSLA

2.21 (1.01ā€“4.86)

<ā€‰0.05

Age, sex, comorbidity burden, severity of illness

Ā 

Diwell 2018

Mortality at any timepointa

HR

Altered arousal/Delirium vs. No delirium

s-CAM

1.33 (0.98ā€“1.79)

0.063

Age, sex, co-morbidity burden, pressure sores, severity of illness

Ā 

Jackson 2018

12-month mortality

HR

Decreased vs. Normal arousal/delirium

OSLA

1.09 (1.02ā€“1.18)

0.01

Age

Inattention

Ā 

Bellelli 2015

In-hospital mortality

OR

No delirium

SBT

3.26 (2.03ā€“5.24)b

<ā€‰0.0001

Age, sex, nursing home residence, prior hospitalisation (6-month period), co-morbidity, dementia

Ā 

Hall 2018

12-month mortality

OR

Altered vs. Normal arousal

EDTB

1.18 (0.44ā€“3.16)

>ā€‰0.05

Age, sex, comorbidity burden, severity of illness

Ā 

Diwell 2018

Mortality at any timepointa

HR

No delirium

s-CAM

1.24 (0.92ā€“1.67)

0.152

Age, sex, co-morbidity burden, pressure sores, severity of illness

Disorientation

Ā 

Bellelli 2015

In-hospital mortality

OR

No delirium

SBT

3.85 (2.43ā€“6.10)b

<ā€‰0.0001

Age, sex, nursing home residence, prior hospitalisation (6-month period), co-morbidity, dementia

Memory deficits

Ā 

Bellelli 2015

In-hospital mortality

OR

No delirium

SBT

2.92 (1.33ā€“6.39)b

0.005

Age, sex, nursing home residence, prior hospitalisation (6-month period), co-morbidity, dementia

Disorganised thought

Ā 

Diwell 2018

Mortality at any timepointa

HR

No delirium

s-CAM

1.42 (1.05ā€“1.92)

0.024

Age, sex, co-morbidity burden, pressure sores, severity of illness

Psychotic features (hallucinations and delusions)

Ā 

No studies available

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Visuospatial deficits

Ā 

No studies available

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Affective disturbances

Ā 

No studies available

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  1. Notes: HRā€‰=ā€‰Hazard Ratio; OR:Ā Odds Ratio; CI:Ā Confidence Interval; GCS: Glasgow Coma Scale; RASS: Richmond Agitation-Sedation Scale; OSLA: Observational Scale of Level of Arousal; s-CAM: short Confusion Assessment Method; SBT: Short Blessed Test; EDTB: Edinburgh Delirium Test Box. a Death was flagged by the UK Office of National Statistics and certified by a death certificate. b OR statistics were obtained from authors