PIPRA - Pre-Interventional Preventive Risk Assessment
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Better Prediction and reduced ICU stays.

Delirium has serious complications


Delirium has serious complications and is associated with:
  • Increased morbidity and mortality
  • functional and cognitive decline
  • Increased rates of dementia
  • Institutionalization
  • Increased healtcare utilization and costs
  • Post-traumatic stress disorder
  • Caregiver burden
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Delirium is expensive
Delirium costs Medicare about $164 billion (2011 US dollars) and more than $182 billion (2011 Euros in 18 European countries) per year, attributed to:
  • Hospital costs (> $11 billion/year US)
  • Post-hospital costs (>$153 billion/year US)
    • Rehospitalization
    • Emergency department visits
    • Institutionalization
    • Rehabilitation
    • Formal home care services
  • Caregiver burden when patients are able to return home
  • With the aging of world’s population, delirium is a problem that will continue to increase unless we can find effective means for its prevention and treatment

Delirium is often unrecognized
Previous studies have shown that in affected persons, the delirium is only recognized by:
  • About one third of physicians
  • About one third of nurses
Families can help by letting healthcare professionals know that their loved one is “not themselves."
One can only manage delirium and decrease its complications if we can recognize it. Using a validated tool like the Confusion Assessment Method can help.

Delirium is preventable
Previous studies have shown that about 30-40% of delirium is preventable. Multicomponent targeted interventions have been the most effective
approaches and are broadly recommended in clinical guidelines.
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