Patient Isolation Associated With Higher Risk of Delirium

A new study finds that patients who are moved into isolation during a hospital stay are nearly twice as likely to develop delirium, according to a Society for Healthcare Epidemiology of American release.

Isolation measures are taken to prevent the spread of infections such as MRSA. The measures, known as contact precautions, require patients to be isolated in their own room. In addition, healthcare personnel must wear masks, gowns and other protective equipment.

 

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The researchers examined two years of data from a 662-bed medical center. They found patients who were placed on contact precautions at some point after admission to the hospital were 1.75 times more likely to develop delirium. However, patients on contact precautions from the beginning of their hospital stay were no more likely to develop delirium. That finding, the researchers say, suggests that it may not be the precautions themselves causing delirium.

"Patients in our study who were placed on contact precautions later in their hospitalization were generally sicker than those who were on contact precautions from the outset," one researcher said. "So it's possible that the underlying illness rather than the precautions themselves is responsible for the association with delirium."

Related Articles on Contact Precautions:

9 CDC Recommendations to Prevent MRSA

Treating Patients With MRSA in a Surgery Center: Q&A With Regina Dolsen of Blue Chip Surgical Partners

12 CDC Recommendations to Prevent Clostridium Difficile Infections

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