Risk for acute confusion in sensory-impaired, rural, long-term-care elders

Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

Clin Nurs Res

Journal/Book/Conference Title

Clinical nursing research

PubMed ID


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Acute confusion is a common geriatric syndrome in long-term care (LTC) elders with prevalence rates of 10% to 39%. Sensory impairment, specifically vision and hearing impairment, is even more common in LTC, with prevalence rates of 40% to 90%. The purpose of this study was to investigate the risk relationship between sensory impairment and the development of acute confusion in LTC elders. Each resident (N = 114) underwent sensory screening and then was followed for 28 days to monitor for the onset of acute confusion. Twenty residents (17.5%) developed acute confusion, 60 residents (52.6%) were found to be visually impaired, 49 (44.1%) were hearing impaired, and 28 (24.6%) were found to be dually impaired. Significant relationships between vision impairment, odds ratio (OR) = 3.67, confidence interval (CI) (1.13, 11.92), and dual sensory impairment, OR = 2.88, CI (1.04, 8.26), with the development of acute confusion were identified.


Confusion -- Risk Factors -- In Old Age, Hearing Disorders -- In Old Age, Long Term Care -- In Old Age, Nursing Home Patients -- In Old Age, Vision, Subnormal -- In Old Age, Aged, Aged, 80 and Over, Cerumen, Chi Square Test, Cluster Sample, Confidence Intervals, Descriptive Statistics, Female, Hearing Tests -- Equipment and Supplies, Iowa, Male, Odds Ratio, Prospective Studies, Psychological Tests, Random Sample, Funding Source, Rural Areas, Vision Tests, Human

Published Article/Book Citation

Clinical nursing research, 12:4 (2003) pp.340-355.

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