{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:26:56Z","timestamp":1790206016641,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T00:00:00Z","timestamp":1672185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009362","name":"South London and Maudsley NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009362","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000764","name":"King's College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000764","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010872","name":"King's College Hospital NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010872","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023699","name":"Health Data Research UK","doi-asserted-by":"publisher","award":["MRC grant MR\/W014386"],"award-info":[{"award-number":["MRC grant MR\/W014386"]}],"id":[{"id":"10.13039\/501100023699","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Delirium is an acute and fluctuating change in attention and cognition that increases the risk of functional decline, institutionalisation and death in hospitalised patients. After delirium, patients have a significantly higher risk of readmission to hospital. Our aim was to investigate factors associated with hospital readmission in people with delirium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We carried out an observational retrospective cohort study using linked mental health care and hospitalisation records from South London. Logistic regression models were used to predict the odds of 30\u2010day readmission and Cox proportional hazard models to calculate readmission risks when not restricting follow\u2010up time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2814 patients (mean age 78.9\u2009years SD \u00b111.8) discharged from hospital after an episode of delirium, 823 (29.3%) were readmitted within 30\u2009days. Depressed mood (odds ratio (OR) 1.34 (95% confidence interval (CI) 1.08\u20131.66)), moderate\u2010to\u2010severe physical health problems (OR 1.67 (95% CI 1.18\u20132.2.36)) and a history of serious circulatory disease (OR 1.29 (95% CI 1.07\u20131.55)) were associated with higher odds of hospital readmission, whereas a diagnosis of delirium superimposed on dementia (OR 0.67 (95% CI 0.53\u20130.84)) and problematic alcohol\/substance (OR 0.54 (95% CI 0.33\u20130.89)) use were associated with lower odds. Cox proportionate hazard models showed similar results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Almost one\u2010third of patients with delirium were readmitted within a short period of time, a more detailed understanding of the underlying risk factors could help prevent readmissions. Our findings indicate that the aetiology (as alcohol\u2010related delirium), the recognition that delirium occurred in the context of dementia, as well as potentially modifiable factors, as depressed mood affect readmission risk, and should be assessed in clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13523","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T09:54:06Z","timestamp":1669629246000},"page":"506-515","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Predictors of hospital readmission for patients diagnosed with delirium: An electronic health record data analysis"],"prefix":"10.1111","volume":"147","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7898-6936","authenticated-orcid":false,"given":"Michaela\u2010Elena","family":"Friedrich","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Klinik Hietzing  Vienna Austria"},{"name":"Department of Psychiatry and Psychotherapy Klinik Floridsdorf  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayan","family":"Perera","sequence":"additional","affiliation":[{"name":"King's College London, Institute of Psychiatry, Psychology and Neuroscience  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Leutgeb","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Klinik Floridsdorf  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Haardt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Klinik Floridsdorf  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1816-6159","authenticated-orcid":false,"given":"Richard","family":"Frey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4435-6397","authenticated-orcid":false,"given":"Robert","family":"Stewart","sequence":"additional","affiliation":[{"name":"King's College London, Institute of Psychiatry, Psychology and Neuroscience  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Mueller","sequence":"additional","affiliation":[{"name":"King's College London, Institute of Psychiatry, Psychology and Neuroscience  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60688-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001599"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2012.07.003"},{"key":"e_1_2_9_5_1","first-page":"10","article-title":"Die Psychopharmakologie des Delirs; 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