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Clinical Trial
. 2010 Jun;16(6):824-31.
doi: 10.1016/j.bbmt.2010.01.003. Epub 2010 Jan 25.

Impact of delirium on distress, health-related quality of life, and cognition 6 months and 1 year after hematopoietic cell transplant

James R Basinski  1 , Catherine M Alfano, Wayne J Katon, Karen L Syrjala, Jesse R Fann
Affiliations
Clinical Trial

Impact of delirium on distress, health-related quality of life, and cognition 6 months and 1 year after hematopoietic cell transplant

James R Basinski et al. Biol Blood Marrow Transplant. 2010 Jun.

Abstract

Delirium commonly occurs during myeloablative hematopoietic cell transplantation (HCT). Little is known about how delirium during the acute phase of HCT affects long-term distress, health-related quality of life (HRQOL), and neurocognitive functioning. This prospective, cohort study examines these outcomes at 6 months and 1 year in 90 patients undergoing HCT. Patients completed a battery assessing distress, HRQOL, and subjective neuropsychological functioning before receiving their first HCT as well as at 6 months and 1 year. Patients with a delirium episode within the 4 weeks after HCT had significantly more distress and fatigue at 6 months (P < .004) and at 1 year (P < .03), compared with patients without delirium. At 1 year, patients with delirium also had worse symptoms of depression and post traumatic stress (P < .03). Patients with delirium had worse physical health on the SF-12 at 6 months (P < .03) and worse mental health on the SF-12 at 1 year (P < .03). At both 6 months and 1 year, patients with delirium after HCT reported worse memory (P < .009) and executive functioning (P < .006). Delirium during the acute phase of HCT is significantly associated with persistent distress, decreased HRQOL, and subjective neurocognitive dysfunction at both 6 months and 1 year.

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Figures

Figure 1
Figure 1
Patient Participation in Study 1 Six of the patients unavailable for follow-up at 6 months because of severe illness were subsequently available at one year.
See this image and copyright information in PMC

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