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Factores de riesgo para el delirio en ancianos hospitalizados
J D Schor1, S E Levkoff, L A Lipsitz
1Hebrew Rehabilitation Center for Aged, Boston, Mass.
JAMA
|February 12, 1992
Resumen
El deterioro cognitivo previo, la edad avanzada y las fracturas son factores de riesgo clave para el delirio en pacientes hospitalizados de edad avanzada. Los factores hospitalarios como la infección y ciertos medicamentos también contribuyen a esta condición.
Área de la Ciencia:
- Medicina Geriátrica La medicina geriátrica es una especialidad de la medicina geriátrica.
- El Hospital El Hospital La Medicina La Medicina.
- La neurociencia es la neurociencia.
Sus antecedentes:
- El delirio es una condición común y grave en pacientes hospitalizados de edad avanzada.
- La identificación de los factores de riesgo es crucial para la prevención y la gestión.
Objetivo del estudio:
- Para determinar los factores de riesgo asociados con el desarrollo de delirio en pacientes ancianos ingresados en un hospital de cuidados agudos.
Principales métodos:
- Se realizó un estudio analítico prospectivo de cohorte.
- Se realizó un seguimiento de pacientes de edad avanzada (≥65 años) ingresados en un hospital de atención terciaria.
- Los datos sobre los factores de riesgo potenciales se recopilaron de los registros médicos.
Principales resultados:
- El delirio se desarrolló en 91 de 291 pacientes.
- Los factores de riesgo independientes incluyeron deterioro cognitivo previo (OR, 8.97), edad mayor de 80 años (OR, 5.22), fractura en el ingreso (OR, 6.57), infección (OR, 2.96) y sexo masculino (OR, 2.40).
- El uso de neurolepticos (OR, 4.48) y narcóticos (OR, 2.54) se asoció con el delirio; el uso de anticolinérgicos no lo fue.
Conclusiones:
- El delirio en pacientes ancianos hospitalizados está fuertemente relacionado con factores previos al ingreso como deterioro cognitivo, edad avanzada y fracturas.
- Los factores hospitalarios como la infección y el uso de neurolepticos y narcóticos también están asociados con el delirio.
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