滞在期間と死亡率の増加に関連した持続的な入院妄想
Jerry Bradley1, Fei Tang2, Zachary Panzarella3
1Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, United States of America.
PloS one
|September 2, 2025
まとめ
持続的な妄想は,入院高齢者の死亡リスクを大幅に増加させる. 妄想の余分な1日ごとに 死の危険性が高くなります 迅速な介入の必要性を強調しています
科学分野:
- 高齢者医療
- クリティカル ケア 医療
- 流行病学
背景:
- 妄想は入院後の死亡の危険因子です
- 持続的な妄想が長期的死亡率に与える具体的な影響は不明である.
研究 の 目的:
- 65歳以上の入院患者における持続的な妄想と死亡率との関連を調査する.
- 妄想の期間が異なる場合の 死亡リスクを定量化するために
主な方法:
- 65歳以上の患者4560人を対象とした遡及コホート研究.
- ナース・デリウム・スクリーニング・スケール (NuDESC) のスコア (≥2) で特定された妄想症.
- 多変数ロジスティック回帰では,共変数で調整した30,60,90,180,360日の死亡率を分析した.
主要な成果:
- 13. 9% の患者が妄想を経験した.
- 絶え間ない妄想は30日間の死亡率の増加と強く関連していました (例えば,4日: aOR 7. 21).
- 死亡リスクは,すべてのフォローアップ期間中,デリュームの追加日ごとに増加しました.
結論:
- 持続的な妄想は,高齢の入院者の死亡率の増加を予測する重要な要因です.
- 死の危険性は 妄想の長さに伴い 増大します
- 慢性妄想の早期発見と治療は 極めて重要です
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