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在住院的老年人中对妄的前性研究

J Francis¹, D Martin, W N Kapoor

¹Division of General Internal Medicine, Unversity of Pittsburgh, School of Medicine, PA.

|February 23, 1990

概括

痴呆症在住院的老年患者中很常见,影响22%. 关键的危险因素包括不正常的,痴呆症和疾病严重程度,导致更长的住院时间和增加的死亡率.

科学领域:

老年病的医生老年病的医生
内部医学内部医学
临界护理医学临界护理医学

背景情况:

痴呆症是住院老年患者的常见和严重疾病.
了解其患病率,风险因素和结果对于改善患者护理至关重要.

研究的目的:

调查住院老年患者 Delirium 的患病率,风险因素和结果.
为了确定妄想的预测因素及其对住院时间,死亡率和制度化的影响.

主要方法:

一项研究对229名老年患者进行了研究,其中50人符合妄想症的标准.
为了进行比较,使用了一组非妄的老年患者作为对照组.
评估了风险因素,如异常的水平,疾病严重程度,痴呆症,异常的体温,精神活性药物使用和亚血症.

主要成果:

狂妄症的患病率为22% (在229名患者中50名).
患有三种或更多危险因素的患者有60%的 Delirium 发病率.
妄想患者在医院住院时间较长 (12.1 vs 7.2 天),死亡率较高 (8% vs 1%),以及住院率增加 (16% vs 3%).

结论:

痴呆症是住院老年人的常见并发症.
它与各种急性和慢性健康问题有关,并确定患有不良结果风险较高的患者.
虽然妄想与死亡率增加有关,但这种关联似乎是由潜在疾病的严重程度介导的.

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