[重症监护室患者 Delirium 的患病率,危险因素和特征:一项前性观察性研究]
Dehua He1, Qianfu Zhang, Xiaoqian Zhou
1Department of Critical Care Medicine, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China. Corresponding author: Liu Xu,
痴呆症影响了超过一半的重症监护室 (ICU) 患者,低活性痴呆症是最常见的. 年龄,APACHE评分,神经疾病,败血症和机械通风持续时间是ICU中 Delirium 发展的关键风险因素.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 痴呆症是重症患者常见的并发症.
- 了解其在重症监护室 (ICU) 的患病率和风险因素对于患者的治疗结果至关重要.
研究的目的:
- 为了确定ICU患者 Delirium 的患病率,风险因素,持续时间和结果.
- 为了确定与 Delirium 发展相关的独立风险因素.
主要方法:
- 一项前性观察性研究,涉及347名ICU患者.
- 狂妄症每天评估两次,使用里士满兴奋镇静量表 (RASS) 和ICU (CAM-ICU) 的困惑评估方法.
- 用单变量和多变量逻辑回归分析来确定风险因素.
主要成果:
- 狂妄症发生在57.6%的ICU患者中,低活性狂妄症是最常见的类型 (73.0%).
- 确定的独立风险因素包括年龄较大,APACHE分数较高,先前存在的神经疾病,败血症和机械通风持续时间较长.
- 狂妄症的平均持续时间为2天,52%的患者在ICU出院后仍然狂妄.
结论:
- 在ICU患者中狂妄症的高患病率强调了需要有效的管理策略.
- 年龄,APACHE分数,神经疾病,败血症和机械通风持续时间是 Delirium 的重要预测因素.
- 很大一部分ICU患者在出院时经历了持续的妄想,这突显了长期的影响.
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