医疗住院患者的 Delirium: 患病率,识别和危险因素: 一项前性队列研究
Rajaa Saleh Al Farsi1, Abdullah M Al Alawi2, Aisha Ramadhan Al Huraizi2
1Oman Medical Specialty Board, Internal Medicine Residency Training Program, Muscat 130, Oman.
Journal of clinical medicine
|June 28, 2023
概括
痴呆症影响了超过一半的住院老年患者,往往没有被识别出来. 关键的危险因素包括认知障碍,多药性和脱水,许多患者在出院时仍在妄想.
科学领域:
- 老年医学 老年医学
- 神经精神病学是一种神经精神病学.
背景情况:
- 痴呆症是住院老年患者中普遍存在的一种神经精神综合征.
- 它与不良的临床结果和显著的发病率有关.
研究的目的:
- 为了确定发病率,识别,风险因素和痴呆症的临床过程.
- 专注于接受苏丹卡布斯大学医院 (SQUH) 的老年患者 (65岁以上).
主要方法:
- 对327名入院医疗病房的老年患者进行前性队列研究.
- 使用3分钟诊断混评估方法 (3D-CAM) 选妄想.
- 医疗记录审查以确定相关因素.
主要成果:
- Delirium 患病率为 55.4%; 35.4% 没有被医疗团队识别.
- 独立的危险因素包括认知障碍,多药,脱水和尿道导管.
- 低活性妄想是最常见的; 56.9%的人在出院时仍然妄想.
结论:
- Delirium 在一般医疗病房的住院老年患者中非常普遍.
- 通过像3D-CAM这样的敏感选工具进行早期识别至关重要.
- 建议采取预防策略和专门的老年病房.
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