住院COVID-19患者的 Delirium:一个前性的,多中心的,队列研究
Wei Zhu1, Yangjing Bai2, Simin Li3
1Department of Neurosurgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China.
痴呆症影响了14.2%的住院COVID-19患者,增加了死亡风险. 解决年龄和水平等风险因素对于更好的结果至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 痴呆症是2019年新冠肺炎 (COVID-19) 患者急性脑功能障碍的常见并发症.
- 对于COVID-19患者痴呆症的患病率和风险因素的了解有限.
- 早期发现和治疗妄症对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定住院COVID-19患者 Delirium 的患病率.
- 为了确定与这种人群中妄想相关的风险因素.
- 为了研究 Delirium 对住院死亡率的影响.
主要方法:
- 一项涉及7家三级医院4589名住院COVID-19患者的队列研究.
- 使用狂妄症3分钟诊断评估进行狂妄症评估.
- 多变量回归分析以确定风险因素和死亡率关联.
主要成果:
- 在14.2% (651/4589) 的COVID-19患者中发现了 Delirium.
- 妄想的独立风险因素包括晚年,AST/ALT比率升高,低Mg2+,高血尿素,和静止尿道导管.
- 狂妄症与增加住院死亡风险显著相关 (OR=2.42).
结论:
- 痴呆症是住院COVID-19患者的常见并发症,与不良结果相关.
- 识别和管理可修改的风险因素对于减少妄想发病率及其长期后果至关重要.
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