胃肠病学/肝病学部门 Delirium 的流行:一个横截面研究
Ronja Pazouki1, Peter Hasselblatt2, Christiane Kugler1
1Institute of Nursing Science, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
概括
胃肠病学和肝病学部门的 Delirium 患病率为 18.1%,肝病患者的风险没有增加. 关键的关联包括年龄较大,住院时间较长,以及痴呆症等并发症.
科学领域:
- 内部医学 内部医学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 痴呆症影响22%的急性护理患者.
- 与痴呆症相关的肝脑病变影响了30-40%的肝硬化患者.
- 在胃肠道学/肝病学中 Delirium 的患病率是未知的.
研究的目的:
- 确定胃肠病学/肝病学住院患者 Delirium 的流行率.
- 分析妄想运动子类型.
- 评估 Delirium 与患者特征的关联.
主要方法:
- 单心,横截面的流行病学研究.
- 在德国三所大学医院的三个单位进行了六个评估时间点.
- 使用4"As"测试 (4AT) 妄和妄电机亚型尺度.
主要成果:
- 在188名患者 (平均年龄64岁) 中,狂妄症的患病率为18.1%.
- 年龄≥65.5岁的患者中,患病率为26.0%.
- 与年龄,更长的住院时间,脑血管疾病,痴呆症和糖尿病相关的 Delirium; 不与肝脏疾病的严重程度相关.
结论:
- 在胃肠道学/肝病学中 Delirium 的患病率并不高.
- 肝病的严重程度与妄的患病率没有相关性.
- 在这个人群中,妄想症的危险因素包括年龄和并发症.
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