痴呆症及其与医疗住院患者的短期和长期健康结果的关联:一项前性研究
Aisha Ramadhan Al Huraizi1, Juhaina Salim Al-Maqbali2,3, Rajaa Saleh Al Farsi4
1Department of Medicine, Sultan Qaboos University Hospital, Muscat 123, Oman.
Journal of clinical medicine
|August 26, 2023
概括
痴呆症显著影响住院的老年患者,导致住院时间更长和死亡率增加. 早期检测和干预对于改善患者的结果和减少严重的健康后果至关重要.
科学领域:
- 老年医学 老年医学
- 关键护理医学 关键护理医学
- 内部医学 内部医学
背景情况:
- 痴呆症是住院老年患者的常见和严重疾病.
- 它在各种医疗保健环境中显著影响患者的健康结果.
研究的目的:
- 评估与老年住院患者的妄想相关的短期和长期健康结果.
- 确定痴呆症对死亡率和医院资源利用率的临床影响.
主要方法:
- 一项前性队列研究包括284名65岁及以上的医疗病患者.
- 使用3分钟诊断混评估方法 (3D-CAM) 选 Delirium.
主要成果:
- 超过一半的患者 (53.8%) 在住院期间经历过妄想.
- 狂妄症与更长的住院时间,ICU/HDU入院次数的增加,以及医院获得并发症的更高率有关.
- 与没有妄想症的患者相比,患有妄想症的患者在住院,90天和1年的全因死亡率显著更高.
结论:
- 痴呆症与严重的短期和长期不良临床后果有关.
- 迅速识别,预防和管理妄的可逆风险因素至关重要.
- 需要进行进一步的研究,以制定一般医疗病房有效的妄想管理策略.
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