没有像家一样的地方:痴呆症作为老年创伤障碍的障碍
Abdoulaziz Toure1, Roshan Tadi1, Mitchell Meagher1
1Department of Surgery, Arnot Ogden Medical Center, Elmira, New York.
The Journal of surgical research
|September 21, 2023
概括
老年创伤患者的 Delirium 与吸毒和尿路感染有关. 识别这些因素可能有助于减少住院时间,改善出院结果.
科学领域:
- 老年人创伤护理 创伤护理
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
背景情况:
- 痴呆症显著增加了重症监护室 (ICU) 患者的死亡率和发病率.
- 长期的后果包括认知能力下降,失去自主权和制度化.
- 有限的研究存在于妄,特别是在老年创伤患者.
研究的目的:
- 为了确定老年创伤患者痴呆的预测因素.
- 了解先前存在的疾病,药物和妄想发展之间的关联.
- 为减轻妄想风险和改善患者治疗结果的策略提供信息.
主要方法:
- 回顾老年创伤患者 (>65岁) 的回顾性评估,有记录的脆弱性得分.
- 使用单变量和多变量逻辑回归来比较患有 Delirium 和没有 Delirium 的患者.
- 排除标准包括缺乏脆弱性得分或入院前死亡.
主要成果:
- 痴呆症发生在3%的患者中 (40/1317).
- 狂妄症与药物查结果呈阳性,受伤严重程度得分较高,住院/ICU时间较长有关.
- 尿路感染和限制使用与妄想有显著的联系;二和麻醉剂使用更频繁.
结论:
- 在入院前使用受控物质,尿路感染和长时间在ICU住院是老年创伤患者 Delirium 的关键预测因素.
- 识别可修改的风险因素可能会减少逗留时间.
- 针对这些因素的干预措施可以改善出院处置并降低住院率.
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