老年人住院期间新发狂妄症:发生率和危险因素
Rodrigo Lami Pereira1, Leyla Bojanini Molina2, Kaeli Wilger3
1Department of Anesthesia, Mayo Clinic Florida, Jacksonville, FL, USA.
Hospital practice (1995)
|October 6, 2023
概括
痴呆症影响到10%的老年住院患者. 较长的住院时间增加了妄想风险,突出了缩短住院时间和降低患者风险的策略的需要.
科学领域:
- 老年医学 老年医学
- 医院 医院 医疗 医疗 医疗 医疗
- 关键护理医学 关键护理医学
背景情况:
- 痴呆症是住院患者常见的临床诊断.
- 识别风险因素和发病率对于患者护理至关重要.
- 老年人特别容易患上医院获得的妄想症.
研究的目的:
- 为了确定住院期间65岁以上患者新发狂妄的发病率.
- 为了确定与这种人群中痴呆症发展相关的因素.
主要方法:
- 在第三级护理教学医院进行的回顾性研究.
- 从2018年11月到12月对患者病历进行评估.
- 排除65岁以下或有先前妄症的患者;使用特定的搜索术语来识别病例.
主要成果:
- 在65岁以上的患者中,新发狂妄的发生率为10%.
- 痴呆症与死亡率 (p=0.0028) 和疾病严重程度 (p=0.014) 的增加有关.
- 在逗留时间 (LOS) 和妄想发病率之间观察到显著的相关性.
结论:
- 较长的LOS与 Delirium 的更高发生率有很强的相关性.
- 需要创新策略来缩短LOS,以减少老年住院患者的妄想风险.
- 这一发现强调了在老年护理中主动管理妄症的重要性.
更多相关视频
05:15Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
104
06:58Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
7.4K
相关概念视频
Pneumonia I: Introduction
254
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
254
Factors Affecting the Risk of Infection
11.9K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.9K
Types of Reports II: Incident or Occurrence Report
843
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
843
Alzheimer's Disease: Overview
506
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
506
Cognitive Development During Adulthood
129
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
129
Psychological and Sociocultural Causes of Schizophrenia
96
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
96
