在综合病房的老年患者中, Delirium 与痴呆症的风险因素叠加在一起
Qifan Xiao1, Suqiao Zhang1, Chenlu Li2
1International Department of China-Japan Friendship Hospital, Beijing, China.
American journal of Alzheimer's disease and other dementias
|October 9, 2023
概括
在住院期间,老年痴呆症患者中 Delirium 是常见的. 关键的危险因素包括糖尿病,脑血管疾病,疼痛,镇静剂使用和低超氧化物失调酶 (SOD) 水平,有助于预测.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 关键护理医学 关键护理医学
背景情况:
- 在住院的老年痴呆患者中, Delirium 是一个重大问题.
- 识别风险因素对于及时干预和改善患者结果至关重要.
研究的目的:
- 为了确定患有老年痴呆症的住院患者 Delirium 的发生率.
- 在这个人群中确定与妄想相关的独立风险因素.
主要方法:
- 对157名认知障碍的老年患者进行了回顾性分析.
- 多变量逻辑回归用于识别妄想的风险因素.
- 开发和验证一个预测名ogram模型.
主要成果:
- 在157名患者中,有42名患者在住院期间发病妄症.
- 确定了独立的风险因素:糖尿病,脑血管疾病,视觉模拟量表 (VAS) 评分≥4,镇静药物使用和血液超氧化物失调酶 (SOD) <129 U/mL.
- 预测性诺米图显示出高精度 (AUC = 0.875) 和良好的临床效用.
结论:
- 糖尿病,脑血管疾病,明显的疼痛 (VAS ≥4),镇静剂的使用和低SOD水平是住院痴呆症患者痴呆症的关键预测因素.
- 开发的诺莫格拉姆模型为预测妄想风险提供了有价值的临床应用.
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