危急病患者的子综合症 Delirium-认知和功能长期结果
Maria Carolina Paulino1,2,3, Catarina Conceição2,4, Joana Silvestre1,5
1NOVA Medical School, New University of Lisbon, 1150-082 Lisbon, Portugal.
Journal of clinical medicine
|October 14, 2023
概括
在重症监护病房 (ICU) 中的子综合症 Delirium (SSD) 与更长的住院时间有关. 虽然大多数患者都会康复,但SSD可能会在出院后导致暂时的认知衰退.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 在重症监护室 (ICU) 中的副综合症 Delirium (SSD) 与增加的发病率有关.
- 患有SSD的ICU患者退院后的功能和认知结果尚不清楚.
研究的目的:
- 分析ICU患者在入院后的前72小时内精神状态及其轨迹.
- 评估SSD患者在医院出院后3个月和6个月的功能和认知结果.
主要方法:
- 一项前性多中心研究,涉及106名ICU患者.
- 在ICU入院后的前72小时内评估心理状态.
- 医院出院后3个月和6个月的后续评估,包括功能独立性和认知功能 (IQCODE-SF).
主要成果:
- SSD发生在24.5%的患者中,并且与更长的机械通风持续时间和ICU停留有关.
- 在出院3个月后,66.7%的SSD患者在日常生活中独立,认知功能改善了6个月.
- 在SSD患者中,存活率在3个月后为100%,在6个月后为87.5%.
结论:
- 在ICU中的早期亚综合征性妄与更糟糕的结果有关,特别是在出院后3个月的暂时认知能力下降.
- 认知功能在6个月的随访期内有所改善.
- 强调在ICU停留期间早期识别和预防SSD的重要性.
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