长期护理居民可能 Delirium 后的长期认知障碍:一个基于人口的回顾性队列研究
Colleen Webber1,2,3, Christina Milani2, Michael Pugliese3
1Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Journal of the American Geriatrics Society
|November 20, 2023
概括
痴呆症显著恶化认知能力,并增加了长期护理居民的死亡率,在发作后几个月. 预防妄想对于这个脆弱的人群至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 痴呆症对长期护理 (LTC) 住院居民的长期认知影响尚未得到充分研究.
- 这项研究调查了LTC居民1年后痴呆症后的认知变化.
研究的目的:
- 为了比较LTC居民的认知变化,可能有 Delirium 和没有 Delirium.
- 评估痴呆症诊断是否会改变妄对认知的影响.
主要方法:
- 基于人口的回顾性队列研究,使用加拿大安大略省的链接卫生行政数据.
- 包括65岁以上的成年人在LTC中,在2016-2018年间进行评估.
- 通过临床评估协议确定了可能的妄想;认知能力每季度使用认知表现量表来测量.
主要成果:
- 在92,005名LTC居民中,3.1%的人患有可能的妄想.
- 在发作1-12个月后,妄想增加了认知能力下降的几率 (aORs 1.50-1.64).
- 伴随性痴呆症显著放大了认知能力下降的风险 (aOR 5.57). 狂妄症也增加了1年死亡风险 (52.5%对23.4%).
结论:
- 可能的妄想与持续的认知衰退和LTC居民的较高死亡率有关.
- 预防妄想的干预措施可以减轻这一群体的不良结果.
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