危急病的老年患者 Delirium 的发生和预测因素:一项前性队列研究
Rita Martins1, Sónia Martins2,3, Raquel Correia4
1Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
Porto biomedical journal
|December 14, 2023
概括
以前的认知能力下降显著增加了危急病的老年人妄的风险. 早期识别这种风险因素对于及时实施预防策略至关重要.
科学领域:
- 老年病的医生 老年病的医生
- 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:
- 妄想症是重病老年患者常见的并发症.
- 识别妄的预测因素对于有效的管理和预防至关重要.
研究的目的:
- 分析危急病的老年患者 Delirium 的发生情况.
- 为了在这个人群中确定妄想的独立预测因素.
主要方法:
- 对105名危急病的老年患者进行前性研究.
- 排除标准包括严重的认知障碍,TBI和绝症.
- 使用混评估方法简单表格 (CAM-4) 评估的妄想.
主要成果:
- 36.2%的患者经历过妄想.
- 以前的认知能力下降 (48.6%对19.6%,P=.04) 和严重的依赖与妄想有关.
- 以前的认知衰退是一个独立的预测因素 (OR:4.663,P=.042).
结论:
- 认知能力下降是老年ICU患者痴呆症的重要独立预测因素.
- 这些发现支持高风险个体的早期查和预防策略.
- 需要对更大,更多样化的样本进行进一步的研究.
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