在老年门诊患者中 Delirium 的预后
Daisy Wp Quispel-Aggenbach1,2, Sytse U Zuidema1, Hendrika J Luijendijk1
1Department of Primary and Long-term Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
概括
老年门诊患者的 Delirium 预后不好,超过一半的患者在三个月后无法恢复认知功能或日常生活能力. 建议对这种脆弱人群的风险因素进行进一步的研究.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经精神病学是一种神经精神病学.
- 认知神经学 认知神经学
背景情况:
- 妄想是一种普遍和严重的神经精神疾病,特别是在老年人中.
- 在老年门诊患者中,特别是那些住在家里的人中,痴呆症的长期结果和预后仍未得到充分研究.
- 这项研究调查了老年人参加记忆诊所的 Delirium 的预后.
研究的目的:
- 为了评估老年门诊患者妄的三个月预后.
- 评估认知功能,日常生活活动,以及痴呆症后的住所状态.
- 为了确定痴呆症诊断率的潜在变化,在痴呆症发作后.
主要方法:
- 一组85名诊断为痴呆症的门诊患者被跟踪了三个月.
- 收集的数据包括妄想状态,新的痴呆症诊断,认知和功能状态以及生活安排.
- 最初有17名患者已经被诊断患有痴呆症.
主要成果:
- 三个月后,53%的患者从妄想中恢复过来,而22.4%的患者出现了持续或反复的症状.
- 再次检查的患者中没有人报告认知能力完全恢复到狂妄前的水平;日常功能也显示出最小的改善.
- 确诊痴呆症的发病率上升至63.8%,28.1%的患者被转移到养老院.
结论:
- 老年门诊患者的 Delirium 与显著差的预后有关.
- 持续的认知缺陷和功能衰退是常见的后果.
- 需要进一步调查影响社区老年人痴呆症预后的危险因素.
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