痴呆症对医院间转移结果的影响
Meghan K Thomas1, Benjamin Kalivas, Jingwen Zhang1
1From the Departments of Medicine.
Southern medical journal
|February 2, 2024
概括
患有妄想症的患者在医院之间转移,面临更长的住院时间,更高的死亡率和更高的出院到医院的可能性. 这凸显了联合医院间转移和妄的关键影响.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 患者护理 患者护理
背景情况:
- 医院间转移 (IHT) 和医院内 Delirium 是独立地与不良患者结果相关的.
- 这些结果包括延长停留时间 (LOS),增加死亡率和更高的离院率.
研究的目的:
- 调查医院间转移和医院内妄想对患者结果的综合影响.
- 分析对住院时间,出院安排和住院死亡率的影响.
主要方法:
- 一个回顾性队列研究25886成人入院在高等保健学术医疗中心.
- 用多变量逻辑和线性回归模型来评估结果.
- 根据入院类型 (ED与IHT) 和妄想状态,患者被分为四组.
主要成果:
- 与没有妄想的ED入院相比,患有妄想的医院间转移显著增加了出院到医院的几率 (4.48倍).
- 患有IHT和妄症的患者经历了1.97倍更长的LOS.
- 在IHT和痴呆症患者中,住院死亡率是IHT和痴呆患者的3.60倍.
结论:
- 医院间转移和妄想之间的相互作用在患者护理中构成了复杂的挑战.
- 患有IHT和住院妄想的患者存在较长时间的LOS,设施出院和死亡的风险.
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