胸部外科手术中术后妄想的预测因素
Takashi Yaguchi1, Hideomi Ichinokawa2, Eiji Kirino3
1Department of General Thoracic Surgery, Juntendo University Shizuoka Hospital, 1129, Nagaoka, Izunokuni, Shizuoka-Prefecture, Japan.
General thoracic and cardiovascular surgery
|March 21, 2024
概括
高龄 (≥80岁),男性性别,脑血管疾病,高血压和吸烟是胸部手术后术后 Delirium 的关键预测因素. 识别这些因素可以帮助预防风险患者的妄想.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 精神病学是一个精神病学.
背景情况:
- 手术后妄想是胸部手术后的一个常见并发症.
- 确定预测因素对于患者管理和改善结果至关重要.
研究的目的:
- 为了确定手术后痴呆症的预测因素,在接受胸部手术的患者.
- 分析与术后妄想相关的术后发现.
主要方法:
- 对1674名在全身麻醉下进行胸部手术的患者 (2012-2022) 的回顾性研究.
- 经过手术后的妄想,由精神病学家使用混乱评估方法诊断.
主要成果:
- 手术后狂妄症的发生率为5.9% (99/1674).
- 确定了重要的预测因素:年龄≥80岁,男性性别,脑血管疾病史,高血压和吸烟.
- 没有这五种危险因素的患者患狂妄症的风险为0%.
结论:
- 年龄,男性性别,脑血管疾病,高血压和吸烟是胸部手术后术后 Delirium 的重要预测因素.
- 患有这些风险因素的患者可能会从手术前的精神病学咨询中受益.
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