紧急病房患者的 Delirium 患病率:系统性审查和元分析
Yusi Wang1,2,3, Min Dai1,2,3, Xiaoli Chen1,2,3
1Department of Emergency Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Nursing in critical care
|August 14, 2024
概括
痴呆症影响15%的急诊室患者. 这一元分析强调了需要在紧急情况下加强查和妄的管理,以减少患者和家庭的痛苦.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 妄想是一种普遍存在的急性精神障碍,具有显著的不良结果.
- 在急诊室 (ED) 设置中,它经常被忽视,给患者和家人带来痛苦.
研究的目的:
- 系统地评估和元分析急诊患者中痴呆症的流行情况.
- 提供关于痴呆症患病率的见解,并指导其在EDS中的管理和预防.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和Medline数据库中进行了系统的搜索.
- 包括到2023年9月18日发表的关于ED患者痴呆症患病率的观察性研究.
- 用Stata 14.0进行了元分析,质量通过MINORS进行评估,出版偏差通过Egger的测试.
主要成果:
- 在13项研究中,包括33,839例病例,确定了3,082例妄想事件.
- 在ED患者中 Delirium 的总体患病率为 15% (95% CI: 0.100.20).
- 在65岁以上的患者中,患病率为12%,在18岁以上的患者中为17%.
结论:
- 这一元分析证实,在急诊室中妄的发病率为15%.
- 加强查和妄的管理对于紧急医疗人员至关重要.
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