痴呆症老年人死亡率相关因素:一项前性观察性研究
Yiğitcan Boran1, Yusuf Ali Altuncı1, Sercan Yalçınlı1
1Ege University Faculty of Medicine, Department of Emergency Medicine, Izmir, Turkey.
Geriatric nursing (New York, N.Y.)
|October 16, 2024
概括
在老年人呈现给急诊室的 Delirium 与显著的 3 个月死亡率有关. 关键的危险因素包括有 Delirium 的病史,活跃的癌症和呼吸率升高.
科学领域:
- 老年医学 老年医学
- 神经精神病学是一种神经精神病学.
- 临界护理医学 临界护理医学
背景情况:
- 妄想是一种严重的神经精神综合征,在临床环境中很常见,与高发病率和死亡率有关.
- 了解导致痴呆相关死亡的因素对于改善患者的治疗结果至关重要.
- 与狂妄症死亡率相关的具体因素仍未得到很好的定义.
研究的目的:
- 为了确定影响老年痴呆症患者3个月死亡率的因素.
- 调查患有妄想症的急诊室 (ED) 人群中死亡率的预测因素.
主要方法:
- 前性研究设计.前性研究设计.
- 使用简要的混评估方法 (bCAM) 进行 Delirium 查.
- 统计分析包括曼-惠特尼U,奇平方测试,斯皮尔曼相关性和多变量逻辑回归来确定3个月死亡率的风险因素.
主要成果:
- 总共有243名患者被纳入; 56.4%的患者经历了3个月的死亡率.
- 与死亡风险增加显著相关的因素包括先前的妄想史 (OR 3.32),活跃的恶性瘤 (OR 3.49) 和增加的呼吸速率 (OR 1.18).
- 增加的平均动脉压 (MAP) (OR 0.98) 和体温 (OR 0.48) 与死亡风险降低有关.
结论:
- 较高的呼吸速率,较低的MAP,较低的体温,活跃的恶性瘤和先前的妄想史是ED中妄想的老年人死亡风险增加的指标.
- 这些发现突出了风险分层和老年痴呆患者管理的关键因素.
- 早期识别这些风险因素可能会改善患者的治疗结果并降低死亡率.
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