在乘坐救护车抵达急诊室时, Delirium 的患病率和危险因素
Hideaki Sakuramoto1, Jumpei Onuma2, Shogo Uno2
1Department of Critical Care and Disaster Nursing, Japanese Red Cross Kyushu International College of Nursing, Munakata, JPN.
Cureus
|March 31, 2025
概括
痴呆症影响大约20%的急诊室患者. 风险因素包括老年,痴呆,精神疾病,低格拉斯哥昏迷表得分和氧气治疗需求.
科学领域:
- 紧急医疗 紧急医疗
- 老年病的医生 老年病的医生
- 神经科学是一个神经科学.
背景情况:
- 妄想是一种急性,波动的注意力和意识障碍,通常表明急性疾病中的器官功能障碍.
- 以前的研究表明,8.3%的老年ER患者患有妄想症,痴呆症和年龄是危险因素.
- ER结构和疾病集群可能会影响妄的流行率和危险因素.
研究的目的:
- 为了确定到达急诊室 (ER) 时 Delirium 的流行率.
- 为了确定关键的风险因素与ER患者 Delirium 相关.
主要方法:
- 在日本第三级护理急诊中心进行的探索性临床试验和回顾性队列研究.
- 包括在2023年4月至2024年3月期间被送往急诊室的1486名20岁以上的患者.
- 使用简要混评估方法评估妄;对12个显著变量的多变量分析.
主要成果:
- 在急救室到达时妄的患病率为20.3%.
- 确定了重要的危险因素:年龄 (OR 1.02),痴呆史 (OR 3.94),精神疾病 (OR 2.76),格拉斯哥昏迷表 (GCS) 较低的分数 (OR 0.34),需要氧气治疗 (OR 2.09).
结论:
- 大约有20%的患者出现在急诊室,患有 Delirium.
- 高龄,痴呆史,精神疾病,低GCS得分和氧气需求是神经发症的潜在危险因素.
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