[在急诊室发生 Delirium 的发生率和相关因素]
Jorge Ayón-Aguilar1, Laura Serrano-Vértiz2, Fernando Vladimir Quiroz-Lara3
1Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Puebla, Coordinación Auxiliar Médica de Investigación en Salud. Puebla, Puebla, México.
Delirium 影响超过 43% 的老年急诊室患者,比之前报告的更高的发病率. 在这项研究中,没有发现常见的并发症和痴呆症的发展之间存在显著的关联.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 神经科学是一个神经科学.
背景情况:
- 妄想综合征的特征是认知,注意力,意识和感知的快速,不可预测的变化.
- 大约20%的65岁以上住院患者出现并发症,墨西哥的发病率为12%.
研究的目的:
- 为了确定在急诊室 (ED) 中 Delirium 的发生率.
- 为了确定与ED中老年患者 Delirium 相关的因素.
主要方法:
- 进行了一项前性研究,包括169名65岁及以上的患者入院ED.
- 混评估方法 (CAM) 尺度被用于评估妄想发病率.
- 数据分析包括描述性和推断性统计 (奇二测试).
主要成果:
- 该研究包括92名女性患者 (56.3%),平均年龄为77岁.
- 发现妄想的发生率为43.8%.
- 相关的并发症包括感染 (22.48%),心律失常 (7.10%) 和心脏病 (5.91%),但没有一个与妄想有统计学意义的关联.
结论:
- 在这个ED队列中, Delirium 发病率高于现有文献中报告的.
- 没有统计学上显著的关联被确定在研究的病理和 Delirium 的发生.
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