住院的老年人患有COVID-19的 Delirium:一个横截面队列研究
Nida Munawar1,2, Enas Mohamed1, Cliona Ni Cheallaigh1,2
1St. James Hospital, Dublin, Ireland.
Irish journal of psychological medicine
|June 13, 2025
概括
患有COVID-19的老年人患妄想症的风险更高,特别是那些有认知障碍或虚弱的人. 这些患者的狂妄症会导致更长的住院时间和更大的出院后护理需求.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 老年人在COVID-19感染期间不成比例地受到妄的影响.
- 识别妄的危险因素对于管理住院的SARS-CoV-2老年患者至关重要.
研究的目的:
- 探索与COVID-19患者住院老年人痴呆症相关的危险因素.
- 评估妄作为这个患者队列中死亡率的独立预测因素.
主要方法:
- 对2020年3月至2021年期间入院的65岁以上患者的回顾性临床图表审查.
- 纳入标准:阳性SARS-CoV-2测试和65岁或以上的年龄.
主要成果:
- 痴呆症患者年龄较大,有更多的先前存在的认知障碍 (OR=3.97),更有可能是养老院居民 (OR=12.32).
- 在患有妄想症的患者中观察到更高的临床脆弱性和查尔森并发症指数得分.
- Delirium 与更长的住院时间 (40.5 vs 21 天) 和退院到养老院有关,但与住院死亡率无关 (p=0.13).
结论:
- 预先存在的危险因素增加了COVID-19患者 Delirium 的可能性.
- 痴呆症导致住院时间延长和功能衰退,需要更多的出院支持.
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