在肝移植接受者中妄的纵向评估
Jessica M Ruck1, Alexis A Jefferis1, Mayan Teles1
1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
概括
痴呆症影响了超过一半的肝移植患者,在重症监护室转移后经常持续存在. 在手术室的例行查对于更好的移植后护理至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
背景情况:
- 较短的重症监护室 (ICU) 停留时间减少了肝移植患者的妄想查.
- 在目前的肝移植人群中,了解妄风险和特征是有限的.
研究的目的:
- 为了评估肝移植接受者的 Delirium 患病率.
- 在ICU住院,手术室住院和整体住院期间评估 Delirium.
主要方法:
- 50名肝移植接受者每天接受 Delirium 评估.
- 使用的4AT和混评估方法 (CAM) 工具.
- 评估发生在移植前,直到移植后的第14天或出院.
主要成果:
- Delirium 的患病率是整体的 58%,ICU 的 47%,以及手术室的 43%.
- 9名参与者 (31%) 仅在手术室床上出现妄.
- Delirium 与显著更长的移植住院 (16 vs 8 天) 相关.
结论:
- Delirium 在肝移植接受者中非常普遍,超出了ICU.
- 在手术室进行例行妄评估对于优化移植后护理至关重要.
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