Bourgeois James A, Hilty Donald M, Wegelin Jacob A, Hales Robert E
Deparment of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, 2230 Stockton Blvd., Sacramento, CA 95817, USA.
Psychosomatics. 2006 Sep-Oct;47(5):414-20. doi: 10.1176/appi.psy.47.5.414.
Authors reviewed consecutive charts of 155 cognitive-disorder patients from a psychosomatic medicine service in 2001, analyzing factors of age, cognitive-disorder diagnosis, and length of stay. Mean length of stay for this cohort exceeded the typical hospital length of stay, and decreased with age. Increased age was associated with a decreased probability of a delirium-only diagnosis, and was strongly associated with an increased probability of a dementia diagnosis. Among those with dementia, the probability of having an additional diagnosis of delirium was unrelated to age. The case-mix of cognitive disorders differs with age, whereas cognitive disorders are associated with increased length of stay for adult patients of all ages.
作者回顾了2001年来自身心医学科的155例认知障碍患者的连续病历,分析了年龄、认知障碍诊断和住院时间等因素。该队列的平均住院时间超过了典型的医院住院时间,且随年龄增长而减少。年龄增加与仅诊断为谵妄的概率降低相关,且与痴呆诊断概率增加密切相关。在患有痴呆症的患者中,额外诊断为谵妄的概率与年龄无关。认知障碍的病例组合随年龄而异,而认知障碍与所有年龄段成年患者的住院时间延长相关。