Farmer Sarah, Magnúsdóttir Halldóra, Skjelbo Erik Frandsen
Skjelbo Odense Universitetshospital, Afdeling G.
Ugeskr Laeger. 2006 Aug 28;168(35):2906-10.
The aim of this study was to determine the prevalence of delirium based on the CAM scale in a geriatric ward in a university hospital. This paper describes the numbers of predisposing and precipitating factors are compared with the development of delirium. Finally, we present a discussion about treatment and prophylaxis.
Over a period of eight weeks, all newly admitted patients were interviewed and scored with CAM. The numbers of predisposing and precipitating factors were registered. Finally, the treatment was focused upon.
270 patients were admitted, 222 patients were interviewed and 48 patients were excluded. The prevalence of delirium was 7%. We were unable to find a correlation between risk factors or precipitating factors and delirium for this population.
The prevalence of 7% is a satisfying result. There is a discrepancy between diagnosing delirium with CAM and the doctors' routine. All patients must be considered as high-risk patients. Treatment has not been completely standardised.
本研究旨在通过CAM量表确定某大学医院老年病房中谵妄的患病率。本文描述了诱发因素和促发因素的数量,并与谵妄的发生情况进行比较。最后,我们对治疗和预防进行了讨论。
在八周的时间里,对所有新入院患者进行访谈并用CAM量表评分。记录诱发因素和促发因素的数量。最后,重点关注治疗。
共收治270例患者,访谈222例,排除48例。谵妄患病率为7%。我们未能在该人群中发现危险因素或促发因素与谵妄之间的相关性。
7%的患病率是一个令人满意的结果。使用CAM量表诊断谵妄与医生的常规诊断之间存在差异。所有患者都应被视为高危患者。治疗尚未完全标准化。