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重症监护病房中既往存在的认知障碍及相关行为症状的检测与管理。

Detection and management of pre-existing cognitive impairment and associated behavioral symptoms in the Intensive Care Unit.

作者信息

Lee Hochang B, DeLoatch Candyce J, Cho SeongJin, Rosenberg Paul, Mears Simon C, Sieber Frederick E

机构信息

Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD 21287-5371, USA.

出版信息

Crit Care Clin. 2008 Oct;24(4):723-36, viii. doi: 10.1016/j.ccc.2008.05.006.

Abstract

Recent increase in both the elderly population and associated incidence of dementia are of critical importance to patient care in ICUs in the United States. Identification of pre-existing cognitive impairment, such as mild cognitive impairment and dementia, could prevent delirium and associated morbidity and mortality in the ICU. Additionally, noncognitive behavioral symptoms, such as depression, psychosis, agitation, and catastrophic reactions, are common in patients with pre-existing cognitive impairment. Detection and management of noncognitive behavioral symptoms associated with MRI and dementia in ICU leads to improved delivery of life-saving critical care.

摘要

美国老年人口的近期增长以及相关痴呆症发病率的上升对重症监护病房(ICU)的患者护理至关重要。识别先前存在的认知障碍,如轻度认知障碍和痴呆症,可预防ICU中的谵妄以及相关的发病率和死亡率。此外,非认知行为症状,如抑郁、精神病、躁动和灾难性反应,在先前存在认知障碍的患者中很常见。在ICU中检测和管理与MRI和痴呆症相关的非认知行为症状可改善挽救生命的重症护理服务。

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