老年综合医学科谵妄住院患者的风险因素。
Risk factors in delirious geriatric general medical inpatients.
机构信息
PARAMJEET SINGH KHURANA, M.D., Senior Resident, Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh
出版信息
Indian J Psychiatry. 2002 Jul;44(3):266-72.
Abstract
The present study was carried out on the hospitalized geriatric general medical patients with the aim to identify the possible risk factors associated with delirium in the elderly. The assessment of the patients was carried out using Mini Mental Status Examination (MMSE), Delirium Symptom Interview (DSI), Delirium Rating Scale (DRS) and ICD-10 Diagnostic Criteria for Research for delirium Details of medical records were collected. An overall rate of delirium of 27% was found in the 100 patients who constituted the sample. Pre-existing cognitive deficits, neurological illnesses, urinary tract infections, visual impairment, hearing impairment, current proteinuria, leukocytosis, raised blood ammonia, hyponatremia and potassium level disturbances were the risk factors identified.
摘要
本研究对住院老年综合医学患者进行了研究，目的是确定与老年人谵妄相关的可能危险因素。使用简易精神状态检查表 (MMSE)、谵妄症状访谈 (DSI)、谵妄评定量表 (DRS) 和国际疾病分类-10 研究性诊断标准对患者进行评估，并收集了病历详细信息。在构成样本的 100 名患者中，发现谵妄的总体发生率为 27%。确定的危险因素包括：先前存在的认知缺陷、神经疾病、尿路感染、视力障碍、听力障碍、当前蛋白尿、白细胞增多、血氨升高、低钠血症和钾水平紊乱。
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