Singler K, Singler B, Heppner H J
Medizinische Klinik 2, Geriatrie, Klinikum Nürnberg.
Dtsch Med Wochenschr. 2011 Apr;136(14):681-4. doi: 10.1055/s-0031-1274563. Epub 2011 Mar 29.
Delirium occurs in 20 - 50 % of hospitalized elderly patients. An age > 65 years is one of the factors predisposing to the development of delirium, which is a common syndrome in geriatric medicine. Two clinical guidelines on this condition were published in 2010: NICE clinical guideline 103, "Delirium: diagnosis, prevention, management" and the German guideline "S3-Leitlinie Analgesie, Sedierung und Delirmanagement in der Intensivmedizin". The article gives an overview of new aspects of delirium in the clinical context.
20%至50%的住院老年患者会发生谵妄。年龄大于65岁是易引发谵妄的因素之一,谵妄是老年医学中的常见综合征。2010年发布了关于这种情况的两项临床指南:英国国家卫生与临床优化研究所(NICE)临床指南103《谵妄:诊断、预防、管理》和德国指南《重症医学中镇痛、镇静及谵妄管理S3指南》。本文概述了临床背景下谵妄的新情况。