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综合医院联络精神病学服务中谵妄延迟识别的预测因素:来自印度北部的一项研究。

Predictors of delayed identification of delirium in a general hospital liaison psychiatry service: A study from North India.

机构信息

Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.

出版信息

Asian J Psychiatr. 2010 Mar;3(1):31-2. doi: 10.1016/j.ajp.2009.12.006. Epub 2010 Mar 5.

Abstract

OBJECTIVE

To assess the socio-clinical profile, treatment and outcome of patients diagnosed with ICD-10 delirium in a multi-specialty, tertiary care hospital setting.

METHOD

Eighty consecutive referrals to the Department of Psychiatry were evaluated for ICD-10 delirium. Information was extracted retrospectively by chart review and documented in a semi-structured proforma for CL patients.

RESULTS

Average time to referral was 5.3±9.1 (range=0-56) days. Prevalent delirium at admission, sleep-wake disturbance, and specialty of referral were significant predictors of delayed diagnosis.

CONCLUSIONS

Certain clinical variables that predict delayed identification of delirium in a hospital setting are targets for educational and clinical strategies designed to improve detection and management.

摘要

目的

评估在多专科三级保健医院环境中被诊断为 ICD-10 谵妄的患者的社会临床特征、治疗和结局。

方法

对精神科的 80 例连续转介患者进行 ICD-10 谵妄评估。通过病历回顾提取信息,并在 CL 患者的半结构化方案中记录。

结果

平均转介时间为 5.3±9.1(范围=0-56)天。入院时谵妄、睡眠-觉醒障碍和转介科室是延迟诊断的显著预测因素。

结论

某些预测医院环境中谵妄识别延迟的临床变量是针对旨在提高检测和管理的教育和临床策略的目标。

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