Geriatric Medicine, Umeå University, SE-901 87 Umeå, Sweden.
J Geriatr Psychiatry Neurol. 2012 Sep;25(3):162-9. doi: 10.1177/0891988712455221.
This study compares the symptom profile of patients with postoperative delirium after femoral neck fracture surgery in those with and without dementia. In this study, 129 patients of age ≥70 years (mean age ±SD, 86±6 yr, 72% women) with postoperative delirium, were included. Delirium and dementia were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria. Of the 129 patients with delirium, 54 (42%) had a dementia disorder. Patients with delirium superimposed on dementia more often had any hyperactive and pure emotional delirium. Communication difficulties and symptoms such as restlessness/agitation, aggressive behavior, and irritability were more commonly found in the dementia group. In contrast, patients with delirium but without dementia were more often diagnosed with pure hypoactive and any psychotic delirium. The symptom profile of postoperative delirium varies according to whether it occurs in patients with or without dementia. This may indicate that postoperative delirium among patients with hip fracture differs based on the presence or absence of dementia.
本研究比较了股骨颈骨折手术后并发术后谵妄的患者中痴呆与非痴呆患者的症状特征。在本研究中，纳入了 129 名年龄≥70 岁（平均年龄±标准差，86±6 岁，72%为女性）的术后谵妄患者。谵妄和痴呆的诊断依据为《精神障碍诊断与统计手册》（第四版）标准。在 129 名谵妄患者中，54 名（42%）存在痴呆障碍。并发痴呆的谵妄患者更常出现任何活动过度和单纯情感性谵妄。认知障碍组更常出现交流困难和激越/躁动、攻击行为和易怒等症状。相比之下，无痴呆的谵妄患者更常被诊断为单纯活动不足和任何精神病性谵妄。术后谵妄的症状特征根据是否发生在痴呆或非痴呆患者中而有所不同。这可能表明髋部骨折患者的术后谵妄根据是否存在痴呆而有所不同。
