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Underestimated factors may also precipitate delirium and can lead to the misinterpretation of frailty in these patients.被低估的因素也可能引发谵妄，并可能导致对这些患者虚弱状况的误判。
Clin Interv Aging. 2016 Jun 7;11:761-5. doi: 10.2147/CIA.S108822. eCollection 2016.
2
Association between frailty and delirium in older adult patients discharged from hospital.老年出院患者虚弱与谵妄之间的关联。
Clin Interv Aging. 2016 Jan 18;11:55-63. doi: 10.2147/CIA.S100576. eCollection 2016.
3
The impact of frailty on postoperative delirium in cardiac surgery patients.衰弱对心脏手术患者术后谵妄的影响。
J Thorac Cardiovasc Surg. 2015 Mar;149(3):869-75.e1-2. doi: 10.1016/j.jtcvs.2014.10.118. Epub 2014 Nov 4.
4
The impact of frailty and delirium on mortality in older inpatients.衰弱和谵妄对老年住院患者死亡率的影响。
Age Ageing. 2012 May;41(3):412-6. doi: 10.1093/ageing/afs021. Epub 2012 Mar 4.
5
Frailty and Geriatric Syndromes in Vascular Surgical Ward Patients.血管外科病房患者的衰弱与老年综合征
Ann Vasc Surg. 2016 Aug;35:9-18. doi: 10.1016/j.avsg.2016.01.033. Epub 2016 May 27.
6
Current factors of fragility and delirium in vascular surgery.血管外科中当前的脆弱性和谵妄因素。
Ann Vasc Surg. 2015 Jul;29(5):968-76. doi: 10.1016/j.avsg.2015.01.005. Epub 2015 Mar 11.
7
Revisiting the O complex: urinary incontinence, delirium and polypharmacy in elderly patients.重新审视O综合征：老年患者的尿失禁、谵妄与多重用药
CMAJ. 1997 Oct 15;157(8):1071-7.
8
Incomplete functional recovery after delirium in elderly people: a prospective cohort study.老年人谵妄后功能恢复不完全：一项前瞻性队列研究。
BMC Geriatr. 2005 Mar 17;5:5. doi: 10.1186/1471-2318-5-5.
9
[Drug-induced delirium].[药物性谵妄]
Ther Umsch. 2010 Feb;67(2):79-83. doi: 10.1024/0040-5930/a000015.
10
The Impact of Frailty on Mortality, Length of Stay and Re-hospitalisation in Older Patients with Atrial Fibrillation.衰弱对老年房颤患者死亡率、住院时间和再住院率的影响。
Heart Lung Circ. 2016 Jun;25(6):551-7. doi: 10.1016/j.hlc.2015.12.002. Epub 2015 Dec 18.

本文引用的文献

1
Interventions for preventing delirium in hospitalised non-ICU patients.预防住院非重症监护病房患者谵妄的干预措施。
Cochrane Database Syst Rev. 2016 Mar 11;3(3):CD005563. doi: 10.1002/14651858.CD005563.pub3.
2
Comparison of cognitive and neuropsychiatric profiles in hospitalised elderly medical patients with delirium, dementia and comorbid delirium-dementia.住院的患有谵妄、痴呆以及共病性谵妄-痴呆的老年内科患者的认知和神经精神特征比较
BMJ Open. 2016 Mar 8;6(3):e009212. doi: 10.1136/bmjopen-2015-009212.
3
Association between frailty and delirium in older adult patients discharged from hospital.老年出院患者虚弱与谵妄之间的关联。
Clin Interv Aging. 2016 Jan 18;11:55-63. doi: 10.2147/CIA.S100576. eCollection 2016.
4
Multicomponent delirium prevention: not as effective as NICE suggest?多组分谵妄预防：并不如 NICE 建议的那样有效？
Age Ageing. 2015 Nov;44(6):915-7. doi: 10.1093/ageing/afv120. Epub 2015 Aug 26.
5
Effect Estimation of an Innovative Nursing Intervention to Improve Delirium among Home-Dwelling Older Adults: A Randomized Controlled Pilot Trial.一项创新护理干预对改善居家老年人谵妄的效果评估：一项随机对照试验性研究
Dement Geriatr Cogn Dis Extra. 2015 Apr 25;5(1):176-90. doi: 10.1159/000375444. eCollection 2015 Jan-Apr.
6
Receiver Operating Characteristic (ROC) Curve Analysis for Medical Diagnostic Test Evaluation.用于医学诊断测试评估的受试者工作特征（ROC）曲线分析。
Caspian J Intern Med. 2013 Spring;4(2):627-35.
7
Delirium in elderly people.老年人谵妄。
Lancet. 2014 Mar 8;383(9920):911-22. doi: 10.1016/S0140-6736(13)60688-1. Epub 2013 Aug 28.
8
Subsyndromal delirium in older people: a systematic review of frequency, risk factors, course and outcomes.老年人亚综合征性谵妄：频率、风险因素、病程和结局的系统评价。
Int J Geriatr Psychiatry. 2013 Aug;28(8):771-80. doi: 10.1002/gps.3891. Epub 2012 Nov 5.
9
American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults.美国老年医学学会更新了老年人潜在不适当药物使用的 Beers 标准。
J Am Geriatr Soc. 2012 Apr;60(4):616-31. doi: 10.1111/j.1532-5415.2012.03923.x. Epub 2012 Feb 29.
10
Clinical characteristics and outcomes of hospitalized older patients with distinct risk profiles for functional decline: a prospective cohort study.住院老年患者具有不同功能下降风险特征的临床特点和结局：一项前瞻性队列研究。
PLoS One. 2012;7(1):e29621. doi: 10.1371/journal.pone.0029621. Epub 2012 Jan 4.

Underestimated factors may also precipitate delirium and can lead to the misinterpretation of frailty in these patients.

作者信息

İlhan Birkan, Tufan Fatih, Bahat Gülistan, Karan Mehmet Akif

机构信息

Division of Geriatrics, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

出版信息

Clin Interv Aging. 2016 Jun 7;11:761-5. doi: 10.2147/CIA.S108822. eCollection 2016.

DOI:10.2147/CIA.S108822
PMID:27354776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4908943/
Abstract
摘要