Tang Hsin-Ju, Tang Hsin-Yi Jean, Hu Fang-Wen, Chen Ching-Huey
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC; Medical Intensive Care Unit, Chi-Mei Medical Center, Tainan, Taiwan, ROC.
School of Nursing, University of Washington, Seattle, WA 98195-7263, USA.
Geriatr Nurs. 2017 May-Jun;38(3):219-224. doi: 10.1016/j.gerinurse.2016.10.011. Epub 2016 Nov 29.
Nearly 90% of the older adult patients discharged from hospital with a cluster of geriatric syndromes. The patterns of geriatric syndromes in older adult ICU survivors are to be further explored. The aim of this study was to examine the risk factors and patterns of geriatric syndromes among older adult patients before admitting to ICU and throughout their hospitalization. A total of 137 older adult patients (age 76.9 ± 6.6; 52.6% male) participated in the study. The results showed significant increase in the occurrence of geriatric syndromes from T0 (upon ICU admission) to T1 (transition to inpatient care unit), with improvement at T2 (hospital discharge), but did not return to the baseline. The three most prevalent geriatric syndromes were: functional decline, urination incontinence, and defecation incontinence. Polypharmacy was associated with functioning decline. Patients with delirium were six times more likely to be re-admitted to ICU.
近90%的老年患者出院时伴有一系列老年综合征。老年重症监护病房（ICU）幸存者的老年综合征模式有待进一步探索。本研究的目的是检查老年患者在入住ICU之前及整个住院期间老年综合征的危险因素和模式。共有137名老年患者（年龄76.9±6.6；52.6%为男性）参与了该研究。结果显示，从T0（入住ICU时）到T1（转入住院护理单元）老年综合征的发生率显著增加，在T2（出院时）有所改善，但未恢复到基线水平。三种最常见的老年综合征是：功能衰退、尿失禁和大便失禁。多重用药与功能衰退有关。谵妄患者再次入住ICU的可能性高出六倍。
