Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Anaesthesia. 2022 Jan;77 Suppl 1:49-58. doi: 10.1111/anae.15627.
Delirium is a common condition affecting hospital inpatients, including those having surgery and on the intensive care unit. Delirium is also common in patients with COVID-19 in hospital settings, and the occurrence is higher than expected for similar infections. The short-term outcomes of those with COVID-19 delirium are similar to that of classical delirium and include increased length of stay and increased mortality. Management of delirium in COVID-19 in the context of a global pandemic is limited by the severity of the syndrome and compounded by the environmental constraints. Practical management includes effective screening, early identification and appropriate treatment aimed at minimising complications and timely escalation decisions. The pandemic has played out on the national stage and the effect of delirium on patients, relatives and healthcare workers remains unknown but evidence from the previous SARS outbreak suggests there may be long-lasting psychological damage.
谵妄是一种常见的疾病，影响住院患者，包括手术患者和重症监护病房患者。在医院环境中，COVID-19 患者也常见谵妄，其发生率高于类似感染。COVID-19 谵妄患者的短期结局与经典谵妄相似，包括住院时间延长和死亡率增加。在全球大流行的背景下，COVID-19 患者的谵妄管理受到综合征严重程度的限制，并因环境限制而更加复杂。实用的管理包括有效的筛查、早期识别和适当的治疗，旨在最小化并发症并及时做出升级决策。大流行在国家舞台上展开，谵妄对患者、亲属和医护人员的影响尚不清楚，但从之前 SARS 爆发的证据表明，可能存在持久的心理损伤。
