Komici Klara, Guerra Germano, Addona Franco, Fantini Carlo
Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.
Department of Mental Health, ASREM, Antonio Cardarelli Hospital, 86100 Campobasso, Italy.
Healthcare (Basel). 2022 Aug 15;10(8):1544. doi: 10.3390/healthcare10081544.
Delirium is an important component of the geriatric syndromes and has been recognized to negatively influence the prognosis of older people in hospital and in a post-acute setting. About 2-5% of older people world-wide live in nursing homes and are characterized by functional impairment, cognitive decline, dementia, comorbidities, and polypharmacotherapy, all factors which influence the development of delirium. However, in this setting, delirium remains often understudied. Therefore, in this narrative review, we aimed to describe the latest evidence regarding delirium screening tools, epidemiology characteristics, outcomes, risk factors, and preventions strategies in nursing homes.
谵妄是老年综合征的一个重要组成部分，并且已被认识到会对住院及急性后期环境中的老年人预后产生负面影响。全球约2%-5%的老年人居住在养老院，其特点是功能障碍、认知衰退、痴呆、合并症和多重药物治疗，所有这些因素都会影响谵妄的发生。然而，在这种环境下，谵妄往往仍未得到充分研究。因此，在这篇叙述性综述中，我们旨在描述有关养老院中谵妄筛查工具、流行病学特征、结局、危险因素及预防策略的最新证据。
