Lauffer-Vogt Stefan Urs, Hediger Hannele, Lauener Susanne Knüppel, Schubert Maria
Klinik für Plastische Chirurgie und Handchirurgie, Klinik für Traumatologie, Universitätsspital Zürich, Schweiz.
Institut für Pflege, Departement Gesundheit, Zürcher Hochschule für Angewandte Wissenschaften, Winterthur, Schweiz.
Pflege. 2024 Apr;37(2):89-97. doi: 10.1024/1012-5302/a000965. Epub 2023 Nov 24.
The use of the DOS and Delirium Prevalence: a quantitative longitudinal study at a Swiss-German central hospital With a prevalence of 12-64%, delirium is a common complication in acute care, associated with negative outcomes such as increased mortality and prolonged length of stay. Many hospitals have guidelines to improve the delirium management. The Delirium Observation Screening Scale (DOS) Score is collected in the study hospital from all patients ≥ 70 years at each shift for at least 3 days. Delirium is diagnosed by a physician and coded according to ICD-10. Evaluation of the delirium screening with the DOS according to internal guideline in terms of number of DOS assessments performed, prevalence of delirium (DOS score ≥ 3 points, CD-10 code delirium). This retrospective quantitative single-centre longitudinal study used 2017 and 2018 data of 10046 cases. Statistical analysis methods were used to analyse prevalence of delirium and subgroup comparisons. At least one DOS score was documented in 92% of cases aged ≥ 70-years (n = 5038). DOS implementation varied between 60% in the early, 49% in the late and 38% in the night shift. The prevalence of delirium was 12% according to DOS score ≥ 3 and 4% according to physician diagnosis of a delirium. Cases with a DOS score ≥ 3 were significantly older, more often female, had more comorbidities and were depressed. DOS is performed in most patients when indicated. The DOS implementation frequency varied depending on the shift.
谵妄观察筛查量表（DOS）的使用及谵妄患病率：瑞士德语区一家中心医院的定量纵向研究 谵妄是急性护理中常见的并发症，患病率为12% - 64%，与死亡率增加和住院时间延长等不良后果相关。许多医院都有改善谵妄管理的指南。在研究医院，对所有70岁及以上患者每次班次至少连续3天收集谵妄观察筛查量表（DOS）评分。由医生诊断谵妄并根据国际疾病分类第十版（ICD - 10）进行编码。根据内部指南，从进行的DOS评估数量、谵妄患病率（DOS评分≥3分，ICD - 10编码为谵妄）方面对使用DOS进行的谵妄筛查进行评估。这项回顾性定量单中心纵向研究使用了2017年和2018年10046例病例的数据。采用统计分析方法分析谵妄患病率及亚组比较。在92%的70岁及以上病例（n = 5038）中记录了至少一次DOS评分。DOS实施率在早班为60%，中班为49%，夜班为38%。根据DOS评分≥3分，谵妄患病率为12%，根据医生诊断的谵妄患病率为4%。DOS评分≥3分的病例年龄显著更大，女性更常见，合并症更多且有抑郁症状。在有指征时，大多数患者进行了DOS评估。DOS实施频率因班次而异。
