Ngo Q, Böhringer D, Agostini H, Lapp T, Reinhard T
Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Augenzentrum, St. Franziskus-Hospital Münster, Münster, Deutschland.
Ophthalmologie. 2024 Oct;121(10):821-825. doi: 10.1007/s00347-024-02103-8. Epub 2024 Sep 16.
Due to the short duration of inpatient stays and increasing outpatient treatment it is assumed that the incidence of delirium in ophthalmology is underestimated. The overall aim of this study was to record the incidence of delirium in ophthalmology through long-term follow-up.
The study was divided into 2 groups. In group A delirium events were recorded retrospectively based on the discharge reports of all inpatients at the University Clinic Freiburg, Clinic for Ophthalmology from 1 January 2020 to 31 December 2022. In group B delirium events were recorded prospectively by the Augennetz Südbaden (Eye Network South Baden, ANSB) in the period 60-120 days after ophthalmological surgery.
During the study period of the retrospective analysis a total of 16,384 patients were treated as inpatients. There was evidence of a total of 7 new delirium events. This corresponds to a proportion of 0.04%. A total of 12,381 patients were assessed by the ANSB, including 11,530 outpatient cataract operations. There were indications of 31 delirium events, which corresponds to a proportion of 0.25%.
The long-term prospectively recorded delirium events suggest that the incidence of delirium in the inpatient setting is underdiagnosed; however, postoperative delirium appears to be rare in ophthalmology in relation to the high number of procedures.
由于住院时间缩短和门诊治疗增加，人们认为眼科谵妄的发生率被低估了。本研究的总体目标是通过长期随访记录眼科谵妄的发生率。
本研究分为两组。A组根据弗莱堡大学眼科诊所2020年1月1日至2022年12月31日所有住院患者的出院报告回顾性记录谵妄事件。B组由南巴登眼网（ANSB）在眼科手术后60 - 120天内前瞻性记录谵妄事件。
在回顾性分析的研究期间，共有16384名患者接受了住院治疗。共有7例新的谵妄事件记录在案。这相当于0.04%的比例。ANSB共评估了12381名患者，其中包括11530例门诊白内障手术。有31例谵妄事件的迹象，这相当于0.25%的比例。
长期前瞻性记录的谵妄事件表明，住院环境中谵妄的发生率诊断不足；然而，相对于大量的手术而言，术后谵妄在眼科似乎很少见。
