Mortality Rates during Hospitalization and Affecting Factors in Geriatric Delirium Patients: a Retrospective Cohort Study.

Dementia and neurocognitive disorders Pub Date : 2021-07-01 Epub Date: 2021-06-16 DOI:10.12779/dnd.2021.20.3.19
Selçuk Özdin, Recep Bolat
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引用次数: 2

Abstract

Background and purpose: The purpose of this study was to investigate the prevalence of mortality during hospitalization among patients diagnosed with delirium at geriatric consultations requested in the previous one year, together with the factors affecting this.

Methods: The electronic medical records of geriatric consultations requested from the psychiatry department between January 1, 2019 and December 31, 2019 were examined from the automation system. The 200 geriatric delirium patients were included in the study. Patients' age, sex, length of hospital stay (LOHS), time between hospitalization and consultation, the department requesting consultation, reason for consultation request, psychiatric recommendations after consultation, reason for hospitalization, number of comorbid medical diseases, number of daily medications used, and history of psychiatric disease were retrieved from the electronic medical records in the automation system.

Results: LOHS and time from hospitalization to consultation were longer in the exitus group. Numbers of comorbid disease and daily medications used were higher in the died patients. Male gender, higher numbers of comorbid diseases, and daily medications were predictors of death.

Conclusions: Early detection of delirium may be important for short term results of disease. When evaluating these patients, reviewing the drugs used as much as possible can affect the outcome of the disease.

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老年谵妄患者住院期间死亡率及其影响因素:一项回顾性队列研究
背景和目的:本研究的目的是调查过去一年中在老年会诊中被诊断为谵妄的患者住院期间的死亡率,以及影响死亡率的因素。方法:从自动化系统中检索2019年1月1日至2019年12月31日精神科老年会诊电子病历。研究对象为200例老年谵妄患者。从自动化系统的电子病历中检索患者的年龄、性别、住院时间(LOHS)、住院至会诊间隔时间、请求会诊的科室、请求会诊的原因、会诊后的精神科建议、住院原因、合并症数量、每日使用药物数量、精神科病史。结果:退场组的LOHS和从住院到会诊的时间较长。死亡患者的合并症和每日用药数量较高。男性、较高的合并症数量和每日用药是死亡的预测因子。结论:早期发现谵妄可能对疾病的短期结果很重要。在评估这些患者时,尽可能多地回顾所使用的药物可能会影响疾病的结果。
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