Esra KABADAYI SAHIN, Serkan Şahi̇n
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目的:谵妄是在急诊科(ED)就诊的老年患者中常见的临床状态。然而,在急诊科中,谵妄通常被低估。本研究旨在评估谵妄的患病率,并确定老年急诊科患者发生谵妄的危险因素。材料和方法:纳入238例65岁以上的急诊科患者。患者组由急诊专家使用“混乱评估法(CAM)”筛选谵妄。然后由精神科医生根据DSM-5标准评估患者是否患有谵妄。记录患者的人口统计资料、生命体征和实验室检查结果。结果:采用CAM诊断谵妄的比例为10.9%,采用DSM-5诊断标准诊断谵妄的比例为11.8%。有无谵妄的两组在年龄、性别、合并症、痴呆的存在和多药的存在方面没有统计学上的显著差异。与平均动脉血压(MABP)呈正相关(r=0.373, p
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Acil Servise Başvuran Yaşlı Hastalarda Deliryum İçin Risk Faktörlerinin Belirlenmesi
Objective: Delirium is reported as a common clinical state among elderly patients seeking care in the emergency departments (ED). However, it is commonly underdiagnosed in the ED. This study aimed to evaluate delirium prevalence and determine the risk factors for developing delirium in elderly patients in ED. Material and Methods: 238 patients over the age of 65 who applied to the ED were included. The patient group was screened for delirium by the emergency specialist using the 'Confusion assessment method (CAM)'. The patients were then evaluated for delirium by a psychiatrist according to DSM-5 criteria. Demographic data, vital signs, and laboratory findings of the patients were recorded. Results: Delirium is detected in 10.9% of the patients by using CAM and in 11.8% of the patients according to DSM-5 criteria. There was not any statistically significant difference between the groups with and without delirium in terms of age, gender, comorbid diseases, presence of dementia, and presence of polypharmacy. A positive correlation between mean arterial blood pressure (MABP) (r=0.373, p
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