지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.12
- 수록면
- 104 - 110 (7page)
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Objectives：It is known that delirium is common among elder patients and is associated poor clinical outcomes. As elderly patients are increasing in emergency department(ED), the prevalence of delirium should be on the rise. However delirium has been under-recognized by medical team. Our study was designated to evaluate the frequency, the clinical effect and risk factors of delirium of hospitalized elder patients in ED.
Methods：We retrospectively reviewed elderly patients admitted to general ward after over 24 hours hospitalization in ED between January 2008 and December 2008. examined the frequency and assessed the clinical effect and risk factors.
Results：Among 414 patients, 42 patients(10.1%) developed delirium in ED over 12 month period studied. The development of delirium in ED was associated with significant poor outcomes ; increased hospital mortality and prolonged hospital stays. Independent risk factors of delirium were stroke, metabolic derangements, dementia, hemodynamic instability, depression.
Conclusion：ED environment can be important risk factors of delirium, thus ED physician should try to recognize and correct the possible risk factors of delirium earlier and in particular, should try to reduce exposure time to the ED environment in elderly patients.
Methods：We retrospectively reviewed elderly patients admitted to general ward after over 24 hours hospitalization in ED between January 2008 and December 2008. examined the frequency and assessed the clinical effect and risk factors.
Results：Among 414 patients, 42 patients(10.1%) developed delirium in ED over 12 month period studied. The development of delirium in ED was associated with significant poor outcomes ; increased hospital mortality and prolonged hospital stays. Independent risk factors of delirium were stroke, metabolic derangements, dementia, hemodynamic instability, depression.
Conclusion：ED environment can be important risk factors of delirium, thus ED physician should try to recognize and correct the possible risk factors of delirium earlier and in particular, should try to reduce exposure time to the ED environment in elderly patients.
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대상 및 방법
결과
고찰
결론
참고문헌
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Elie M / 2000 / Prevalence and detection of delirium in elderly emergency department patients / Can Med Assoc J 163 : 977 ~
2. [학술지(정기간행물)] - Hustey FM / 2002 / The prevalence and documentation of impaired mental status in elderly emergency department patients / Ann Emerg Med 39 : 248 ~ 253
3. [학술지(정기간행물)] - Lewis LM / 1995 / Unrecognized delirium in ED geriatric patients / Am J Emerg Me 13 : 142 ~ 145
4. [학술지(정기간행물)] - Naughton BJ / 1995 / Delirium and other cognitive impairment in older adults in an emergency department / Ann Emerg med 25 : 751 ~ 755
5. [학술지(정기간행물)] - Han JH / 2009 / Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes / Acad Emerg Med 16 : 193 ~ 200
2. [학술지(정기간행물)] - Hustey FM / 2002 / The prevalence and documentation of impaired mental status in elderly emergency department patients / Ann Emerg Med 39 : 248 ~ 253
3. [학술지(정기간행물)] - Lewis LM / 1995 / Unrecognized delirium in ED geriatric patients / Am J Emerg Me 13 : 142 ~ 145
4. [학술지(정기간행물)] - Naughton BJ / 1995 / Delirium and other cognitive impairment in older adults in an emergency department / Ann Emerg med 25 : 751 ~ 755
5. [학술지(정기간행물)] - Han JH / 2009 / Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes / Acad Emerg Med 16 : 193 ~ 200
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UCI(KEPA) : I410-ECN-0101-2014-513-000468438