정형외과에 입원한 노인 환자의 섬망 위험 요인 연구

• 영문명: The Risk Factors of Delirium in Orthopedic Elderly Patients
• 발행기관: 대한노인정신의학회
• 저자명: 김창현(Chang Hyun Kim) 전덕인(Duk In Jon) 홍현주(Hyun Ju Hong) 정명훈(Myung Hun Jung) 박재용(Jae Yong Park) 홍나래(Na rei Hong)
• 간행물 정보: 『노인정신의학』노인정신의학 제18권 제1호, 39~43쪽, 전체 4쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2014.04.30

영문 초록

Objective：The aim of this study was to explore risk factors behind delirium in elderly inpatients with orthopedic problem. Methods：The subjects were 94 elderly patients (≥65 years old) who admitted to a department of orthopedic surgery. They were evaluated with Confusion Assessment Method (CAM) and were diagnosed by Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision through direct interview with psychiatrists. The demographic data, medical histories, and orthopedic chart were checked through medical records of patients. Results：20 subjects (21.3%) were diagnosed as delirium, and among them, 10 subjects had hyperactive type (50.0%), 6 had hypoactive type (30.0%) and 4 had mixed type (20.0%). Delirium group had high systolic blood pressure (p=0.007) and plasma glucose level (p=0.001) at the admission day. They had low hemoglobin (p=0.002) and potassium level (p=0.017) after surgery. Conclusion：In our study, there were many delirium patients, and even though there were many hypoactive type patients. It is assumed that delirium occurs more at the surgery or damage with larger loss of blood. It is important that we take care of management of past diseases rather than presence of past diseases. It is necessary to develop guidelines which would help to find out high risk patients for delirium.

목차

Abstract

서론

대상 및 방법

결과

고찰

결론

REFERENCES

키워드

섬망 위험 인자 노인 Delirium Risk factors Aged