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首页> 外文期刊>Open Journal of Emergency Medicine >Delirium Severity and Correlates among Medical Inpatients Admitted through Accident and Emergency Unit of Jos University Teaching Hospital
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Delirium Severity and Correlates among Medical Inpatients Admitted through Accident and Emergency Unit of Jos University Teaching Hospital

机译：乔斯大学教学医院急诊室收治的住院病人的r妄程度及其相关性

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Background: Delirium is one of the most common medical emergencies and is associated with poor outcomes including : mortality, prolonged length of stay and poor functional outcome. The more severe delirium is the worst the clinical outcomes of medical illness. Despite the obvious, not much has been documented on delirium severity and its associated factors among medical inpatients in low income countries including Nigeria. Objectives: This study was conducted to examine the severity of delirium among medical inpatients admitted through the Accident and Emergency unit of Jos University Teaching Hospital as well as to assess its associated Sociodemographic and Clinical characteristics. Method: This was a cross-sectional study that employed a consecutive sampling technique to select 290 eligible subjects from medical inpatients that presented to Accident and Emergency unit of Jos University Teaching Hospital. On admission, patients were assessed for delirium using Confusion Assessment Method and severity of delirium was evaluated using Delirium Rating Scale-Revised-98. Results: Of the 105 delirious medical inpatients, 48 (45.7%) had severe delirium, 41 (39.1%) developed less severe delirium while 16 (15.2) presented with no severe delirium. Sociodemographic characteristics found to be significantly associated with less to more severe delirium include male gender (P = 0.001), nonprofessionals (P = 0.003), income range of N20,000 - N49,000 (P < 0.001) and being married (P = 0.022). However, prior cognitive impairment was found to be significantly associated with severe delirium (P < 0.001). Conclusion : This study demonstrates that delirium is often associated with higher severity in Accident and Emergency unit admission and there are strongly associated clinical characteristics to watch out for in high risk medical inpatients.
机译：背景：Deli妄是最常见的医学紧急情况之一，并与不良预后相关，包括：死亡率，长期住院和功能预后不良。 ir妄越严重，医学疾病的临床结果越差。尽管很明显，但在包括尼日利亚在内的低收入国家中，关于ir妄严重程度及其相关因素的文献报道很少。 目的：本研究旨在检查通过乔斯大学教学医院急诊室急诊室收治的住院病人的ir妄严重程度，并评估其相关的社会人口统计学和临床​​特征。 方法：这是一项横断面研究，该研究采用连续采样技术从呈报给乔斯大学教学医院急诊室的医疗住院患者中选出290名合格受试者。入院时，使用意识模糊评估法评估患者的ir妄，并使用Delirium Rating Scale-Revised-98（Deli妄评定量表）评估del妄的严重程度。 结果：在105位精神错乱的住院患者中，有48位（45.7％）出现严重的ir妄，41位（39.1％）出现了严重的less妄，而16位（15.2）没有出现严重的ir妄。被发现与较少或较严重的del妄显着相关的社会人口统计学特征包括男性（P = 0.001），非专业人士（P = 0.003），收入范围N20,000-N49,000（P <0.001）和已婚（P = 0.022）。但是，先前的认知障碍被发现与严重的ir妄显着相关（P <0.001）。 结论：这项研究表明，ir妄通常与急症室住院的严重程度较高有关，并且有密切相关的临床特征值得高危医疗住院患者注意。

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