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首页> 外文期刊>Dementia and Geriatric Cognitive Disorders Extra >Associations between Frailty and Delirium among Older Patients Admitted to an Emergency Department
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Associations between Frailty and Delirium among Older Patients Admitted to an Emergency Department

机译：急诊科老年患者体弱与妄想之间的关联

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Background: Switzerland’s demographic trends show, as elsewhere on the planet, increasing numbers of older and very old adults. This suggests that its healthcare system will suffer serious repercussions, including in the use of care and especially the use of emergency services. Significant numbers of older adults will be at risk of developing multiple chronic conditions including one or more geriatric syndromes, such as frailty and delirium. Few studies to date have documented associations between frailty and delirium. Aim: To explore the relationships between frailty and delirium in older adult patients consulting (n = 114) at an emergency department (ED) in Switzerland. Method: A cross-sectional study was conducted in a peripheral hospital ED in the French-speaking part of Switzerland. Frailty was assessed using the Tilburg Frailty Indicator (TFI). Delirium was assessed using the Confusion Assessment Method (CAM). Participants’ cognitive states were assessed using the 6-item Cognitive Impairment Test (6CIT) and the Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE), completed by the participant’s most significant informal caregiver. Results: The mean participant age was 77.6 years (SD = 7.7); the majority of the subjects were women (54%). The participants took an average of 4.7 different medications a day (SD = 3.2, median = 4). More than half (62%) of the participants were frail; 2 and 14% presented signs and symptoms of delirium and subsyndromal delirium, respectively. A weak but significant association between scores for frailty and delirium (p 0.05) was demonstrated, and clinical observation confirmed this. A 4-h follow-up measurement of delirium in the ED revealed no significant or clinical difference. Conclusion: Although the literature describes strong associations between frailty and delirium in surgical units and community care settings, the present study only demonstrated a weak-to-moderate association between frailty and delirium in our ED.
机译：背景：瑞士的人口趋势显示，与地球上其他地方一样，越来越多的老年人和非常大的成年人。这表明其医疗系统将受到严重影响，包括在使用护理方面，尤其是在使用紧急服务方面。大量老年人有发展多种慢性病的风险，包括一种或多种衰老和ir妄症。迄今为止，很少有研究证明虚弱和del妄之间存在关联。目的：探讨在瑞士急诊室（ED）咨询（n = 114）的老年患者的虚弱与ir妄之间的关系。方法：在瑞士法语区的一家外围医院急诊室进行了一项横断面研究。使用蒂尔堡脆弱性指标（TFI）评估脆弱性。 the妄使用混淆评估方法（CAM）进行评估。使用6项认知障碍测试（6CIT）和老年人认知下降知情问卷（IQ-CODE）对参与者的认知状态进行评估，该问卷由参与者最重要的非正式照料者完成。结果：参与者平均年龄为77.6岁（标准差= 7.7）;大多数受试者是女性（54％）。参与者平均每天服用4.7种不同的药物（SD = 3.2，中位数= 4）。一半以上的参与者（62％）虚弱; 2％和14％的患者出现presented妄和综合征下sub妄的体征和症状。虚弱和ir妄评分之间存在弱但显着的关联（p <0.05），临床观察证实了这一点。 ED中4-妄的4小时随访测量显示无显着或临床差异。结论：尽管文献描述了手术单元中脆弱和and妄之间的强烈关联，但本研究仅显示了我们急诊中脆弱和and妄之间的弱到中度关联。

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