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首页> 外文期刊>International journal of geriatric psychiatry >Detection and management of hyperactive and hypoactive delirium in older patients during hospitalization: a retrospective cohort study evaluating daily practice
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Detection and management of hyperactive and hypoactive delirium in older patients during hospitalization: a retrospective cohort study evaluating daily practice

机译：住院期间老年患者过度和低辐射谵妄的检测与管理：一种回顾性队列评估日常实践

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Objectives The objectives of the study are to study daily hospital practice regarding detection and management and to study hyperactive and hypoactive delirium of older patients during their hospitalization. Methods A retrospective cohort study evaluating care as usual for older hospitalized patients with delirium at Maastricht University Medical Center+, a university hospital in the Netherlands, was performed. Inclusion criteria were older hospitalized patients (65+?years), diagnosed with delirium between 1 January and 31 December 2014. Data were retrieved from the patients' medical files. Delirium was categorized as hyperactive or hypoactive. Primary outcome measures were prevalence and management (pharmacological, reorientation, screening for delirium and delirium consultations, and physical restraints). Secondary outcomes were short‐term adverse outcomes. Results Prevalence of delirium was 5% ( N ?=?401), of which 77% ( n ?=?307) was hyperactive and 23% ( n ?=?94) was hypoactive. Significantly, more patients with a hyperactive delirium received medication to manage the delirium than patients with a hypoactive delirium (89% vs. 77%, respectively, p ?=?0.004). No other significant differences between the subtypes were found. Conclusion There was probably a strong under‐recognition of delirium. Drugs were the main intervention of choice, especially for patients with hyperactive delirium. The two subtypes did not differ on non‐pharmacological management. The retrospective nature of this study sheds light on the status quo of recognition, management, and care as usual for the different delirium subtypes in daily hospital practice, which may help in forming new guidelines and protocols for the detection and treatment of delirium for older patients in hospitals.
机译：目的该研究的目标是研究日常医院实践，了解检测和管理，并在住院期间研究老年患者的过度活跃和低吸力谵妄。方法采用荷兰大学医院医疗中心+大学医院医疗中心+近年住院患者评估评估治疗的回顾性队列。纳入标准是较旧的住院患者（65 +年），诊断为2014年1月1日至12月31日之间的谵妄。从患者的医疗文件中检索数据。谵妄被分类为过度活跃或过度激动。主要结果措施是普遍存在和管理（药理学，重新定位，筛查谵妄和谵妄和身体束缚）。二次结果是短期不良结果。结果谵妄的患病率为5％（n？=Δ401），其中77％（n？= 307）是多活性的，23％（n？= 94）脱氮。显着，更多患者具有过度活跃的谵妄的患者获得药物治疗谵妄的患者而不是嗜睡血症患者（分别为89％，分别为77％，p？= 0.004）。没有发现亚型之间的其他显着差异。结论谵妄可能有强烈的欠度。药物是首选的主要干预，特别是对于具有多动谵妄患者的患者。两种亚型对非药理学管理没有差异。这项研究的回顾性质揭示了日常医院实践中不同谵妄亚型的识别，管理和照顾的现状，这可能有助于形成新的患者谵妄的检测和治疗新的准则和协议在医院。

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