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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Incidence of Delirium in Critically Ill Cancer Patients
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Incidence of Delirium in Critically Ill Cancer Patients

机译：谵妄在危重癌症患者中的发病率

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Objective. The aim of this study was to estimate the incidence of delirium and its risk factors among critically ill cancer patients in an intensive care unit (ICU). Materials and Methods. This is a prospective cohort study. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was measured daily at morning to diagnose delirium by a physician. Delirium was diagnosed when the daily was positive during a patient's ICU stay. All patients were followed until they were discharged from the ICU. Using logistic regression, we estimated potential risk factors for developing delirium. The primary outcome was the development of ICU delirium. Results. There were 109 patients included in the study. Patients had a mean age of 48.6 +/- 18.07 years, and the main reason for admission to the ICU was septic shock (40.4%). The incidence of delirium was 22.9%. The mortality among all subjects was 15.6%; the mortality rate in patients who developed delirium was 12%. The only variable that had an association with the development of delirium in the ICU was the days of use of mechanical ventilation (OR: 1.06; CI 95%: 0.99-1.13;p = 0.07). Conclusion. Delirium is a frequent condition in critically ill cancer patients admitted to the ICU. The duration in days of mechanical ventilation is potential risk factors for developing delirium during an ICU stay. Delirium was not associated with a higher rate of mortality in this group of patients.
机译：客观的。本研究的目的是估算重症监护单元（ICU）中患有危重癌症患者的谵妄和其风险因素的发病率。材料和方法。这是一个潜在的队列研究。早上每天每天测量重症监护单元（CAM-ICU）的混乱评估方法，以通过医生诊断谵妄。当患者在患者的ICU逗留期间日常是阳性时，谵妄被诊断出来。遵循所有患者，直到它们从ICU排出。使用Logistic回归，我们估计开发谵妄的潜在风险因素。主要结果是ICU谵妄的发展。结果。研究中有109名患者。患者的平均年龄为48.6 +/- 18.07岁，并且入学ICU的主要原因是腐蚀休克（40.4％）。谵妄的发病率为22.9％。所有受试者的死亡率为15.6％;开发谵妄的患者的死亡率为12％。唯一与ICU开发联系的变量是机械通气的使用日期（或：1.06; CI 95％：0.99-1.13; P = 0.07）。结论。谵妄是患有ICU的批评性癌症患者的常见条件。机械通气日期的持续时间是在ICU逗留期间开发谵妄的潜在风险因素。谵妄与该组患者的死亡率较高。

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