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A Retrospective Analysis of Neurocognitive Impairment in Older Patients With Burn Injuries

机译:老年血液损伤患者神经认知障碍的回顾性分析

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Background: Older adults comprise a growing proportion of the United States population that is at risk for burns. However, few studies have examined cognitive function in this patient population. Objective: The purpose of this study was to measure the prevalence and incidence of dementia and delirium in older adults admitted for burn injuries. Methods: This was an Institutional Review Board-approved, retrospective study of all patients 65 years and older admitted to the University of North Carolina Jaycee Burn Center from 2005-2015. Data extracted from the medical records included patient demographics, characteristics of the burn injury, incidence of delirium, incidence of psychiatric consultation, diagnosis of dementia, disposition, and mortality. The primary outcomes of interest were the prevalence and incidence of dementia and delirium. Secondary outcomes included length of stay and cost of hospitalization. Results: A total of 392 patients were included. These patients had a median age of 74 years and a median total body surface area burn of 7%. On admission, 44 patients (11%) had a diagnosis of dementia. An additional 28 patients were diagnosed with dementia during hospitalization for a total of 72 patients (18%); 154 patients (39%) were diagnosed with delirium. After controlling for burn severity, dementia and delirium were signcantly associated with length of stay, incidence of psychiatry consultation, and discharge to a skilled nursing facility.
机译:背景:年龄较大的成年人包括烧伤风险的美国人口不断增加的比例。然而,很少有研究已经检查过这种患者人群的认知功能。目的:本研究的目的是测量患有烧伤伤害的老年人痴呆症和谵妄的患病率和发病率。方法:这是一项机构审查委员会批准,回顾性研究,所有患者65岁及以上达到2005 - 2015年北卡罗来纳州烧塞中心烧毁中心。从医学记录提取的数据包括患者人口统计学,燃烧损伤的特征,谵妄发病率,精神病咨询的发病率,诊断痴呆,处置和死亡率。兴趣的主要结果是痴呆症和谵妄的患病率和发病率。二次结果包括住院时间和住院费用。结果:共有392名患者。这些患者中位年龄为74岁,中位数的体表面积烧伤为7%。在入场时,44名患者(11%)诊断痴呆症。额外的28名患者在住院期间患有痴呆症,共72名患者(18%); 154名患者(39%)被诊断患有谵妄。在控制烧伤的严重程度后,痴呆症和谵妄与入住时间和精神病学咨询的发病率有关,并向熟练的护理设施发出。

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