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김미선 ( Kim Mi-Sun ) - 서울아산병원 간호부
전지윤 ( Jun Ji-Yoon ) - 서울아산병원 간호부
천현주 ( Chun Hyun-Ju ) - 서울아산병원 간호부
김윤옥 ( Kim Yun-Ok ) - 서울아산병원 간호부
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Abstract
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Purpose: Although there is a high incidence of delirium with increased age, the risk factors have been too various. We investigated the incidence and risk factors in the older inpatient with neurological disorders.
Methods: We reviewed the Electronic Medical Records (EMR) of older patients admitted to a neurology unit from August 2016 to January 2017. We analyzed the incidence and risk factors of delirium in 382 patients in a tertiary hospital. Delirium was determined daily using the Nursing Delirium Screening Scale (Nu-DESC). Demographic, disease, and environmental characteristics were obtained by using structured EMR data.
Results: The incidence rate of delirium was 6.0% (n=23). Delirium was prevalent in patients who were older, had a lower serum hemoglobin, had hypertension or had diabetes mellitus. Delirium was also observed in patients on antibiotics, having a higher number of drugs or catheters, or receiving mechanical monitoring. A longer hospital stay, being admitted to a sub-intensive care unit, and sleep deprivation were significantly associated with delirium. Multiple logistic regression analysis found older age, having sleep deprivation, a higher number of catheters placed, and having diabetes mellitus to be significant predictors of delirium.
Conclusion: This study shows that age, sleep deprivation, number of catheters, and comorbidity of diabetes mellitus were identified as a risk factor for delirium. And it will guide the development of algorithms through its possible applications for the future in hospitalized older adults.
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KeyWords
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섬망, 위험요인, 발생률, 노인, 신경과
Delirium, Risk factors, Incidence, Older adults, Neurology
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원문 및 링크아웃 정보
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등재저널 정보
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