응급실 노인환자의 섬망 유발에 대한 위험인자 조사

Title
응급실 노인환자의 섬망 유발에 대한 위험인자 조사
Other Titles
Risk Factors for Delirium in Elderly Patients Visiting an Emergency Department
Author(s)
도병수이삼범박신률곽경훈[곽경훈]
Keywords
Delirium; Elderly; Risk factors
Issue Date
201110
Publisher
대한응급의학회
Citation
대한응급의학회지, v.22, no.5, pp.489 - 493
Abstract
Purpose: Delirium is a common and worrisome problem among elder hospitalized patients. Many studies have sought to evaluate the risk factors of delirium. Most of these studies have dealt with the intensive care unit, with virtually nothing known about the emergency room. Our study was designated to evaluate the risk factors in an emergency department. Methods: We retrospectively reviewed 414 cases of elder patients admitted to the general ward of internal medicine via the emergency room between January 2009 and December 2009. We divided these patients into a delirium group and non-delirium group. We statistically evaluated 31known risk factors of delirium in these two groups. Results: Using chi-square test, 14 of 31 known risk factors of delirium were proven as risk factors of delirium in an emergency room. Using logistic regression, three of the 14proven risk factors were revealed as prior factors. Conclusion: A variety of factors of delirium are risk factors of delirium in an emergency room. A few important known risk factors are failed to pass statistically evaluation. These results are influenced by cultural pecularities of South Korea. Also, the small sample size limited conclusive evaluation. Nonetheless, the importance of patients’ past medical history, laboratory results, and choice of medication when treating elder hospitalized patients to prevent delirium is likely important in reducing mortality and morbidity.
URI
http://hdl.handle.net/YU.REPOSITORY/24347
ISSN
1226-4334
Appears in Collections:
의과대학 > 응급의학교실 > Articles
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