• 作者：Jos¨¦ Guti¨¦rrez Rodr¨ªguez ; Marian Rodr¨ªguez Pi?era ; Eloy Ortiz Cachero ; Anabel Gonz¨¢lez Alonso ; Paloma P¨¦rez Guill¨¦n ; Francisco Luis Jim¨¦nez Muela ; Arsenio Alonso Collada ; Juan Jos¨¦ Solano Jaurrieta
• 关键词：Delirium ; Valoració ; n cognitiva ; Demencia ; Residencia de ancianos
• 刊名：Revista Espa?ola de Geriatr¨ªa y Gerontolog¨ªa
• 出版年：2013
• 出版时间：July-August, 2013
• 年：2013
• 卷：48
• 期：4
• 页码：177-179
• 全文大小：194 K

Objectives

To study the prevalence of delirium in the residential environment and to analyse the associated clinical, functional and mental factors.

Material and methods

A cross-sectional epidemic study was conducted on a population of elderly persons institutionalised in 2011 in 6 nursing homes in Asturias. Socio-demographic, clinical, functional (Barthel Index [BI]) and mental (Mini-Mental State Examination [MMSE]) variables were collected. Delirium was defined by the Confusion Assessment Method.

Results

A total of 505 elderly were included in the study (age 83.30 ¡À 7.33 years, with 67.70 % women), and scores on the MMSE of 17.19 ¡À 10.35 and a BI score of 55.11 ¡À 35.82. The prevalence of delirium was 11.70 % . On examining the risk of delirium among the studied variables, there was statistical significance when considering: BI, MMSE, dementia, pressure ulcers, or urinary catheter, and the prescribing of clomethiazole, ACTH-I or trazodone. In the analysis of the variables in the logistic regression with BI, diagnosis of dementia, the prescribing of clomethiazole or trazodone, in the equation, there was a statistical significance associated with delirium.

Conclusions

The prevalence of delirium in a residential environment in our study population was 11.7 % . The results show that BI, diagnosis of dementia, and prescribing of clomethiazole or trazodone were associated with risk of delirium in institutionalised patients.