Delirium og kognitiv svikt blant eldre i norske akuttmottak
| Autor: | Sigurd Evensen, Ingvild Saltvedt, Anette Hylen Ranhoff, Marte Mellingsæter, Christian Myrstad, Marius Myrstad, Marte Sofie Wang-Hansen, Bjørn Erik Neerland |
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| Rok vydání: | 2019 |
| Předmět: |
010407 polymers
medicine.medical_specialty MEDLINE Norwegian behavioral disciplines and activities 01 natural sciences 03 medical and health sciences 0302 clinical medicine mental disorders medicine Dementia 030212 general & internal medicine Risk factor Cognitive impairment business.industry General Medicine medicine.disease humanities language.human_language nervous system diseases 0104 chemical sciences Emergency medicine Orthopedic surgery language Delirium medicine.symptom business |
| Zdroj: | Tidsskrift for Den norske legeforening. |
| ISSN: | 0029-2001 |
| Popis: | Background Delirium is common and underdiagnosed among patients in hospitals, and is associated with complications, increased mortality, onset of dementia and need for nursing home care. Cognitive impairment from other causes is also common among hospitalised elderly people and is a key risk factor for delirium. Since no relevant prevalence studies have been undertaken in Norwegian hospitals, we investigated the prevalence of delirium among elderly patients in Norwegian emergency departments on World Delirium Awareness Day, 14 March 2018. Material and method We included patients ≥ 75 years who arrived in ten Norwegian emergency departments between 08:00 and 22:00 on that day. We identified delirium and cognitive impairment using the '4AT' screening tool and registered the patients' age and gender and the hospital and department to which they were admitted (internal medicine, surgery, orthopaedics, 'other'). Results Of 118 included patients, 20 (17 per cent) showed signs of delirium and 36 (30 per cent) showed signs of other forms of cognitive impairment. All hospitals and all categories of departments received patients with signs of delirium and cognitive impairment. Interpretation Delirium and other forms of cognitive impairment are both common among elderly patients in Norwegian emergency departments. Our results indicate that all hospital departments who treat elderly patients frequently observe these issues. All departments should therefore have routines to identify and deal with patients who suffer from delirium and cognitive impairment. |
| Databáze: | OpenAIRE |
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