Delirium severity and psychomotor types: Their relationship with outcomes after hip fracture repair
Delirium severity and psychomotor types: Their relationship with outcomes after hip fracture repair
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DOI：
10.1046/j.1532-5415.2002.50210.x
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发表时间：
2002-05-01
影响因子：
6.3
通讯作者：
Resnick, NM
中科院分区：
文献类型：
--
作者：
Marcantonio, E;Ta, T;Resnick, NM
目的：验证纪念谵妄评估量表 (MDAS) 作为衡量 6.5 岁及以上患者谵妄严重程度的指标；检查谵妄严重程度与患者预后之间的关系；设计：对样本进行前瞻性评估。地点：医院。参与者：122 名接受过急性髋部骨折手术的老年患者（平均年龄：L 标准差 = 79 +/- 8）。测量：我们使用标准化仪器来评估骨折前日常生活活动 (ADL)、行走状态、认知和生活状况。术后，每天对每位患者进行访谈。使用混乱评估方法 (CAM) 诊断谵妄，并使用 MDAS 测量谵妄严重程度。 MDAS 还用于将谵妄的精神运动类型分为“纯粹活动减退”或“任何活动过度”。在第 1 个月和第 6 个月时进行电话或面对面访谈，以评估生存率、ADL。功能、行走状态和生活状况。结果：122 名患者中，占 40%。发展出了 CAM 定义的谵妄。神志不清患者的平均 MDAS 评分高于非神志不清患者（11.7 vs 2.4，P
OBJECTIVES: To validate the Memorial Delirium Assessment Scale (MDAS) as a measure of delirium severity in a cohort of patients aged 6,5 and older; to examine the association between severity of delirium and patient outcomes; and to examine the association between psychomotor variants of delirium and each of those outcomes.DESIGN: Prospective assessment of sample.SETTING: Hospital.PARTICIPANTS: One hundred twenty-two older patients (mean age :L standard deviation = 79 +/- 8) who had undergone acute hip fracture surgery.MEASUREMENTS: We used standardized instruments to assess prefracture activities of daily living (ADLs), ambulatory status, cognition, and living situation. Postoperatively, each patient was interviewed daily. Delirium was diagnosed using the Confusion Assessment Metho (CAM), and delirium severity was measured using the MDAS. The MDAS was also used to categorize the psychomotor types of delirium into "purely hypoactive" or "any hyperactivity." Telephone or face-to-fa c interviews were conducted at I and 6 months to assess survival, ADL. function, ambulatory status, and living situation.RESULTS: Of 122 patients, 40%. developed CAM-defined delirium. Delirious patients had higher average MDAS scores than nondelirious patients (11.7 vs 2.4, P