Incidence and correlates of delirium in a West African mental health clinic
Incidence and correlates of delirium in a West African mental health clinic
复制标题
DOI：
10.1016/j.genhosppsych.2009.10.005
复制
发表时间：
2010-03-01
影响因子：
7
通讯作者：
Olagunju, Andrew
中科院分区：
文献类型：
--
作者：
Ola, Bolanle Adeyemi;Crabb, Jim;Olagunju, Andrew
目的：要确定谵妄的发病率在这些患者提出的精神科诊所在尼日利亚，并检查是否有任何人口统计学或临床变量与此diagnosis.Method：一个前瞻性的调查设计，264个连续的新转诊到精神科诊所在尼日利亚进行了评估，谵妄的存在下使用标准化的诊断量表。数据进行了分析的正常性和适当的统计检验，以检查谵妄和人口统计学和临床variable.Results的存在之间的关系：个人提出的精神卫生诊所，18.2%谵妄。关于是否存在谵妄，没有显著的人口统计学变量。关于临床变量，当前症状的持续时间，转诊来源和共病的身体疾病的存在与谵妄的存在显着相关。大多数谵妄是由感染引起的。几乎所有的谵妄患者的精神药物（95.2%），并大多数归因于他们的症状的精神cause.Conclusions（S）：谵妄提出更常见的精神病学服务在欠发达国家相比，西方。发展工作应侧重于谵妄的识别和管理，以改善结果并最大限度地利用资源。(C)2010年爱思唯尔公司All rights reserved.
Objective: To determine the incidence of delirium in those patients presenting to a psychiatric clinic in Nigeria and to examine if any demographic or clinical variables were correlated with this diagnosis.Method: A prospective survey design; 264 consecutive new referrals to a psychiatric clinic in Nigeria were assessed for the presence of delirium using a standardised diagnostic scale. Data was analysed for normality and appropriate statistical test employed to examine the relationships between the presence of delirium and demographic and clinical variables.Results: Of individuals presenting to the mental health clinics, 18.2% had delirium. No demographic variable was significant regarding the presence or absence of delirium. With regard to clinical variables duration of current symptoms, referral source and the presence of comorbid physical illness were significantly associated with the presence of delirium. Most delirium was due to infections. Nearly all patients with delirium were prescribed psychotropic medication (95.2%), and most attributed their symptoms to a spiritual cause.Conclusion(s): Delirium presents more commonly to psychiatry services in the less developed world compared to the West. Development efforts should focus on recognition and management of delirium to improve outcomes and maximise resources. (C) 2010 Elsevier Inc. All rights reserved.