Acil Servise Başvuran Yaşlı Hastalarda Deliryum İçin Risk Faktörlerinin Belirlenmesi

Abstract

Objective: Delirium is reported as a common clinical state among elderly patients seeking care in the emergency departments (ED). However, it is commonly underdiagnosed in the ED. This study aimed to evaluate delirium prevalence and determine the risk factors for developing delirium in elderly patients in ED. Material and Methods: 238 patients over the age of 65 who applied to the ED were included. The patient group was screened for delirium by the emergency specialist using the 'Confusion assessment method (CAM)'. The patients were then evaluated for delirium by a psychiatrist according to DSM-5 criteria. Demographic data, vital signs, and laboratory findings of the patients were recorded. Results: Delirium is detected in 10.9% of the patients by using CAM and in 11.8% of the patients according to DSM-5 criteria. There was not any statistically significant difference between the groups with and without delirium in terms of age, gender, comorbid diseases, presence of dementia, and presence of polypharmacy. A positive correlation between mean arterial blood pressure (MABP) (r=0.373, p