Factores asociados a delirium en pacientes hospitalizados durante pandemia de COVID-19

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2024-10-01 DOI:10.1016/j.rcp.2022.10.006

Glauco Valdivieso-Jiménez , Gustavo Valencia-Mesias , Jimmy Paucar-Alfaro

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引用次数: 0

Abstract

Objectives

To determine the risk factors associated with delirium in patients admitted to a COVID-19 hospitalization of a general hospital during the first year of the COVID-19 pandemic.

Methods

An observational, analytical, case-control study was conducted. We analyzed 50 medical records of patients who presented delirium and 50 who did not present delirium in a COVID hospitalization area during the period from March 2020 to March 2021. The odd ratio of sociodemographic and clinical factors for presenting delirium was evaluated. The logistic regression statistical test was performed using STATA 17.0 software. The protocol was approved by the Research Ethics Committee of the Villa El Salvador Emergency Hospital.

Results

Ventilatory support (P=.04), especially the use of a reservoir mask (OR: .34; 95%CI: 0.12–0.88) and the presence of systemic complications (P=.03) such as metabolic acidosis (OR: 12.9; 95%CI: 1.45-115.58) were statistically significant variables associated with a higher risk of presenting delirium.

Conclusions

The type of ventilatory support and the presence of systemic complications were significant risk factors for delirium in patients hospitalized in a COVID area. Further studies are required in this field to obtain more evidence in this regard.

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[COVID-19大流行期间住院病人谵妄的相关因素]。

目的在 COVID-19 大流行的第一年，确定入住综合医院 COVID-19 医院的患者中与谵妄相关的风险因素：我们进行了一项观察性、分析性、病例对照研究。我们分析了 2020 年 3 月至 2021 年 3 月期间在 COVID 住院区出现谵妄的 50 名患者和未出现谵妄的 50 名患者的病历。评估了出现谵妄的社会人口学因素和临床因素的奇数比。使用 STATA 17.0 软件进行逻辑回归统计检验。研究方案已获得萨尔瓦多别墅急救医院研究伦理委员会批准：结果：通气支持（P=0.04），尤其是使用储气面罩（OR=0.34，CI 0.12-0.88）和存在全身并发症（P=0.03），如代谢性酸中毒（OR=12.9，CI 1.45-115.58）是与出现谵妄的较高风险相关的显著统计学变量：结论：COVID地区住院患者出现谵妄的重要风险因素是呼吸支持类型和全身并发症。需要在这一领域开展进一步研究，以获得更多相关证据。

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来源期刊

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.