Severity, etiology, and outcome of delirium in indoor patients referred to consultation-liaison psychiatry

IF 0.2 Q4 PSYCHIATRY
Veji K Odedara, Mahesh Suthar, Chintan Savani, Shivangi Aggarwal
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Abstract

Background: Delirium is a complex neuropsychiatric syndrome characterized by an acute decline in the level of consciousness, cognition, and impairment in attention, with adverse physical, cognitive, and psychological outcomes. Aims: This study aimed to assess the severity, etiology, and outcome of delirium in indoor patients referred to consultation-liaison psychiatry. Settings and Design: A prospective observational study was conducted on 200 indoor patients diagnosed with delirium at a tertiary care hospital in Gujarat, India. Materials and Methods: The Delirium Rating Scale-Revised-98 (DRS-R-98) was used for the severity and delirium etiological checklist for the cause of delirium. Statistical Analysis Used: Data were entered in an Excel sheet and analyzed with Epi Info. Continuous variables were expressed as mean and standard deviation while categorical variables were expressed as percentages. The association between categorical variables was tested with a Chi-square test. P < 0.05 was considered statistically significant. Results: As per the DRS-R-98 score, 45.4%, 38%, and 16.5% of patients had less severe, severe, and nonsevere delirium, respectively. The most common etiology was metabolic and endocrine disturbances (66.5%) followed by systemic infection (41.5%), drug withdrawal (38.5%), and organ insufficiency (31.5%). The mean duration of the delirium episode was 3.7 days and length of the hospital stay was 8.6 days. Delirium was reversible in 91% and irreversible in 9% of patients and mortality was 9%. Conclusions: Delirium is reported commonly in middle-aged males. Metabolic and endocrine disturbances, systemic infection, and drug withdrawal are common causes of delirium. Delirium severity is related to a longer hospital stay, a low discharge rate, and higher mortality.
严重程度,病因,和结果谵妄的室内病人转介咨询-联络精神病学
背景:谵妄是一种复杂的神经精神综合征,其特征是意识、认知水平急剧下降和注意力受损,并伴有不良的身体、认知和心理后果。目的:本研究旨在评估咨询联络精神病学室内患者谵妄的严重程度、病因和结果。设置和设计:在印度古吉拉特邦的一家三级护理医院,对200名被诊断为谵妄的室内患者进行了一项前瞻性观察性研究。材料和方法:采用98版谵妄评定量表(DRS-R-98)对谵妄的严重程度和病因进行检查。使用的统计分析:数据输入Excel表中,并使用Epi Info进行分析。连续变量用平均值和标准差表示,分类变量用百分比表示。分类变量之间的关联用卡方检验。P<0.05被认为具有统计学意义。结果:根据DRS-R-98评分,45.4%、38%和16.5%的患者出现轻度、重度和非重度谵妄。最常见的病因是代谢和内分泌紊乱(66.5%),其次是全身感染(41.5%)、停药(38.5%)和器官功能不全(31.5%)。谵妄发作的平均持续时间为3.7天,住院时间为8.6天。91%的患者谵妄是可逆的,9%的患者是不可逆的,死亡率为9%。结论:谵妄常见于中年男性。代谢和内分泌紊乱、全身感染和停药是谵妄的常见原因。谵妄的严重程度与住院时间长、出院率低和死亡率高有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
25.00%
发文量
38
审稿时长
23 weeks
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