Delirium risk factors in patients ≥ 60 years of age with rec-ent myocardial infarction
Aleksandra Burchacka1
Małgorzata Niemiec1
Kamil Barański2
Anna Bednarek1
Paweł Bańka1
Klaudia Męcka1
Kinga Czepczor1
Maciej Podolski1
Andrzej Hoffmann1
Kat-arzyna Mizia-Stec1
1.First Department of Cardiology,School of Medicine in Katowice,Medical University of Silesia,Katowice,Poland;European Reference Network on Heart Diseases-ERN GUARD-HEART2.Department of Epidemiology,Faculty of Medical Sciences in Katowice,Medical University of Silesia,Katowice,Poland
摘要：Background Delirium is a form of acute brain dysfunction and geriatric patients are particularly vulnerable to this health prob-lem.The aim of the study was to assess the incidence of delirium and determine the risk factors for delirium in patients ≥ 60 years of age hospitalized due to acute myocardial infarction(AMI).
Methods The study included 405 consecutive patients(mean age:73.1±8.5,males:61％)hospitalized due to AMI divided and characterized according to the in-hospital delirium presence.
Results Of 405 patients,57(14％,mean age:80.9±7.3,males:58％)experienced delirium.Patients with delirium were older(80.9±7.3 vs.71.82±8.1 years),all of them presented multimorbidity,they more frequently used polypharmacy(96.5 vs.30.2％)and their hospitalization was longer(8.0±1.4 vs.4.6±1.0 days)as compared to the patients without delirium.Patients with delirium more frequently experience periprocedural complications as well as the in-hospital reversible problems:fever(40.4 vs.0.9％),in-fections(78.9 vs.3.7％),pulmonary oedema(73.7 vs.0.6％),hypoxemia(91.1 vs.98.3％),urinary catheter(96.5 vs.17.2％),dehydra-tion(89.5 vs.6.6％),and insomnia(71.9 vs.0.3％)compared to patients without delirium(P＜0.001 for all).Valvular heart disease(OR=4.78;95％CI:1.10-2.70;P＜0.001,pulmonary oedema(OR=66.79;95％CI:12.04-370.34,P＜0.001),and dehydration(OR=37.26;95％CI:10.50-132.27,P＜0.001)were risk factors for delirium occurrence.
Conclusions The in-hospital course of AMI is complicated by delirium occurrence in 14％of patients ≥ 60 years old.Recogniz-ing and modification of potential,reversible risk factors associated with AMI can reduce the risk of delirium.
机标关键词：riskwithdeliriumfactorsinfarctionmyocardialpatientsyears
论文发表日期：2025-09-30
在线出版日期：2025-11-14（本平台首次上网日期，不代表文献的发表时间）
页数：9( 784-792 )