A retrospective study of factors associated with persistent delirium. 2

• 資料種別: 博士論文
• タイトル: A retrospective study of factors associated with persistent delirium.
• 巻次・部編番号: 21 2
• 著者・編者: Goto, Harue; Yamauchi, Takahira; Okumura, Kazuki; Matsuoka, Kiwamu; Toritsuka, Michihiro; Yasuno, Fumihiko; Uemura, Hideki; Kuki, Kazutaka; Makinodan, Manabu; Kishimoto, Toshifumi
• 著者標目: Goto, Harue; Yamauchi, Takahira; Okumura, Kazuki; Matsuoka, Kiwamu; Toritsuka, Michihiro; Yasuno, Fumihiko; Uemura, Hideki; Kuki, Kazutaka; Makinodan, Manabu; Kishimoto, Toshifumi
• 出版事項: John Wiley & Sons, Inc.
• 出版年月日等: 2021-03; 21 2
• 出版年（W3CDTF）: 2021-03
• 並列タイトル等: せん妄の遷延化に関連する因子についての後方視研究
• タイトル（掲載誌）: Psychogeriatrics
• 掲載ページ: 193-200
• ISSN（掲載誌）: 13463500
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2021-12-21
• 授与年月日（W3CDTF）: 2021-12-21
• 報告番号: 乙第1516号
• 学位: 博士（医学）
• 博論授与番号: 乙第1516号
• 本文の言語コード: eng
• 件名標目: analgesic; case-control study; delirium; general hospital; persistent delirium
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: It has been reported that delirium causes various problems. Many researchers have reported the risk factors associated with the onset of delirium; however, there are few reports focused on persistent delirium. This study aimed to identify the risk factors associated with persistent delirium. Methods: A total of 573 patients hospitalised in Nara Prefecture General Medical Centre from October 2014 through September 2017 who were referred to the psychiatry consultation service were included in this study. Persistent delirium was defined as delirium lasting for 14 days or more. A retrospective study was carried out based on the patients' records. The relationship between various background factors and persistent delirium was statistically analysed. Results: Of the 573 hospitalised patients, 295 were diagnosed as having delirium. Forty-six patients with persistent delirium and 181 patients with nonpersistent delirium were included in this study. Multivariable logistic regression analyses revealed that male gender, opioid analgesics use, non-opioid analgesics use, and low serum sodium were significantly and independently associated with persistent delirium. Ramelteon or trazodone was used significantly more in persistent delirium, although each use was not significant. Conclusion: This is the first study to reveal that male gender and use of analgesics were associated with persistent delirium in general hospital. However, as this is a case-control study and may contain bias, future cohort studies and intervention studies are needed. It is also necessary to investigate the relevance of the 'degree of pain' behind the use of analgesics.; 博士（医学）・乙第1516号・令和3年12月21日; © 2021 Japanese Psychogeriatric Society.; This is the peer reviewed version of the following article: [https://onlinelibrary.wiley.com/doi/10.1111/psyg.12655], which has been published in final form at [https://doi.org/10.1111/psyg.12655]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.; identifier:Psychogeriatrics Vol.21 No.2 p.193-200 (2021 Mar); identifier:13463500; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3961; identifier:Psychogeriatrics, 21(2): 193-200
• 国立国会図書館永続的識別子: info:ndljp/pid/12219032; https://dl.ndl.go.jp/pid/12219032
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-04-04T15:10:33+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: https://doi.org/10.1111/psyg.12655
• 掲載誌（URI）: http://hdl.handle.net/10564/3961
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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