A retrospective study of factors associated with persistent delirium. 2

• Material Type: 博士論文
• Title: A retrospective study of factors associated with persistent delirium.
• Volume: 21 2
• Author/Editor: Goto, Harue; Yamauchi, Takahira; Okumura, Kazuki; Matsuoka, Kiwamu; Toritsuka, Michihiro; Yasuno, Fumihiko; Uemura, Hideki; Kuki, Kazutaka; Makinodan, Manabu; Kishimoto, Toshifumi
• Author Heading: Goto, Harue; Yamauchi, Takahira; Okumura, Kazuki; Matsuoka, Kiwamu; Toritsuka, Michihiro; Yasuno, Fumihiko; Uemura, Hideki; Kuki, Kazutaka; Makinodan, Manabu; Kishimoto, Toshifumi
• Publication, Distribution, etc.: John Wiley & Sons, Inc.
• Publication Date: 2021-03; 21 2
• Publication Date (W3CDTF): 2021-03
• Alternative Title: せん妄の遷延化に関連する因子についての後方視研究
• Periodical title: Psychogeriatrics
• Pages: 193-200
• ISSN (Periodical Title): 13463500
• Degree Grantor: 奈良県立医科大学
• Date Granted: 2021-12-21
• Date Granted (W3CDTF): 2021-12-21
• Dissertation Number: 乙第1516号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 乙第1516号
• Text Language Code: eng
• Subject Heading: analgesic; case-control study; delirium; general hospital; persistent delirium
• Target Audience: 一般
• Note (General): 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
• Persistent ID (NDL): info:ndljp/pid/12219032; https://dl.ndl.go.jp/pid/12219032
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 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
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2022-04-04T15:10:33+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Related Material (URI): https://doi.org/10.1111/psyg.12655
• Periodical Title (URI): http://hdl.handle.net/10564/3961
• Data Provider (Database): 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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