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Gender differences in challenging behaviors,management and outcomes in elderly patients with delirium

Neural Regeneration Research 2010年第10期5卷 796-800页

作者： Jihui Lv Qing Shen Daniel Kan Yin Chan Anne Hoolahan Xi Zheng Bin Ong Sharon Reutens Zheng Chen Department of Age Care and Rehabilitation Bankstown-Lidcombe Hospital Locked Bag 1600 Bankstown NSW 2200 Australia Department of Old Age Psychiatry Beijing Geriatric Hospital Beijing 100095 China Faculty of Medicine University of New South Wales NSW 2052 Australia Department of OIdAge Psychiatry Bankstown-Lidcombe Hospital Locked Bag 1600 Bankstown NSW

BACKGROUND： Gender differences have been reported in some common mental disorders. However, few studies have monitored gender differences in individuals with delirium. OBJECTIVE： To explore gender differences in challenging behaviors, management and outcomes in age-matched elderly patients with ***, TIME AND SETTING： A retrospective cohort study was performed in the Bankstown-Lidcombe Hospital, Sydney, Australia, from October 2008 to April 2009. METHODS： Patients, aged 65-90 years, diagnosed with delirium according to the International Classification of Diseases （ICD）-10 in the Psychogeriatric Unit of Bankstown Lidcombe Hospital from January 2002 to October 2008 were reviewed. All the patients were measured according to the Confusion Assessment Method upon admission. Those who developed delirium during hospitalization were *** OUTCOME MEASURES： Cause of delirium, wandering, aggression, duration of delirium, physical restraint, use of antipsychotic medicine, recovery from delirium, discharge back home, length of stay, one-to-one nursing care, falls and absconding ***： The 131 age-matched delirious patients comprised 54 males and 77 females. The behavioral disorders of wandering [odds ration （OR） = 2.612, 95% confidence interval （CI） = 1.26 -5.413, P = 0.009] and aggression （OR = 2.243, 95% CI = 1.028 - 4.891, P= 0.04） were more frequent in males than in females. More males received one-to-one nursing care （OR = 4.114, 95% CI = 1.355 - 12.491, P = 0.008）, were more likely to receive antipsychotic medications （OR = 2.24, 95% CI = 1.095-4.583, P = 0.021） and more likely to be physically restrained （OR = 2.07, 95% CI = 1.02-1.02, P = 0.043） compared with female patients. All absconding patients （3/131, 2.3%） were male. In addition, male patients displayed a greater falling rate compared with females （OR = 4.57, 95% CI= 1.519-13.722, P = 0.004）.CONCLUSION： There are gender differences in challenging behaviors, management and outcomes in elde

关键词： delirium challenging behaviors gender difference elderly patients

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