Analysis of Risk Factors for Delirium in Elderly Patients with Stanford-type B Aortic Dissection  

作　　者：Rong Wang Baoyi Yang Na Wang Qi Tang 

机构地区：[1]Intensive Care Unit,Shiyan Taihe Hospital,Hubei University of Medicine,Shiyan 442000,Hubei Province,China [2]Nursing Department,Shiyan Taihe Hospital,Hubei University of Medicine,Shiyan 442000,Hubei Province,China

出　　处：《Journal of Clinical and Nursing Research》2025年第2期140-146,共7页临床护理研究(英文)

基　　金：Philosophy and Social Sciences Research Project of the Hubei Provincial Department of Education(Project No.:23D108)。

摘　　要：Objective:To investigate the incidence of delirium in elderly patients with Stanford-type B aortic dissection and analyze its risk factors.Methods:A convenience sample of 767 elderly patients with Stanford-type B aortic dissection admitted to the ICU from January 2020 to December 2023 was selected.Data were collected using a delirium-related questionnaire and the Confusion Assessment Method for the Intensive Care Unit(CAM-ICU).Results:The incidence of delirium in elderly Stanford B aortic dissection patients was 23.73%.Logistic regression analysis showed that gender,length of stay in the ICU,and duration of sedative drug use were independent risk factors for delirium in elderly patients(P<0.05).The model likelihood ratio test x^(2)=28.462,P<0.001;Hosmer-Lemeshow goodness-of-fit test x^(2)=0.715,P=0.878.Conclusion:The incidence of delirium in elderly patients with Stanford-type B aortic dissection is relatively low.Medical staff should conduct adequate and effective preoperative assessment according to the condition of elderly Stanford-type B aortic dissection patients,and use analgesic and sedative drugs reasonably to create a good treatment environment for patients,thereby minimizing the incidence of delirium in elderly patients with Stanford-type B aortic dissection as much as possible.

关 键 词：ELDERLY Aortic dissection DELIRIUM Risk factors 

分 类 号：R73[医药卫生—肿瘤]