期刊
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
卷 19, 期 6, 页码 412-426出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/S0885-3924(00)00143-3
关键词
delirium; cancer; incidence; diagnosis; screening; monitoring; clinical course; palliative care
A pilot prospective cohort study was conducted to determine delirium frequency and outcome in cancer patients consecutively hospitalized for terminal care (median stay: 12 days). Screening for delirium symptoms was performed daily, using the Confusion Rating Scale. Patients positive on screening had a diagnostic assessment within 24 hours using the Confusion Assessment Method. Monitoring of symptoms was continued until death. Eighteen (20%) of the 89 study patients were positive on screening at admission. Among the 71 patients free of delirium at admission, the incidence of confirmed delirium was 32.8% (95% CI, 21.3-44.3 %). Patients positive on screening received a higher mean equivalent parenteral daily dose of morphine than other patients (72 mg vs. 41 mg, p = 0.08). Significant symptom improvement occurred in 16 (50%) of the 32 delirious cases. Delirium is a serious frequent complication in terminal cancer whose outcome may not be as poor as previously considered. (C) U.S. Cancer Pain Relief Committee, 2000.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据