演題抄録

一般演題 (示説)

開催概要
開催回
第53回・2015年・京都
 

Delirium in terminal cancer inpatients at a tertiary hospice care unit

演題番号 : P52-4

[筆頭演者]
Kim Hyojeong:1 
[共同演者]
Park Young Ju:1、Seol Young Mi:1、Choi Young Jin:1、Shin Ho-jin:1、Chung Joo-seop:1

1:Division of Hematooncology, Department of Internal Medicine, Pusan National University Hospital

 

Introduction
Delirium is one of the most common neuropsychiatric complications in patients with advanced cancer and an independent factor of poor prognosis for short-term survival. This report aimed to survey the prevalence of delirium occurs, risk factors for delirium occurs, association between delirium occurence and survival, types of delirium, and differences of survival up to delirium types.
Methods
We retrospectively reviewed the medical records of cancer patients admitted at hospice care unit, a 28 bed unit within the 1215 bed Pusan National University Hospital from January 2013 to December 2013. The patient was hospitalized two or more times is evaluated only for one single case of hospitalization. Total of 340 people, we excluded the case of delirium at the time of admission, delirium occurred within 1 days after admission, deaths within 7 days, and hopeless discharge, retrospective analysis was performed in 176 medical records.
Results
Of the 176 terminal cancer patients, 99 patients (56.2%) experienced delirium. The most common subtype was hypoactive delirium (50.5%) and 48% were of the hyperactive subtype and 16.1% were of the mixed subtype. The mortality rate of patients with delirium (88.9%) was higher (p<0.001) than those without delirium (62.3%). The 88.6% of the patients with delirium had used opioids and there was no significant statistical difference in the use of opioids among two groups (p=0.053). The mean survival time was 29.58 ± 4.38 (95% CI: 20.99-38.16) days for patients without delirium and 27.12 ± 1.96 (95% CI: 23.27-30.97) days for patients with delirium, but the there was no significant statistical difference (p=0.978). In univariate and multivariate analysis, use of opioid had independent associations with the development of delirium (p=0.044, Odd ratio (95% CI) : 4.465 (1.039-19.187)).

キーワード

臓器別:その他

手法別:Clinical Trial

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