Influencing Factors for Delirium-like Symptoms in Older Patients after Endoscopy with Sedation

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  • MATSUMOTO Ryota
    Yamaguchi University Graduate School of Medicine
  • TSUTSUMI Masae
    Community/ Gerontological Nursing, Yamaguchi University Graduate School of Medicine
  • NOGAKI Hiroshi
    Community/ Gerontological Nursing, Yamaguchi University Graduate School of Medicine
  • SUENAGA Hiromi
    Clinical Laboratory Sciences, Yamaguchi University Graduate School of Medicine
  • NISHIKAWA Jun
    Basic Laboratory Sciences, Yamaguchi University Graduate School of Medicine
  • SHIMIZU Yoshihisa
    Department of Medical Life Science, Kyushu University of Health and Welfare
  • KOBAYASHI Toshio
    Graduate School of Biomedical & Health Sciences, Hiroshima University

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  • 鎮静下内視鏡診療後に発現するせん妄様行動の関連因子の検討
  • チンセイカ ナイシキョウ シンリョウゴ ニ ハツゲン スル センモウヨウ コウドウ ノ カンレン インシ ノ ケントウ

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Abstract

<p>Older patients commonly have delirium-like symptoms after endoscopy with sedation. We investigated influencing factors for the onset of these symptoms by retrospective review of 230 nursing records of patients aged 65 and over.</p><p>Records were sorted by the presence or absence of delirium-like symptoms, and extracted factors were compared between the groups by a Chi-square test. Additionally, logistic regression analysis was performed using the factors as explanatory variables and presence/absence of delirium-like symptoms as objective variables.</p><p>Chi-square test results showed that those using medications which are at high risk of causing delirium tended to have delirium ? like episodes（p=0.052）．Logistic regression analysis extracted three variables as influencing factors of delirium：age（OR=1.27）sex（male）（OR=2.88），and high risk medicine（OR=3.44）．</p><p>The results suggest that older males taking high risk medicines are more likely to develop delirium-like symptom after endoscopy with sedation.</p>

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