섬망 환자에서 아형과 심각도의 임상적 관련 요인

• Published in: Singyŏng chŏngsin ŭihak Vol. 54; no. 4; pp. 489 - 494
• Main Author: 안태현, 라영선, 한창우, 김현수, 이계성, 배활립
• Format: Journal Article
• Language: Korean
• Published: 대한신경정신의학회 30.11.2015
• Subjects: 정신과학; Delirium; Hypoactive; Consultation-liaison; Mixed; Subtype; Hyperactive
• ISSN: 1015-4817; 2289-0963
• DOI: 10.4306/jknpa.2015.54.4.489

Objectives Delirium is commonly seen in clinical settings, and it can substantially influence the prognosis of patients. In this study, we investigated delirium with respect to its severity, classifi¬cation and characteristics on each subtype. Methods Severity of delirium was examined in delirium patients, who were referred to the de¬partment of psychiatry in a general hospital for multidisciplinary treatment. After classification based on subtypes, factors influencing these aspects of delirium were examined. Results Among the 193 consultation-liaison patients referred to the department of psychiatry in a general hospital, 61 patients (31.6%) were diagnosed with delirium. Compared to patients in the non-delirium group, patients in the delirium group were older, had a shorter education period, and medical history of surgery. Among the delirium patients, the hyperactive subtype was found to be the most common (57.4%) and patients with the mixed subtype showed the highest sever¬ity score for delirium symptoms. In addition, the patient with the hypoactive subtype had a higher frequency of medical history of depression compared to those with the other subtypes. Conclusion People with symptoms of hypoactive delirium can be misdiagnosed due to recur¬rence of depression, therefore, careful examination is required, particularly in patients with a histo¬ry of depression. KCI Citation Count: 0