Psychoactive Medications and Risk of Delirium in Hospitalized Cancer Patients

作者: Jean-David Gaudreau , Pierre Gagnon , François Harel , Marc-André Roy , Annie Tremblay

DOI: 10.1200/JCO.2005.05.140

关键词: PsychiatryRisk assessmentRisk factorHazard ratioDeliriumInternal medicineCohort studyProportional hazards modelOrganic mental disordersMedicineEpidemiology

摘要: Purpose Psychoactive medications are biologically plausible and potentially modifiable risk factors of delirium. To date, however, research findings inconsistent regarding their association with The between exposure to anticholinergics, benzodiazepines, corticosteroids, opioids the delirium was studied. Patients Methods A total 261 hospitalized cancer patients were followed up repeated assessments by using Nursing Delirium Screening Scale for 4 weeks incident Detailed psychoactive documented daily. Strengths expressed as hazard ratios (HRs) in univariate multivariate analyses Cox regression models. All medication variables coded time-dependent covariates. Whenever possible, computed cumulative daily doses equivalents; dichotomous cutoffs determined. Results During follow-up (mean, 8.6 days), 43 became delirio...

参考文章(27)
Paul David Allison, Survival analysis using the SAS system : a practical guide SAS Institute. ,(1995)
Delirium in terminally ill cancer patients. American Journal of Psychiatry. ,vol. 140, pp. 1048- 1050 ,(1983) , 10.1176/AJP.140.8.1048
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
David Litaker, Joseph Locala, Kathleen Franco, David L. Bronson, Ziad Tannous, Preoperative risk factors for postoperative delirium. General Hospital Psychiatry. ,vol. 23, pp. 84- 89 ,(2001) , 10.1016/S0163-8343(01)00117-7
Jean-David Gaudreau, Pierre Gagnon, Marc-André Roy, François Harel, Annie Tremblay, Association between psychoactive medications and delirium in hospitalized patients: a critical review. Psychosomatics. ,vol. 46, pp. 302- 316 ,(2005) , 10.1176/APPI.PSY.46.4.302
Michael S. Cowen, Andrew J. Lawrence, The role of opioid-dopamine interactions in the induction and maintenance of ethanol consumption Progress in Neuro-Psychopharmacology and Biological Psychiatry. ,vol. 23, pp. 1171- 1212 ,(1999) , 10.1016/S0278-5846(99)00060-3
Sharon K Inouye, Catherine M Viscoli, Ralph I Horwitz, Leslie D Hurst, Mary E Tinetti, A Predictive Model for Delirium in Hospitalized Elderly Medical Patients Based on Admission Characteristics Annals of Internal Medicine. ,vol. 119, pp. 474- 481 ,(1993) , 10.7326/0003-4819-119-6-199309150-00005
Michel Elie, Martin G. Cole, François J. Primeau, François Bellavance, Delirium risk factors in elderly hospitalized patients Journal of General Internal Medicine. ,vol. 13, pp. 204- 212 ,(1998) , 10.1046/J.1525-1497.1998.00047.X
Joseph Francis, A Prospective Study of Delirium in Hospitalized Elderly JAMA: The Journal of the American Medical Association. ,vol. 263, pp. 1097- 1101 ,(1990) , 10.1001/JAMA.1990.03440080075027
Vladan Ljubisavljevic, Brian Kelly, Risk factors for development of delirium among oncology patients General Hospital Psychiatry. ,vol. 25, pp. 345- 352 ,(2003) , 10.1016/S0163-8343(03)00070-7