Effects of anti-ulcer drugs on delirium in trauma patients
Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the...
Ausführliche Beschreibung
Autor*in: |
Sogawa, Rintaro [verfasserIn] Matsuoka, Ayaka [verfasserIn] Murakawa-Hirachi, Toru [verfasserIn] Kikkawa, Nao [verfasserIn] Kamo, Masahiro [verfasserIn] Tobita, Shuko [verfasserIn] Shinada, Kota [verfasserIn] Mizoguchi, Yoshito [verfasserIn] Monji, Akira [verfasserIn] Sakamoto, Yuichiro [verfasserIn] Shimanoe, Chisato [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Schlagwörter: |
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Übergeordnetes Werk: |
Enthalten in: General hospital psychiatry - Amsterdam [u.a.] : Elsevier Science, 1979, 80, Seite 43-47 |
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Übergeordnetes Werk: |
volume:80 ; pages:43-47 |
DOI / URN: |
10.1016/j.genhosppsych.2022.12.007 |
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Katalog-ID: |
ELV009113614 |
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245 | 1 | 0 | |a Effects of anti-ulcer drugs on delirium in trauma patients |
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520 | |a Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. | ||
650 | 4 | |a Delirium | |
650 | 4 | |a Histamine-2 receptor antagonist | |
650 | 4 | |a Proton pump inhibitor | |
700 | 1 | |a Matsuoka, Ayaka |e verfasserin |4 aut | |
700 | 1 | |a Murakawa-Hirachi, Toru |e verfasserin |4 aut | |
700 | 1 | |a Kikkawa, Nao |e verfasserin |4 aut | |
700 | 1 | |a Kamo, Masahiro |e verfasserin |4 aut | |
700 | 1 | |a Tobita, Shuko |e verfasserin |4 aut | |
700 | 1 | |a Shinada, Kota |e verfasserin |4 aut | |
700 | 1 | |a Mizoguchi, Yoshito |e verfasserin |4 aut | |
700 | 1 | |a Monji, Akira |e verfasserin |4 aut | |
700 | 1 | |a Sakamoto, Yuichiro |e verfasserin |4 aut | |
700 | 1 | |a Shimanoe, Chisato |e verfasserin |4 aut | |
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10.1016/j.genhosppsych.2022.12.007 doi (DE-627)ELV009113614 (ELSEVIER)S0163-8343(22)00149-9 DE-627 ger DE-627 rda eng 610 DE-600 44.91 bkl Sogawa, Rintaro verfasserin aut Effects of anti-ulcer drugs on delirium in trauma patients 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. Delirium Histamine-2 receptor antagonist Proton pump inhibitor Matsuoka, Ayaka verfasserin aut Murakawa-Hirachi, Toru verfasserin aut Kikkawa, Nao verfasserin aut Kamo, Masahiro verfasserin aut Tobita, Shuko verfasserin aut Shinada, Kota verfasserin aut Mizoguchi, Yoshito verfasserin aut Monji, Akira verfasserin aut Sakamoto, Yuichiro verfasserin aut Shimanoe, Chisato verfasserin aut Enthalten in General hospital psychiatry Amsterdam [u.a.] : Elsevier Science, 1979 80, Seite 43-47 Online-Ressource (DE-627)32045276X (DE-600)2006259-X (DE-576)259983748 1873-7714 nnns volume:80 pages:43-47 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.91 Psychiatrie Psychopathologie AR 80 43-47 |
spelling |
10.1016/j.genhosppsych.2022.12.007 doi (DE-627)ELV009113614 (ELSEVIER)S0163-8343(22)00149-9 DE-627 ger DE-627 rda eng 610 DE-600 44.91 bkl Sogawa, Rintaro verfasserin aut Effects of anti-ulcer drugs on delirium in trauma patients 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. Delirium Histamine-2 receptor antagonist Proton pump inhibitor Matsuoka, Ayaka verfasserin aut Murakawa-Hirachi, Toru verfasserin aut Kikkawa, Nao verfasserin aut Kamo, Masahiro verfasserin aut Tobita, Shuko verfasserin aut Shinada, Kota verfasserin aut Mizoguchi, Yoshito verfasserin aut Monji, Akira verfasserin aut Sakamoto, Yuichiro verfasserin aut Shimanoe, Chisato verfasserin aut Enthalten in General hospital psychiatry Amsterdam [u.a.] : Elsevier Science, 1979 80, Seite 43-47 Online-Ressource (DE-627)32045276X (DE-600)2006259-X (DE-576)259983748 1873-7714 nnns volume:80 pages:43-47 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.91 Psychiatrie Psychopathologie AR 80 43-47 |
allfields_unstemmed |
10.1016/j.genhosppsych.2022.12.007 doi (DE-627)ELV009113614 (ELSEVIER)S0163-8343(22)00149-9 DE-627 ger DE-627 rda eng 610 DE-600 44.91 bkl Sogawa, Rintaro verfasserin aut Effects of anti-ulcer drugs on delirium in trauma patients 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. Delirium Histamine-2 receptor antagonist Proton pump inhibitor Matsuoka, Ayaka verfasserin aut Murakawa-Hirachi, Toru verfasserin aut Kikkawa, Nao verfasserin aut Kamo, Masahiro verfasserin aut Tobita, Shuko verfasserin aut Shinada, Kota verfasserin aut Mizoguchi, Yoshito verfasserin aut Monji, Akira verfasserin aut Sakamoto, Yuichiro verfasserin aut Shimanoe, Chisato verfasserin aut Enthalten in General hospital psychiatry Amsterdam [u.a.] : Elsevier Science, 1979 80, Seite 43-47 Online-Ressource (DE-627)32045276X (DE-600)2006259-X (DE-576)259983748 1873-7714 nnns volume:80 pages:43-47 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.91 Psychiatrie Psychopathologie AR 80 43-47 |
allfieldsGer |
10.1016/j.genhosppsych.2022.12.007 doi (DE-627)ELV009113614 (ELSEVIER)S0163-8343(22)00149-9 DE-627 ger DE-627 rda eng 610 DE-600 44.91 bkl Sogawa, Rintaro verfasserin aut Effects of anti-ulcer drugs on delirium in trauma patients 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. Delirium Histamine-2 receptor antagonist Proton pump inhibitor Matsuoka, Ayaka verfasserin aut Murakawa-Hirachi, Toru verfasserin aut Kikkawa, Nao verfasserin aut Kamo, Masahiro verfasserin aut Tobita, Shuko verfasserin aut Shinada, Kota verfasserin aut Mizoguchi, Yoshito verfasserin aut Monji, Akira verfasserin aut Sakamoto, Yuichiro verfasserin aut Shimanoe, Chisato verfasserin aut Enthalten in General hospital psychiatry Amsterdam [u.a.] : Elsevier Science, 1979 80, Seite 43-47 Online-Ressource (DE-627)32045276X (DE-600)2006259-X (DE-576)259983748 1873-7714 nnns volume:80 pages:43-47 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.91 Psychiatrie Psychopathologie AR 80 43-47 |
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10.1016/j.genhosppsych.2022.12.007 doi (DE-627)ELV009113614 (ELSEVIER)S0163-8343(22)00149-9 DE-627 ger DE-627 rda eng 610 DE-600 44.91 bkl Sogawa, Rintaro verfasserin aut Effects of anti-ulcer drugs on delirium in trauma patients 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. Delirium Histamine-2 receptor antagonist Proton pump inhibitor Matsuoka, Ayaka verfasserin aut Murakawa-Hirachi, Toru verfasserin aut Kikkawa, Nao verfasserin aut Kamo, Masahiro verfasserin aut Tobita, Shuko verfasserin aut Shinada, Kota verfasserin aut Mizoguchi, Yoshito verfasserin aut Monji, Akira verfasserin aut Sakamoto, Yuichiro verfasserin aut Shimanoe, Chisato verfasserin aut Enthalten in General hospital psychiatry Amsterdam [u.a.] : Elsevier Science, 1979 80, Seite 43-47 Online-Ressource (DE-627)32045276X (DE-600)2006259-X (DE-576)259983748 1873-7714 nnns volume:80 pages:43-47 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.91 Psychiatrie Psychopathologie AR 80 43-47 |
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Effects of anti-ulcer drugs on delirium in trauma patients |
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Effects of anti-ulcer drugs on delirium in trauma patients |
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Sogawa, Rintaro Matsuoka, Ayaka Murakawa-Hirachi, Toru Kikkawa, Nao Kamo, Masahiro Tobita, Shuko Shinada, Kota Mizoguchi, Yoshito Monji, Akira Sakamoto, Yuichiro Shimanoe, Chisato |
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effects of anti-ulcer drugs on delirium in trauma patients |
title_auth |
Effects of anti-ulcer drugs on delirium in trauma patients |
abstract |
Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. |
abstractGer |
Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. |
abstract_unstemmed |
Objective: Histamine-2 receptor antagonists (H2RAs) may induce a higher risk of developing delirium than proton pump inhibitors (PPIs), but current evidence is insufficient. Therefore, this study aimed to investigate whether anti-ulcer drugs increase delirium risk.Method: Data were obtained from the medical records of patients admitted to a hospital due to trauma. We compared the incidence of delirium in patients who received H2RAs and PPIs with that in patients who received no anti-ulcer drugs.Results: A total of 150, 158, and 238 patients received H2RAs, PPIs, and no anti-ulcer drugs, respectively. Delirium incidence was significantly higher in patients who received H2RAs (34.0%) and PPIs (44.9%) than in those who did not receive anti-ulcer drugs (22.3%). Even after adjustment for possible confounding factors, the association between H2RAs and delirium remained (adjusted OR 1.78; 95% CI 1.04–3.05), but that between PPIs and delirium was attenuated (adjusted OR 1.25; 95% CI 0.71–2.23).Conclusions: Our results show that H2RAs are associated with delirium risk. We replicated findings of a previous data-driven study. Clinicians need to consider the effect of delirium in anti-ulcer drug selection. |
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Effects of anti-ulcer drugs on delirium in trauma patients |
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Matsuoka, Ayaka Murakawa-Hirachi, Toru Kikkawa, Nao Kamo, Masahiro Tobita, Shuko Shinada, Kota Mizoguchi, Yoshito Monji, Akira Sakamoto, Yuichiro Shimanoe, Chisato |
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Matsuoka, Ayaka Murakawa-Hirachi, Toru Kikkawa, Nao Kamo, Masahiro Tobita, Shuko Shinada, Kota Mizoguchi, Yoshito Monji, Akira Sakamoto, Yuichiro Shimanoe, Chisato |
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