Pipanmekaporn T, Punjasawadwong Y, Wongpakaran N, Wongpakaran T, Suwannachai K, Chittawatanarat K, Mueankwan S. Risk factors and adverse clinical outcomes of postoperative delirium in Thai elderly patients: A prospective cohort study.
Perspect Psychiatr Care 2021;
57:1073-1082. [PMID:
33111390 DOI:
10.1111/ppc.12658]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Revised: 10/05/2020] [Accepted: 10/11/2020] [Indexed: 01/09/2023] Open
Abstract
PURPOSE
To determine the incidence, risk factors, and adverse clinical outcomes of postoperative delirium (POD) in elderly patients.
DESIGN AND METHODS
A total of 429 patients scheduled to undergo noncardiac surgery were recruited. Delirium was assessed using the confusion assessment method.
FINDINGS
The incidence of POD was 5.4%. Risk factors of POD were age over 70 years, an American Society of Anesthesiologist physical status 2 and 3, cognitive impairment, history of psychiatric illness, and preoperative hemoglobin ≤ 10 g/dl.
PRACTICE IMPLICATIONS
The correction of modifiable risk factors, the use of preventive strategies, and the monitoring of POD are advisable to improve the quality of perioperative care.
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