Incidence and risk factors of emergence delirium in elderly patients after general or spinal anesthesia for both elective and emergency surgery.

Autor:	Assefa MT; Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Chekol WB; Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Melesse DY; Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Nigatu YA; Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Bizuneh YB; Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2022 Nov 19; Vol. 84, pp. 104959. Date of Electronic Publication: 2022 Nov 19 (Print Publication: 2022).
DOI:	10.1016/j.amsu.2022.104959
Abstrakt:	Background: Emergence delirium is a poorly understood incident in elderly patients in PACU. The aim of this study was to determine the incidence of emergence delirium and its predictors in elderly patients after general or spinal anesthesia for both elective and emergency surgery. Methods: In this prospective observational study, 172 consecutive patients were included. The study was performed in the post-anesthesia care unit for three months in 2020. We included elderly patients in both elective and emergency surgery. Patient interviews, chart reviews, and direct observation were among the data collection methods. The Nursing Delirium Screening Scale was the assessment tool. The outcome variable and independent variables' association was determined by bivariate and multivariate logistic regression analysis. Results: The incidence of emergence delirium at the post-anesthesia care unit was 40.7% (95% CI = 32-48).Postoperative pain (AOR = 3.9:95%CI = 1.13-13.60), preoperative anxiety (AOR = 7:95% CI = 1.76-28.55), perioperative narcotics (AOR = 5.1:95% CI = 1.27-20.57) and excessive blood loss (AOR = 6.5:95% CI = 2.47-17.02) were predictors of emergence delirium. Conclusions: Delirium in the post-anesthesia care unit is common. Anxiety, perioperative narcotics, and intraoperative blood loss were predictors of emergence delirium. Competing Interests: The authors declared that they have no conflicts of interest. (© 2022 The Authors.)
Databáze:	MEDLINE
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