Update on Perioperative Delirium.
| Autor: | Schenning KJ; Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road L459, Portland, OR 97239, USA. Electronic address: malcore@ohsu.edu., Mahanna-Gabrielli E; Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami Miller School of Medicine, 2000 S Bayshore Drive Apartment 51, Miami, FL 33133, USA., Deiner SG; Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Clinics in geriatric medicine [Clin Geriatr Med] 2025 Feb; Vol. 41 (1), pp. 37-50. |
| DOI: | 10.1016/j.cger.2024.03.005 |
| Abstrakt: | A strong association between frailty and in-hospital delirium in nonsurgical patients has been shown. Physical and cognitive frailties have been associated with decline and dysfunction in the frontal cognitive domains. Risk factors for frailty are similar to risk factors for postoperative delirium (POD). Frailty can be screened and diagnosed by various tools and instruments. Different anesthetic techniques have been studied to decrease the incidence of POD. However, no anesthetic technique has been conclusively proven to decrease the risk of POD. Patients with dementia develop delirium more often, and delirium is associated with accelerated cognitive decline. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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