The study of incidence of post operative delirium in geriatric patients who needed prolonged ICU stay after undergoing a major cardiac surgery in a tertiary care hospital

Autor: Aswin Rajeev, Priya Vijayakumar, Sunil K S, George Paul
Rok vydání: 2018
Předmět:
Zdroj: International Journal Of Medical Science And Clinical Invention. 5:3504-3506
ISSN: 2348-991X
2454-9576
DOI: 10.18535/ijmsci/v5i2.02
Popis: INTRODUCTION: Delirium, defined as an acute disorder of attention and global cognitive function is a common, serious and potentially preventable source of morbidity and mortality in hospitalized elderly patients. Different studies have shown that prolonged post operative ICU stay contributes to occurrence of delirium OBJECTIVE: To assess the incidence of post operative delirium in elderly patients who needed prolonged ICU stay after undergoing a major cardiac surgery (coronary artery bypass grafting). MATERIALS AND METHODS: Prospective cohort study, Study Period: 1 ½ years. Using a prepared questionnaire after obtaining fully informed written consent. 3 visits for each patient: 1) before surgery, 2) in the ICU: 48 hours after surgery and 3) In ward after shifting out from ICU. Prolonged ICU stay was defined as admission more than 3 days in ICU. The details from nursing staff and care givers were taken. RESULTS: Out of total 250 patients included in the study, 43 (17.2%) patients developed post operative delirium. 32 (26%) out of 19 patients who needed prolonged ICU stay developed post operative delirium compared to 11 (8.7%) out of 116 patients who spent less than 3 days in ICU in post operative period. (p Value
Databáze: OpenAIRE