Delirium after emergency/elective open and endovascular aortoiliac surgery at a surgical ward with a high-standard delirium care protocol
| Autor: | Koop Bosscha, Remco J.A. van Wensen, Olivier H.J. Koning, Paul L. J. Dautzenberg, B. Koebrugge |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment behavioral disciplines and activities Endovascular aneurysm repair Iliac Artery Risk Assessment Clinical Protocols Risk Factors mental disorders medicine Odds Ratio Humans Radiology Nuclear Medicine and imaging Hospital Mortality Prospective Studies Elective surgery Risk factor Prospective cohort study Emergency Treatment Aorta Aged Netherlands Chi-Square Distribution business.industry Incidence Age Factors Delirium General Medicine Odds ratio Vascular surgery nervous system diseases Surgery Logistic Models Treatment Outcome Elective Surgical Procedures Female medicine.symptom Cardiology and Cardiovascular Medicine business Elective Surgical Procedure Surgery Department Hospital Vascular Surgical Procedures |
| Zdroj: | Vascular. 18(5) |
| ISSN: | 1708-5381 |
| Popis: | Delirium is a common problem in elderly patients undergoing surgery. Standard delirium care is not available at all surgical wards. We determined the incidence, risk factors, and outcomes of postoperative delirium among patients undergoing elective/emergency aortoiliac surgery at a surgical ward with high-standard delirium care. A prospective descriptive survey in 107 patients was conducted. High-standard delirium care was given to patients above age 65, consisting of an extended focus on risk factors and intensive screening. The Delirium Observation Scale was used as a screening instrument for delirium. Patients were classified as having delirium if they met the DSM-IV criteria. The overall incidence of delirium was 23%. The incidence was 14% after elective surgery. Delirium occurred in 59% after emergency surgery and more often after open than after endovascular aneurysm repair ( p < .01). Delirium was associated with age ( p < .01) and emergency surgery ( p = .01) and is an important and frequent complication after aortoiliac surgery. |
| Databáze: | OpenAIRE |
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