<p>Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil</p>

Abstract

IntroductionPostoperative delirium (POD) is a common disorder and its frequency varies from 15% to 25% after major elective surgery. There are few data on the incidence of POD in Brazil. Here, we sought to assess the incidence of POD following transurethral resection of the prostate (TURP) and to examine precipitating and predisposing factors associated.MethodWe performed a prospective observational study of elderly male patients undergoing TURP (N=55) in Northeast Brazil. Information on demographic, medical, cognitive and functional characteristics were collected. The participants were followed until hospital discharge. POD was diagnosed by the Confusion Assessment Method.ResultsA total of three participants (5.45%) were identified with POD. Episodes of delirium lasted 3±1 days. The study sample consisted of a healthy population. Patients with POD had longer hospital stay and more precipitating factors. The POD group showed statistically significant lower Barthel index score (p<0.001) and higher Pfeffer’s Functional Activities Questionnaire scores (p<0.01).ConclusionLoss of functional capacity was associated with POD in a healthy population of elderly patients undergoing TURP.

Incidence and factors associated with postoperative delirium in patients undergoing transurethral resection of bladder tumor

“…Finally, five papers were included in our review, and the study characteristics are presented in Table 3 . The mean age of patients included in all studies was >70 years, four studies included patients undergoing transurethral resection of the prostate (TUR-P) [ 3 , 15 , 17 , 18 ], and only two studies assessed POD after TUR-BT [ 3 , 16 ]. The incidence of POD ranged from 1.2 to 21.2% depending on the assessment tool of delirium.…”

Risk factors for postoperative delirium in elderly urological patients: A meta-analysis

“…Two studies [ 5 , 15 ] compared the history of delirium (heterogeneity: P = .53, I 2 = 0). There was a significant difference between the 2 groups (95% CI: 1.63–29.86, P = .009) (Fig.…”

“…Five studies [ 4 , 15 , 17 , 18 , 20 ] compared preoperative use of psychotropic substances (heterogeneity: P = .59, I 2 = 0). There was a significant difference between the 2 groups (95% CI: 1.11–3.52, P = .02) (Fig.…”

“…Four studies [15][16][17][18] compared gender (male) (heterogeneity: P = .04, I 2 = 65%). No significant difference was established between the 2 groups (95% CI: 0.21-9.15, P = .59) (Fig.…”

Polypharmacy and Postoperative Delirium in Urology

“…I have carefully read the study entitled "Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil" published in Neuropsychiatric Disease and Treatment by Braga et al, and his findings and conclusions are indeed interesting. 3 This study is one of the few studies which addresses the issue of PD. This study was a prospective observational study including 55 urologic patients, which suggested that loss of functional capacity was associated with PD in old patients following transurethral resection of the prostate.…”