Postoperative Delirium

Tarasova, Natalia; Kulikov, A S; Bilotta, Federico

doi:10.1007/s40140-021-00445-6

Cited by 2 publications

(3 citation statements)

References 52 publications

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“…POD has been described as a common and underestimated complication following surgery. Risk factors associated with POD include the presence of comorbidities (congestive heart failure, hypertension, kidney disease, anemia, diabetes, and pulmonary disease), pre-existing dementia, procedure-related risk factors (emergency surgery or duration of certain surgical procedures), anesthesia-related factors [70], and the use of perioperative medications, such as opioids or benzodiazepines and preoperative infections. Furthermore, patients who received less effective pain treatment after hip fracture surgery were more likely to experience POD [51].…”

Section: Risk Factorsmentioning

confidence: 99%

A Lethal Combination of Delirium and Overcrowding in the Emergency Department

Bonfichi,

Ceresa,

Piccioni

et al. 2023

JCM

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Delirium is a common public health concern that significantly impacts older patients admitted to the Emergency Department (ED). This condition is linked to adverse outcomes such as reduced long-term functionality, higher mortality rates, extended hospital stays, and increased medical costs. The identification of risk factors is crucial for the early recognition and management of delirium in ED patients. Aging, cognitive decline, polypharmacy, and sensory impairment are some of the most common general risk factors described in the literature. Although validated delirium assessment tools already exist, they are not practical for the fast-paced ED environment because of their extended evaluation period or specialized training request. Moreover, clear guidance is needed to select the most suitable tool for detecting delirium, balancing between the accuracy and the swiftness required in an overcrowded, high-stress, and understaffed healthcare setting. This narrative review aims to analyze the updated literature on delirium risk factors in older ED patients and focuses on the methods for better screening, managing, and treating this condition in the ED.

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Section: Risk Factorsmentioning

confidence: 99%

A Lethal Combination of Delirium and Overcrowding in the Emergency Department

Bonfichi,

Ceresa,

Piccioni

et al. 2023

JCM

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“…Delirium is defined as an acute, fluctuating state of disturbed attention over a short period of time. [ 24 ] The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) established the diagnostic criteria for delirium, which include disturbances in attention, cognition, and/or awareness that develop over a short period of time [ Table 1 ]. [ 25 ] It can be categorized into hyperactive, hypoactive, and mixed types of delirium.…”

Section: Neurological Complicationsmentioning

confidence: 99%

“…POD is significantly associated with worse patient outcomes; it has been linked to increasing the likelihood of POCD, early dementia, and exacerbation of underlying neurodegenerative disease (e.g., Alzheimer’s disease). [ 24 ] Moreover, POD is associated with increased mortality, prolonged hospitalization, reduced quality of life, and healthcare costs. [ 10 15 23 26 ] Its incidence ranges from 5% to 52% after noncardiac surgery in elderly patients, yet it is usually underdiagnosed by medical professionals.…”

Section: Neurological Complicationsmentioning

confidence: 99%

The elderly in the post-anesthesia care unit

Alghamdi,

Almuzayyen,

Chowdhury

2023

Saudi Journal of Anaesthesia

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It is increasingly conceivable that elderly patients will be treated in perioperative settings as the world’s population shifts toward an older age distribution. They are more prone to a variety of unfavorable outcomes as a consequence of the physiological changes that accompany aging and the coexistence of multiple medical conditions. Postoperative complications in elderly patients are linked to a large increase in morbidity and mortality and the burden placed on the healthcare system. Our goal is to determine how elderly patients’ recovery after anesthesia differs from that of younger patients. In addition, we will discuss the main postoperative complications experienced by elderly patients and the measures that are utilized to limit the risk of these complications developing.

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Postoperative Delirium

Cited by 2 publications

References 52 publications

A Lethal Combination of Delirium and Overcrowding in the Emergency Department

A Lethal Combination of Delirium and Overcrowding in the Emergency Department

The elderly in the post-anesthesia care unit

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