POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.971 |
Resumo: | Background: Postoperative Delirium (POD) is defined as the occurrence of delirium among patients undergoing surgery, being particularly common among the elderly. This study focused on the incidence of POD among elderly patients admitted to a General Surgery ward. Methods: This was a prospective study among elderly patients admitted to a General Surgery ward. Neurologic assessments were carried out among patients aged 65 years and above, with a minimum hospital stay of four days. Patients undergoing surgical procedures were included in the study group; patients treated medically formed the control group. We collected demographic and clinical data and a Mini-Mental State Examination (MMSE) and Confusion Assessment Method 3-Minute (3D-CAM) were performed. Results: The incidence of delirium among elderly patients was 10%, the incidence of POD in elderly patients undergoing surgery was 14.9% versus 4.7% in patients undergoing medical treatment. Older age, higher Charlson Comorbidity Index (CCI), and a lower MMSE were significant for the development of delirium. Surgery implied an odds ratio of 3,588 showing a trend towards a greater occurrence of delirium among elderly patients undergoing surgery. Conclusions: POD’s is an important and common complication whose etiology is multifactorial. This study seems to be in accordance with the literature regarding the impact of aging, cognitive basal state, and comorbidity burden on the vulnerability that renders patients prone to the development of an acute confusional state. |
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POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTSDELIRIUM PÓS-OPERATÓRIO NUMA POPULAÇÃO IDOSABackground: Postoperative Delirium (POD) is defined as the occurrence of delirium among patients undergoing surgery, being particularly common among the elderly. This study focused on the incidence of POD among elderly patients admitted to a General Surgery ward. Methods: This was a prospective study among elderly patients admitted to a General Surgery ward. Neurologic assessments were carried out among patients aged 65 years and above, with a minimum hospital stay of four days. Patients undergoing surgical procedures were included in the study group; patients treated medically formed the control group. We collected demographic and clinical data and a Mini-Mental State Examination (MMSE) and Confusion Assessment Method 3-Minute (3D-CAM) were performed. Results: The incidence of delirium among elderly patients was 10%, the incidence of POD in elderly patients undergoing surgery was 14.9% versus 4.7% in patients undergoing medical treatment. Older age, higher Charlson Comorbidity Index (CCI), and a lower MMSE were significant for the development of delirium. Surgery implied an odds ratio of 3,588 showing a trend towards a greater occurrence of delirium among elderly patients undergoing surgery. Conclusions: POD’s is an important and common complication whose etiology is multifactorial. This study seems to be in accordance with the literature regarding the impact of aging, cognitive basal state, and comorbidity burden on the vulnerability that renders patients prone to the development of an acute confusional state.Introdução: Delirium pós-operatório (DPO) é definido como o desenvolvimento de delirium em doentes submetidos a procedimentos cirúrgicos, sendo uma complicação frequente, principalmente em doentes idosos. Métodos: Estudo comparativo, observacional, prospectivo, de doentes idosos internados numa enfermaria de cirurgia. Foram realizadas avaliações neurológicas a doentes com idade igual ou superior a 65 anos e com uma duração mínima de internamento de quatro dias. A população foi dividida em dois grupos (estudo e controlo) consoante tivesse sido submetida a intervenção cirúrgica ou tratamento médico. Foram colhidos dados demográficos e clínicos bem como aplicados o Mini-Mental State Examination (MMSE) e o questionário Confusion Assessment Method 3-Minute (3D-CAM). Resultados: A incidência de delirium entre idosos internados foi 10%. A incidência de DPO em doentes idosos operados foi 14.9% versus 4.7% em doentes submetidos a tratamento médico. Idade mais avançada, maior Índice de Comorbilidade de Charlson (ICC) e menor MMSE revelaram-se significativas para o desenvolvimento de delirium. Um odds ratio de 3.588 mostrou uma tendência para maior incidência de delirium entre doentes operados. Conclusões: O desenvolvimento de DPO é uma complicação importante e comum, cuja génese é multifactorial. Este estudo demonstra o impacto do envelhecimento, estado basal cognitivo e carga de comorbilidades na vulnerabilidade para o desenvolvimento de delirium.Sociedade Portuguesa de Cirurgia2022-12-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.971https://doi.org/10.34635/rpc.971Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 47-55Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 47-552183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/971https://revista.spcir.com/index.php/spcir/article/view/971/650Copyright (c) 2022 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessBorges, EvaSilva Ferreira, MargaridaMatos Costa, Paulo2024-03-14T22:05:11Zoai:revista.spcir.com:article/971Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:50.791891Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS DELIRIUM PÓS-OPERATÓRIO NUMA POPULAÇÃO IDOSA |
title |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS |
spellingShingle |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS Borges, Eva |
title_short |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS |
title_full |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS |
title_fullStr |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS |
title_full_unstemmed |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS |
title_sort |
POSTOPERATIVE DELIRIUM AMONG ELDERY PATIENTS |
author |
Borges, Eva |
author_facet |
Borges, Eva Silva Ferreira, Margarida Matos Costa, Paulo |
author_role |
author |
author2 |
Silva Ferreira, Margarida Matos Costa, Paulo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Borges, Eva Silva Ferreira, Margarida Matos Costa, Paulo |
description |
Background: Postoperative Delirium (POD) is defined as the occurrence of delirium among patients undergoing surgery, being particularly common among the elderly. This study focused on the incidence of POD among elderly patients admitted to a General Surgery ward. Methods: This was a prospective study among elderly patients admitted to a General Surgery ward. Neurologic assessments were carried out among patients aged 65 years and above, with a minimum hospital stay of four days. Patients undergoing surgical procedures were included in the study group; patients treated medically formed the control group. We collected demographic and clinical data and a Mini-Mental State Examination (MMSE) and Confusion Assessment Method 3-Minute (3D-CAM) were performed. Results: The incidence of delirium among elderly patients was 10%, the incidence of POD in elderly patients undergoing surgery was 14.9% versus 4.7% in patients undergoing medical treatment. Older age, higher Charlson Comorbidity Index (CCI), and a lower MMSE were significant for the development of delirium. Surgery implied an odds ratio of 3,588 showing a trend towards a greater occurrence of delirium among elderly patients undergoing surgery. Conclusions: POD’s is an important and common complication whose etiology is multifactorial. This study seems to be in accordance with the literature regarding the impact of aging, cognitive basal state, and comorbidity burden on the vulnerability that renders patients prone to the development of an acute confusional state. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-09 |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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https://doi.org/10.34635/rpc.971 https://doi.org/10.34635/rpc.971 |
url |
https://doi.org/10.34635/rpc.971 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/971 https://revista.spcir.com/index.php/spcir/article/view/971/650 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
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Copyright (c) 2022 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 47-55 Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 47-55 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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