학술논문
Risk factors and adverse clinical outcomes of postoperative delirium in Thai elderly patients: A prospective cohort study.
Document Type
Article
Author
Source
Subject
*COGNITION disorders
*CONFIDENCE intervals
*HEMOGLOBINS
*AGE distribution
*SURGICAL complications
*MANN Whitney U Test
*T-test (Statistics)
*DELIRIUM
*DESCRIPTIVE statistics
*QUESTIONNAIRES
*ADVERSE health care events
*LONGITUDINAL method
*COMORBIDITY
*MENTAL illness
*OLD age
RISK of delirium
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Language
ISSN
0031-5990
Abstract
Purpose: To determine the incidence, risk factors, and adverse clinical outcomes of postoperative delirium (POD) in elderly patients. Design and Methods: A total of 429 patients scheduled to undergo noncardiac surgery were recruited. Delirium was assessed using the confusion assessment method. Findings: The incidence of POD was 5.4%. Risk factors of POD were age over 70 years, an American Society of Anesthesiologist physical status 2 and 3, cognitive impairment, history of psychiatric illness, and preoperative hemoglobin ≤ 10 g/dl. Practice Implications: The correction of modifiable risk factors, the use of preventive strategies, and the monitoring of POD are advisable to improve the quality of perioperative care. [ABSTRACT FROM AUTHOR]