Save
RISK FACTORS ASSOCIATED TO POSTOPERATIVE DELIRIUM IN ELDERLY PATIENTS
Author(s): ,
Urias, E.*
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Perioperative medicine, Culiacán, Mexico
,
Ayala Camargo , Y.D.R.
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Anesthesiology, Culiacán, Mexico
,
Ortega Salas, J.
Affiliations:
Hospital General de Culiacan, Critical Care, Culiacán, Mexico
,
Bueno Cortés, B.A.
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Investigation Department, Culiacán, Mexico
jorge, M.
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Investigation Department, Culiacán, Mexico
ESRA Academy. Urias E. Sep 13, 2017; 190789; 51 Topic: Safety of Regional Anaesthesia - Complications - General Aspects
Dr. Emma Urias
Dr. Emma Urias
Login now to access Regular content available to all registered users.

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.


Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

After a surgical procedure, delirium is a common consequence, mainly in elderly patients, and it’s related with anesthesia as a risk factor. Delirium is defined as a disturbance in conscious level with reduction to direct attention. Moreover it is related with a change in cognitive function. Objective. To determine the risk factors associated with the development of postoperative delirium in patients older than 65 years.

Methods:

It was a case control study including 200 patients calculate for sample size, of which 192 patients (case: n=96, (control: n= 96), under a non-cardiac surgery to evaluate the risk factors related with the development of postoperative delirium from June 2015 to June 2016.

Results:

No association was found between different anesthesia techniques, not even in surgery and exposure time. Statistical difference was seen in the variable age, finding a mean of 5 years more in the case group. Other risk factors identified were: ASAIII/IV (p=.000, OR =4.3), emergency surgery (p=.036, OR=2.04), trauma and orthopedic surgery (p=.000, OR=4.7), blood transfusion (p=.044, OR=2.4), among others.

Conclusions:

Postoperative delirium development is a common complication after surgical procedures mainly in elderly patients. In our study the main risk factors identified were; age, surgery type, ASA physical status and intraoperative complications (arterial hypotension, intraoperative bleeding, intraoperative blood transfusion). It’s important to classify people according with the risk factors associated with postoperative delirium to diminish morbidity and mortality.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings