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Delirium after abdominal surgery at a surgical ward with a high standard of delirium care: incidence, risk factors and outcomes.
Dig Surg 2009; 26(1):63-8DS

Abstract

BACKGROUND

Although delirium is a common problem in elderly patients undergoing surgery, standard delirium care is not available in all wards. The object of this study was to determine the incidence, risk factors and outcomes of postoperative delirium among patients aged 65 and above undergoing elective abdominal surgery at a surgical ward with a high standard delirium care.

METHODS

Prospective descriptive survey in 71 patients. The Delirium Observation Scale was used to screen for delirium. Patients were classified as having a delirium if they met the DSM IV-criteria. Delirious and nondelirious patients were compared and associated risk factors were calculated using logistic regression analyses.

RESULTS

Incidence of postoperative delirium was 24%. Univariate analysis showed that age above 74 years, CST score, ASA score, length of ICU stay, length of hospital stay and number of complications were significant risk factors for delirium. Older age, however, was the only significant risk factor in multivariate analysis (OR 1.16; 95% CI 1.00-1.35; p = 0.05). Lastly, mortality was significantly higher in the delirium group (29.4 vs. 3.7%; p = 0.001).

CONCLUSION

At a surgical ward with high standard delirium care, the incidence of delirium was 24% and mortality was higher in delirious patients undergoing elective abdominal surgery.

Authors+Show Affiliations

Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. boukjekoebrugge@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19169032

Citation

Koebrugge, Boukje, et al. "Delirium After Abdominal Surgery at a Surgical Ward With a High Standard of Delirium Care: Incidence, Risk Factors and Outcomes." Digestive Surgery, vol. 26, no. 1, 2009, pp. 63-8.
Koebrugge B, Koek HL, van Wensen RJ, et al. Delirium after abdominal surgery at a surgical ward with a high standard of delirium care: incidence, risk factors and outcomes. Dig Surg. 2009;26(1):63-8.
Koebrugge, B., Koek, H. L., van Wensen, R. J., Dautzenberg, P. L., & Bosscha, K. (2009). Delirium after abdominal surgery at a surgical ward with a high standard of delirium care: incidence, risk factors and outcomes. Digestive Surgery, 26(1), pp. 63-8. doi:10.1159/000194947.
Koebrugge B, et al. Delirium After Abdominal Surgery at a Surgical Ward With a High Standard of Delirium Care: Incidence, Risk Factors and Outcomes. Dig Surg. 2009;26(1):63-8. PubMed PMID: 19169032.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delirium after abdominal surgery at a surgical ward with a high standard of delirium care: incidence, risk factors and outcomes. AU - Koebrugge,Boukje, AU - Koek,Huiberdina L, AU - van Wensen,Remco J A, AU - Dautzenberg,Paul L J, AU - Bosscha,Koop, Y1 - 2009/01/23/ PY - 2008/07/04/received PY - 2008/10/25/accepted PY - 2009/1/27/entrez PY - 2009/1/27/pubmed PY - 2009/7/17/medline SP - 63 EP - 8 JF - Digestive surgery JO - Dig Surg VL - 26 IS - 1 N2 - BACKGROUND: Although delirium is a common problem in elderly patients undergoing surgery, standard delirium care is not available in all wards. The object of this study was to determine the incidence, risk factors and outcomes of postoperative delirium among patients aged 65 and above undergoing elective abdominal surgery at a surgical ward with a high standard delirium care. METHODS: Prospective descriptive survey in 71 patients. The Delirium Observation Scale was used to screen for delirium. Patients were classified as having a delirium if they met the DSM IV-criteria. Delirious and nondelirious patients were compared and associated risk factors were calculated using logistic regression analyses. RESULTS: Incidence of postoperative delirium was 24%. Univariate analysis showed that age above 74 years, CST score, ASA score, length of ICU stay, length of hospital stay and number of complications were significant risk factors for delirium. Older age, however, was the only significant risk factor in multivariate analysis (OR 1.16; 95% CI 1.00-1.35; p = 0.05). Lastly, mortality was significantly higher in the delirium group (29.4 vs. 3.7%; p = 0.001). CONCLUSION: At a surgical ward with high standard delirium care, the incidence of delirium was 24% and mortality was higher in delirious patients undergoing elective abdominal surgery. SN - 1421-9883 UR - https://www.unboundmedicine.com/medline/citation/19169032/Delirium_after_abdominal_surgery_at_a_surgical_ward_with_a_high_standard_of_delirium_care:_incidence_risk_factors_and_outcomes_ L2 - https://www.karger.com?DOI=10.1159/000194947 DB - PRIME DP - Unbound Medicine ER -