Subtle attentional deficits in the absence of dementia are associated with an increased risk of post-operative delirium.

Abstract:

BACKGROUND:Previously, key studies of the risk profile for post-surgical delirium have focused on general medical and non-elective patients, few have examined elective cohorts. Accurate prediction is imperative for clinical trials and prevention strategies. AIMS/HYPOTHESIS:Our hypothesis was that subtle pre-operative impairments of attention will be associated with risk of post-operative delirium. METHOD:A prospective study evaluating pre- and post-operative neuropsychological performance in older (> or =70) consecutive elective admissions for orthopaedic surgery, and free of dementia (n = 100) was initiated in a general medical hospital. RESULTS:Pre-operative attentional deficits were closely associated with delirium. Patients who developed post-surgical delirium had significantly slower mean reaction times (p < or = 0.011) and greater variability of reaction time (p = 0.017). A 4- to 5-fold increased risk of delirium was observed for people one standard deviation above the sample means on these variables. CONCLUSIONS:The present study describes a measurement of attentional performance which could form the basis of a neuropsychological marker of delirium.

authors

Lowery DP,Wesnes K,Ballard CG

doi

10.1159/000101453

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

390-4

issue

6

eissn

1420-8008

issn

1421-9824

pii

000101453

journal_volume

23

pub_type

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