Review articles: postoperative delirium: acute change with long-term implications.

Abstract:

:Delirium is an acute change in cognition and attention, which may include alterations in consciousness and disorganized thinking. Although delirium may affect any age group, it is most common in older patients, especially those with preexisting cognitive impairment. Patients with delirium after surgery recover more slowly than those without delirium and, as a result, have increased length of stay and hospital costs. The measured incidence of postoperative delirium varies with the type of surgery, the urgency of surgery, and the type and sensitivity of the delirium assessment. Although generally considered a short-term condition, delirium can persist for months and is associated with poor cognitive and functional outcomes beyond the immediate postoperative period. In this article, we provide a guide to assess delirium risk preoperatively and to prevent, diagnose, and treat this common and morbid condition. Care improvements such as identifying delirium risk preoperatively; training surgeons, anesthesiologists, and nurses to screen for delirium; implementing delirium prevention programs; and developing standardized delirium treatment protocols may reduce the risk of delirium and its associated morbidity.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Rudolph JL,Marcantonio ER

doi

10.1213/ANE.0b013e3182147f6d

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

1202-11

issue

5

eissn

0003-2999

issn

1526-7598

pii

ANE.0b013e3182147f6d

journal_volume

112

pub_type

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