Delirium in the elderly patient after anesthesia: associated factors / Delirio en el adulto mayor sometido a anestesia: Factores asociados
Rev. colomb. anestesiol
;
46(4): 273-278, 2018. tab
Article
in English
| LILACS, COLNAL
| ID: biblio-978207
ABSTRACT
Abstract Introduction:
Postoperative delirium is defined as an acute confusional state with altered levels of attention and consciousness. It presents for a short period of time with a transient and fluctuating evolution, with long-term outcomes of cognitive dysfunction. It has been observed mostly in extreme age groups and has been associated with factors that increase the risk of occurrence.Objective:
To identify any factors associated with the development of postoperative delirium in the elderly following anesthesia. Materials andmethods:
An analytical cross-section study was conducted in elderly patients receiving anesthesia at a second-level hospital, from November 2016 to November 2017. The confusion assessment method was used based on 4 items for making the diagnosis of delirium. The data obtained were statistically analyzed with measures of central tendency, and the risk probability was estimated.Results:
A total of 100 patients aged between 60 and 93 years old were studied, with postoperative delirium present in 18% of the sample. There was a statistically significant association among patients with severe pain, those with a low level of education, and those who did not have a stable partner.Conclusion:
It is important to study the postoperative delirium factors to be able to identify the population at higher risk of experiencing postoperative delirium, with a view to reducing the number of long-term complications.RESUMEN
Resumen Introducción:
El delirio en el postoperatorio se define como un estado confusional agudo con alteraciones en la atención y conciencia. Este se presenta en un período corto de tiempo y presenta una evolución transitoria y fluctuante, con un desenlace a largo plazo en disfunción cognitiva. Se ha observado una mayor presentación en los extremos de la vida y su asociación con factores que aumentan el riesgo de presentación.Objetivo:
Identificarlos factores asociados a la presentación de delirio postoperatorio del adulto mayor sometido a anestesia. Materiales yMétodos:
Se realizó un estudio transversal analítico en pacientes adultos mayores sometidos a anestesia en un hospital de segundo nivel, en el periodo de Noviembre 2016 a Noviembre 2017. Se aplicó el método de evaluación de confusión (Test CAM) consistente en 4 ítems que hacen diagnóstico de delirio. Los datos obtenidos se analizaron estadísticamente con medidas de tendencia central y se calcularon probabilidades de riesgo.Resultados:
Se estudiaron 100 pacientes con rango de edades entre los 60 y 93 años, obteniendo delirio postoperatorio en 18% de la muestra. Se encontró una asociación estadísticamente significativa entre los pacientes con dolor severo, aquellos que no contaban con algun grado de escolaridad y los que no contaban con una pareja estable.Conclusiones:
Es importante el estudio de factores asociados a delirio postoperatorio que permitan identificar la población en más alto riesgo de desarrollarlo, buscando disminuir complicaciones a largo plazo.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Postoperative Period
/
Delirium
/
Anesthesia
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
English
Journal:
Rev. colomb. anestesiol
Journal subject:
Anesthesiology
Year:
2018
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Hospital General Regional No. 1/MX
/
Instituto Mexicano del Seguro Social/MX
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