Is COVID-19 a risk for postoperative delirium and death in elderly patients after emergency surgery?
Annals of Clinical and Analytical Medicine
; 14(5):409-413, 2023.
Artículo
en Inglés
| EMBASE | ID: covidwho-20234246
ABSTRACT
Aim:
While recent evidence describes atypical outcomes of coronavirus disease 2019 (COVID-19) in elderly patients, the frequency of delirium and associated outcomes in elderly patients with COVID-19 (coronavirus disease 2019) infection undergoing emergency surgery are not well defined. This study aims to determine the effect of COVID-19 on postoperative delirium and postoperative death in elderly patients undergoing emergency surgery. Material(s) and Method(s) This descriptive and cross-sectional study was conducted in general surgery, orthopedics, and cardiovascular surgery clinics of a public hospital, including 30 days of follow-up between April 1 and May 1, 2021. All patients who were admitted to these clinics for emergency surgery intervention on these dates constituted the study population, while a total of 140 patients aged >=65 years, who met the study criteria, formed the sample of the study. Descriptive Characteristics Form and Nursing Delirium Screening Scale (Nu-DESC) were used as data collection tools in the study. SPSS 25.0 statistical program was used for data analysis. Result(s) Thirty (42.85%) of the SARS-CoV-2 positive (n=70) patients developed delirium in the study. 12.9% (n=18) of the patients died within 30 days of follow-up after surgery. There were 30 (69.8) of 70 SARS-CoV-2 positive patients who developed delirium, and 12 patients (25.5) died after testing positive for COVID-19, with a mean of 8.08T1.56 days within 30 days of admission. Discussion(s) These findings may lead to a poor clinical prognosis for COVID-19 infection delirium and postoperative death in patients over 65 years of age undergoing emergency surgery.Copyright © 2023, Derman Medical Publishing. All rights reserved.
COVID-19 Pandemic; Old Age; Postoperative Delirium; Risk Factors; aged; anesthetic recovery; article; blood pressure; carbon dioxide tension; cardiovascular surgery; controlled study; coronavirus disease 2019; cross-sectional study; emergency surgery; female; follow up; general surgery; hematocrit; hospital admission; human; incidence; major clinical study; male; Nursing Delirium Screening Scale; operation duration; orthopedics; outcome assessment; oxygen saturation; postoperative complication/co [Complication]; postoperative delirium/co [Complication]; prognosis; public hospital; risk factor; urea blood level; albumin/ec [Endogenous Compound]; C reactive protein/ec [Endogenous Compound]; hemoglobin/ec [Endogenous Compound]; interleukin 6/ec [Endogenous Compound]; protein/ec [Endogenous Compound]
Texto completo:
Disponible
Colección:
Bases de datos de organismos internacionales
Base de datos:
EMBASE
Tipo de estudio:
Estudio de cohorte
/
Estudio observacional
/
Estudio pronóstico
/
Ensayo controlado aleatorizado
Idioma:
Inglés
Revista:
Annals of Clinical and Analytical Medicine
Año:
2023
Tipo del documento:
Artículo
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