Postoperative Delirium in the Geriatric Patient
- PMID: 26315635
- PMCID: PMC4555984
- DOI: 10.1016/j.anclin.2015.05.007
Postoperative Delirium in the Geriatric Patient
Abstract
Postoperative delirium, a common complication in older surgical patients, is independently associated with increased morbidity and mortality. Patients older than 65 years receive greater than one-third of the more than 40 million anesthetics delivered yearly in the United States. This number is expected to increase with the aging of the population. Thus, it is increasingly important that perioperative clinicians who care for geriatric patients have an understanding of the complex syndrome of postoperative delirium.
Keywords: Geriatric; Management; Postoperative delirium; Risk factors; Screening.
Copyright © 2015 Elsevier Inc. All rights reserved.
Conflict of interest statement
Dr. Schenning: None
Dr. Deiner: None
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References
-
- Dubljanin-Raspopovic E, Markovic Denic L, Marinkovic J, et al. Use of early indicators in rehabilitation process to predict one-year mortality in elderly hip fracture patients. Hip Int. 2012;22(6):661–667. - PubMed
-
- Bickel H, Gradinger R, Kochs E, et al. High risk of cognitive and functional decline after postoperative delirium. A three-year prospective study. Dement Geriatr Cogn Disord. 2008;26(1):26–31. - PubMed
-
- Kat MG, Vreeswijk R, de Jonghe JF, et al. Long-term cognitive outcome of delirium in elderly hip surgery patients. A prospective matched controlled study over two and a half years. Dement Geriatr Cogn Disord. 2008;26(1):1–8. - PubMed
-
- Zakriya K, Sieber FE, Christmas C, et al. Brief postoperative delirium in hip fracture patients affects functional outcome at three months. Anesth Analg. 2004;98(6) 1798,802, table of contents. - PubMed
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