DETERMINANTS OF POSTOPERATIVE DELIRIUM: ASSESSMENT OF RISK FACTORS
DOI:
https://doi.org/10.47820/recima21.v5i7.5531Keywords:
Anesthesia. Surgeries. Delirium.Abstract
Postoperative delirium (POD) remains a common, dangerous, and resource-consuming adverse event, but it is often preventable. POD is a common and serious complication, especially in elderly patients undergoing surgery. Objective: to review the current literature on the relationship between risk factors for postoperative delirium. Materials and methods: This is an integrative review of the literature, including research in the electronic database PubMed. To search for articles, the descriptors “postoperative anesthesia”, “delirium” and “risk factor” were used. The delimitation of the research time frame began in the year 2022 until April 2024. Eight articles were found to compose the review Results and discussion: The LIU, Xiao-Hong study identified several influential risk factors for POD, including age, height, sex, preoperative and postoperative erythrocyte sedimentation rate levels, preoperative lactate levels. -operative conditions, pain scores the day after surgery, type of surgical procedure and the presence of delirium in the post-anesthesia care unit Post-operative delirium affects up to 50% of hospitalized surgical patients and is associated with increased morbidity and. mortality, postoperative cognitive decline, poor functional recovery, prolonged hospitalization, higher hospital readmission rates and increased expenditure on healthcare resources Conclusion: Sex, age, education, smoking, history of delirium, perioperative blood loss, being institutionalized, having comorbidities, polypharmacy and duration of surgery/anesthesia were independently associated with postoperative delirium.
Downloads
References
ALBANESE, Anita M. et al. Review of postoperative delirium in geriatric patients after hip fracture treatment. Geriatric orthopaedic surgery & rehabilitation, v. 13, p. 21514593211058947, 2022. DOI: https://doi.org/10.1177/21514593211058947
ALDECOA, César et al. Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients. European Journal of Anaesthesiology| EJA, v. 41, n. 2, p. 81-108, 2024.
DE SOUSA, Luís Manuel Mota et al. A metodologia de revisão integrativa da literatura em enfermagem. Revista investigação em enfermagem, v. 21, n. 2, p. 17-26, 2017.
DUAN, Yanli; ZHANG, Ruzhen. Risk factors and prediction model of delirium in elderly patients after hip arthroplasty. Pakistan Journal of Medical Sciences, v. 40, n. 6, 2024. DOI: https://doi.org/10.12669/pjms.40.6.9306
ERCOLE, Flávia Falci; MELO, Laís Samara de; ALCOFORADO, Carla Lúcia Goulart Constant. Revisão integrativa versus revisão sistemática. Reme: Revista Mineira de Enfermagem, v. 18, n. 1, p. 09-11, 2014. DOI: https://doi.org/10.5935/1415-2762.20140001
GUTTENTHALER, Vera et al. Predictiveness of preoperative laboratory values for postoperative delirium. Health Science Reports, v. 7, n. 7, p. e2219, 2024. DOI: https://doi.org/10.1002/hsr2.2219
HO, Mu‐Hsing et al. Postoperative delirium in older patients: a systematic review of assessment and incidence of postoperative delirium. Worldviews on Evidence‐Based Nursing, v. 18, n. 5, p. 290-301, 2021. DOI: https://doi.org/10.1111/wvn.12536
KE, Yuhe et al. Risk factors of post-anaesthesia care unit delirium in patients undergoing non-cardiac surgery in Singapore. Singapore Medical Journal, v. 64, n. 12, p. 728-731, 2023. DOI: https://doi.org/10.11622/smedj.2021129
LIU, Xiao-Hong et al. Risk factors associated with postoperative delirium in elderly patients undergoing hip surgery. Frontiers in Psychiatry, v. 14, p. 1288117, 2023. DOI: https://doi.org/10.3389/fpsyt.2023.1288117
MAHANNA-GABRIELLI, Elizabeth; ECKENHOFF, Roderic G.; MENDEZ, Mario F. Perioperative neurocognitive disorders in adults: Risk factors and mitigation strategies. Waltham MA: UpTodate, 2023.
MCCULLAGH, Iain J. et al. Modifiable risk factors for post-operative delirium in older adults undergoing major non-cardiac elective surgery: a multi-centre, trainee delivered observational cohort feasibility study and trainee survey. BMC geriatrics, v. 23, n. 1, p. 436, 2023. DOI: https://doi.org/10.1186/s12877-023-04122-7
MENDES, Karina Dal Sasso; SILVEIRA, Renata Cristina de Campos Pereira; GALVÃO, Cristina Maria. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto-enfermagem, v. 17, p. 758-764, 2008. DOI: https://doi.org/10.1590/S0104-07072008000400018
MEVORACH, Lior et al. Perioperative risk factors associated with increased incidence of postoperative delirium: systematic review, meta-analysis, and Grading of Recommendations Assessment, Development, and Evaluation system report of clinical literature. British Journal of Anaesthesia, v. 130, n. 2, p. e254-e262, 2023. DOI: https://doi.org/10.1016/j.bja.2022.05.032
SADEGHIRAD, Behnam et al. Perioperative factors associated with postoperative delirium in patients undergoing noncardiac surgery: An individual patient data meta-analysis. JAMA network open, v. 6, n. 10, p. e2337239-e2337239, 2023. DOI: https://doi.org/10.1001/jamanetworkopen.2023.37239
ZHU, Xianlin et al. The Effect of General Anesthesia vs. Regional Anesthesia on Postoperative Delirium—A Systematic Review and Meta-Analysis. Frontiers in Medicine, v. 9, p. 844371, 2022. DOI: https://doi.org/10.3389/fmed.2022.844371
Downloads
Published
License
Copyright (c) 2024 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
