Key result
Postoperative delirium developed in 23% of patients aged 65 and older following major surgery, and was significantly associated with advanced age, male gender, polypharmacy, prolonged anesthesia, and low albumin levels.
Why the study?
Delirium has a high prevalence in surgical clinics, and its risk factors need to be determined to guide evidence-based practices that prevent adverse effects in the early period.
Observational (n=100)
No
In patients over 65 undergoing major surgery, delirium is common (23%) and is significantly associated with older age, male gender, polypharmacy, prolonged anesthesia, and lower albumin levels, highlighting the need for targeted preventive strategies.
May guide monitoring in high-risk surgical patients; hypothesis-generating for targeted delirium prevention trials.
Aim: The high prevalence of delirium in surgical clinics and risk factors need to be determined for evidence-based practices to prevent the adverse effects it causes in the early period. This study aimed to determine the development of delirium and associated risk factors in patients over 65 years of age after major surgical intervention. Material and Method: This study was conducted as a descriptive and relation-seeker type study and it was held between September 2018-April 2019. Ageappropriate criteria for a total of 100 patients aged 65 who created the climb sample were used. The study used the Delirium Screening Scale (Nu-DESC) as data collection tools, Surgeon Before-During-Post-intervention Risk Factors Evaluation Form and a Mini-Mental Test. The SPPS 25.0 statistics package program was used to evaluate the data. Results: Delirium was more common in men aged 75 years and over who were using multiple drugs, long anesthesia duration, high serum cytokine levels, low hemoglobin and albumin levels, and the results were statistically significant (p<0.05). Discussion: Evidence-based effective treatment protocols for delirium after major surgery and risk factors for preventive interventions should be determined. When designing future delirium prevention strategies or in future etiological studies, they should focus on delirium-prone patients based on these risk factors.
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Çınar et al. (2021) conducted an observational in Postoperative delirium (n=100). Surgical and patient risk factors (e.g., advanced age, male gender, polypharmacy, prolonged anesthesia) vs. Absence of risk factors was evaluated on Incidence of postoperative delirium. Postoperative delirium developed in 23% of patients aged 65 and older following major surgery, and was significantly associated with advanced age, male gender, polypharmacy, prolonged anesthesia, and low albumin levels.
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