eISSN: 2084-9850
ISSN: 1897-3116
Pielęgniarstwo Chirurgiczne i Angiologiczne/Surgical and Vascular Nursing
Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
Search
4/2023
vol. 17
 
Share:
Send email
Share:
abstract:
Review paper

Delirium syndrome in the postoperative period

Katarzyna Cierzniakowska
1
,
Aleksandra Popow
1
,
Elżbieta Kozłowska
1
,
Magdalena Magdzińska
2
,
Aleksandra Samodulska
2
,
Renata Jabłońska
1
,
Maria T. Szewczyk
1

  1. Katedra Pielęgniarstwa Zabiegowego, Wydział Nauk o Zdrowiu, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
  2. Studenckie Koło Naukowe Katedry Pielęgniarstwa Zabiegowego, Wydział Nauk o Zdrowiu, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
Pielęgniarstwo Chirurgiczne i Angiologiczne 2023; 17(4): 188-202
DOI: https://doi.org/10.5114/pchia.2023.134718
Online publish date: 2024/02/01
View full text Get citation
 
PlumX metrics:
Introduction:
The presence of delirium is associated with decreased cognitive function, long-term hospitalization, more severe health problems, and higher mortality rates. The aim of the study was to assess the occurrence of postoperative delirium and its main risk factors based on available research studies.

Material and methods:
The source of data used to achieve the purpose of the work were 78 original works on the subject of postoperative delirium. The analysed material concerned full-text works published in the years 2013–2023.

Results:
Patients after cardiac, orthopaedic, abdominal, thoracic, vascular, neurosurgical, and urological procedures were qualified for postoperative delirium testing. In total, in all studies, the study group consisted of 29,359 patients. Postoperative delirium syndrome occurred in 4720 of these patients (17%). It developed in 1/5 of patients after vascular and neurosurgical operations. It mainly concerned patients over 65 years of age. It was determined that the risk factors predisposing to the development of this complication accounted for 70% and the triggering factors for 30%. Various scales were used to diagnose delirium: DSM-IV, DSM-V, CAM, CAM-ICU, MDAS. The CAM scale was most frequently used (31%).

Conclusions:
Postoperative delirium occurred mainly in people over 65 years of age. The highest rate of delirium was observed after vascular and neurosurgical operations. The review shows that the greatest impact on the occurrence of delirium after procedures had predisposing factors, i.e. advanced age, comorbidities (diabetes, hypertension, lung disease, chronic renal failure, depression), cognitive, visual, and auditory function disorders, and dementia. In the diagnosis of postoperative delirium, the CAM scale was most often used.

keywords:

postoperative delirium syndrome, risk factors, diagnostics, nursing care
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.