Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil

Ianna Lacerda Sampaio Braga,1–3 João Castelo-Filho,2 Rafael de Sousa Bezerra Pinheiro,3 Rodrigo Barbosa de Azevedo,3 Antônio Talys Ponte,4 Romulo Augusto da Silveira,4 Pedro Braga-Neto,5,6 Adriana Rolim Campos1,21Northeast Biotechnology Network, Universidade de Fortale...

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Autores principales:	Braga ILS, Castelo-Filho J, Pinheiro RSB, de Azevedo RB, Ponte AT, da Silveira RA, Braga-Neto P, Campos AR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	delirium transurethral resection of prostate neurocognitive disorders risk factors activities of daily living. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2e093e91d8c54b7187307b355fef0c64
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spelling	oai:doaj.org-article:2e093e91d8c54b7187307b355fef0c642021-12-02T06:53:37ZFunctional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil1178-2021https://doaj.org/article/2e093e91d8c54b7187307b355fef0c642019-08-01T00:00:00Zhttps://www.dovepress.com/functional-capacity-as-a-predictor-of-postoperative-delirium-in-transu-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ianna Lacerda Sampaio Braga,1–3 João Castelo-Filho,2 Rafael de Sousa Bezerra Pinheiro,3 Rodrigo Barbosa de Azevedo,3 Antônio Talys Ponte,4 Romulo Augusto da Silveira,4 Pedro Braga-Neto,5,6 Adriana Rolim Campos1,21Northeast Biotechnology Network, Universidade de Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil; 2Medical School Graduate Program, Health Sciences Center, Universidade de Fortaleza, Fortaleza, Ceará, Brazil; 3Internal Medicine Service, Hospital Geral Dr. César Carls, Fortaleza, Ceará, Brazil; 4Urology Service, Hospital Geral Dr. César Cals, Fortaleza, Ceará, Brazil; 5Division of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza, Brazil; 6Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, BrazilCorrespondence: Ianna Lacerda Sampaio BragaMedical School Graduate Program, Health Sciences Center, Universidade de Fortaleza (UNIFOR), Av. Washington Soares, 1321 - Edson Queiroz, Fortaleza, Ceará, BrazilEmail iannalacerda@unifor.brPedro Braga-NetoDepartment of Clinical Medicine, Universidade Federal do Ceará, Rua Prof. Costa Mendes, 1608 - 4 andar - Rodolfo Teófilo, Fortaleza, Ceará, BrazilTel +55 859 998 5616Email pbraganeto@ufc.brIntroduction: Postoperative delirium (POD) is a common disorder and its frequency varies from 15% to 25% after major elective surgery. There are few data on the incidence of POD in Brazil. Here, we sought to assess the incidence of POD following transurethral resection of the prostate (TURP) and to examine precipitating and predisposing factors associated.Method: We performed a prospective observational study of elderly male patients undergoing TURP (N=55) in Northeast Brazil. Information on demographic, medical, cognitive and functional characteristics were collected. The participants were followed until hospital discharge. POD was diagnosed by the Confusion Assessment Method.Results: A total of three participants (5.45%) were identified with POD. Episodes of delirium lasted 3±1 days. The study sample consisted of a healthy population. Patients with POD had longer hospital stay and more precipitating factors. The POD group showed statistically significant lower Barthel index score (p<0.001) and higher Pfeffer’s Functional Activities Questionnaire scores (p<0.01).Conclusion: Loss of functional capacity was associated with POD in a healthy population of elderly patients undergoing TURP.Keywords: delirium, transurethral resection of prostate, neurocognitive disorders, risk factors, activities of daily livingBraga ILSCastelo-Filho JPinheiro RSBde Azevedo RBPonte ATda Silveira RABraga-Neto PCampos ARDove Medical Pressarticledeliriumtransurethral resection of prostateneurocognitive disordersrisk factorsactivities of daily living.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 2395-2401 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	delirium transurethral resection of prostate neurocognitive disorders risk factors activities of daily living. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	delirium transurethral resection of prostate neurocognitive disorders risk factors activities of daily living. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Braga ILS Castelo-Filho J Pinheiro RSB de Azevedo RB Ponte AT da Silveira RA Braga-Neto P Campos AR Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil
description	Ianna Lacerda Sampaio Braga,1–3 João Castelo-Filho,2 Rafael de Sousa Bezerra Pinheiro,3 Rodrigo Barbosa de Azevedo,3 Antônio Talys Ponte,4 Romulo Augusto da Silveira,4 Pedro Braga-Neto,5,6 Adriana Rolim Campos1,21Northeast Biotechnology Network, Universidade de Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil; 2Medical School Graduate Program, Health Sciences Center, Universidade de Fortaleza, Fortaleza, Ceará, Brazil; 3Internal Medicine Service, Hospital Geral Dr. César Carls, Fortaleza, Ceará, Brazil; 4Urology Service, Hospital Geral Dr. César Cals, Fortaleza, Ceará, Brazil; 5Division of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza, Brazil; 6Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, BrazilCorrespondence: Ianna Lacerda Sampaio BragaMedical School Graduate Program, Health Sciences Center, Universidade de Fortaleza (UNIFOR), Av. Washington Soares, 1321 - Edson Queiroz, Fortaleza, Ceará, BrazilEmail iannalacerda@unifor.brPedro Braga-NetoDepartment of Clinical Medicine, Universidade Federal do Ceará, Rua Prof. Costa Mendes, 1608 - 4 andar - Rodolfo Teófilo, Fortaleza, Ceará, BrazilTel +55 859 998 5616Email pbraganeto@ufc.brIntroduction: Postoperative delirium (POD) is a common disorder and its frequency varies from 15% to 25% after major elective surgery. There are few data on the incidence of POD in Brazil. Here, we sought to assess the incidence of POD following transurethral resection of the prostate (TURP) and to examine precipitating and predisposing factors associated.Method: We performed a prospective observational study of elderly male patients undergoing TURP (N=55) in Northeast Brazil. Information on demographic, medical, cognitive and functional characteristics were collected. The participants were followed until hospital discharge. POD was diagnosed by the Confusion Assessment Method.Results: A total of three participants (5.45%) were identified with POD. Episodes of delirium lasted 3±1 days. The study sample consisted of a healthy population. Patients with POD had longer hospital stay and more precipitating factors. The POD group showed statistically significant lower Barthel index score (p<0.001) and higher Pfeffer’s Functional Activities Questionnaire scores (p<0.01).Conclusion: Loss of functional capacity was associated with POD in a healthy population of elderly patients undergoing TURP.Keywords: delirium, transurethral resection of prostate, neurocognitive disorders, risk factors, activities of daily living
format	article
author	Braga ILS Castelo-Filho J Pinheiro RSB de Azevedo RB Ponte AT da Silveira RA Braga-Neto P Campos AR
author_facet	Braga ILS Castelo-Filho J Pinheiro RSB de Azevedo RB Ponte AT da Silveira RA Braga-Neto P Campos AR
author_sort	Braga ILS
title	Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil
title_short	Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil
title_full	Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil
title_fullStr	Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil
title_full_unstemmed	Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil
title_sort	functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in northeast brazil
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/2e093e91d8c54b7187307b355fef0c64
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Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil

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