Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study

Peng Xue,1 Ziyu Wu,2 Kunpeng Wang,1 Chuanquan Tu,1 Xiangbo Wang1 1Department of Urology, First People’s Hospital of Lianyungang, Lianyungang, 2Department of Urology, No 2 Hospital of Huaian, Huaian, Jiangsu Province, People’s Republic of&n...

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Autores principales:	Xue P, Wu ZY, Wang KP, Tu CQ, Wang XB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Elderly Postoperative delirium Risk factors Transurethral resection of prostate Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9c162b1dda544f978afc270b1e817b56
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spelling	oai:doaj.org-article:9c162b1dda544f978afc270b1e817b562021-12-02T04:33:48ZIncidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study1178-2021https://doaj.org/article/9c162b1dda544f978afc270b1e817b562016-01-01T00:00:00Zhttps://www.dovepress.com/incidence-and-risk-factors-of-postoperative-delirium-in-elderly-patien-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Peng Xue,1 Ziyu Wu,2 Kunpeng Wang,1 Chuanquan Tu,1 Xiangbo Wang1 1Department of Urology, First People’s Hospital of Lianyungang, Lianyungang, 2Department of Urology, No 2 Hospital of Huaian, Huaian, Jiangsu Province, People’s Republic of China Aim: The aim of the present study was to investigate the occurrence of postoperative delirium (POD) in elderly patients undergoing transurethral resection of prostate (TURP) and to identify those factors associated with delirium.Methods: From July 2010 to February 2015, 358 patients, aged ≥65 years and undergoing TURP were prospectively enrolled. Personal, medical and cognitive data, laboratory assessments, pain intensity, preoperative medications, and details of hemodynamic control were collected as predictors of delirium. POD was assessed using the Confusion Assessment Method.Results: In the present study, POD occurred in 28 out of 358 cases (7.8%) after TURP, with duration of 1–4 days. The multivariate analysis showed that old age and visual analog scale pain scores were associated with POD. Marital status, body mass index, education, alcohol consumption, smoking history, preoperative psychotropic medication usage, activities of daily living scores, preoperative Mini-Mental Status Examination score, anesthesia type, American Society of Anesthesiologists classification, or hypotensive episodes during surgery did not significantly correlate with the occurrence of POD.Conclusion: Old age and pain intensity after surgery were found as the risk factors for the development of delirium in elderly patients undergoing TURP. These findings might help develop preventive strategies to decrease POD through targeted evaluation. Keywords: elderly, postoperative delirium, risk factors, transurethral resection of prostateXue PWu ZYWang KPTu CQWang XBDove Medical PressarticleElderlyPostoperative deliriumRisk factorsTransurethral resection of prostateNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 137-142 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Elderly Postoperative delirium Risk factors Transurethral resection of prostate Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Elderly Postoperative delirium Risk factors Transurethral resection of prostate Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Xue P Wu ZY Wang KP Tu CQ Wang XB Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
description	Peng Xue,1 Ziyu Wu,2 Kunpeng Wang,1 Chuanquan Tu,1 Xiangbo Wang1 1Department of Urology, First People’s Hospital of Lianyungang, Lianyungang, 2Department of Urology, No 2 Hospital of Huaian, Huaian, Jiangsu Province, People’s Republic of China Aim: The aim of the present study was to investigate the occurrence of postoperative delirium (POD) in elderly patients undergoing transurethral resection of prostate (TURP) and to identify those factors associated with delirium.Methods: From July 2010 to February 2015, 358 patients, aged ≥65 years and undergoing TURP were prospectively enrolled. Personal, medical and cognitive data, laboratory assessments, pain intensity, preoperative medications, and details of hemodynamic control were collected as predictors of delirium. POD was assessed using the Confusion Assessment Method.Results: In the present study, POD occurred in 28 out of 358 cases (7.8%) after TURP, with duration of 1–4 days. The multivariate analysis showed that old age and visual analog scale pain scores were associated with POD. Marital status, body mass index, education, alcohol consumption, smoking history, preoperative psychotropic medication usage, activities of daily living scores, preoperative Mini-Mental Status Examination score, anesthesia type, American Society of Anesthesiologists classification, or hypotensive episodes during surgery did not significantly correlate with the occurrence of POD.Conclusion: Old age and pain intensity after surgery were found as the risk factors for the development of delirium in elderly patients undergoing TURP. These findings might help develop preventive strategies to decrease POD through targeted evaluation. Keywords: elderly, postoperative delirium, risk factors, transurethral resection of prostate
format	article
author	Xue P Wu ZY Wang KP Tu CQ Wang XB
author_facet	Xue P Wu ZY Wang KP Tu CQ Wang XB
author_sort	Xue P
title	Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
title_short	Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
title_full	Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
title_fullStr	Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
title_full_unstemmed	Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
title_sort	incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/9c162b1dda544f978afc270b1e817b56
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Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study

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