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2013, Number 3

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Cir Cir 2013; 81 (3)

Preventive program for postoperative delirium in the elderly

Ocádiz-Carrasco J, Gutiérrez-Padilla RA, Páramo-Rivas F, Tovar-Serrano A, Hernández-Ortega JL

Language: Spanish
References: 31
Page: 181-186
PDF size: 103.45 Kb.


ABSTRACT

Background: Delirium is a poor recognized entity in surgical patients that may commonly be mistaken as dementia or cognitive dysfunction. It is of great importance to know the measures that can lower its incidence and early recognition in order to begin specific treatment. The main objective of this study was to prove implementation of an educational program to health care professionals as an effective strategy to reduce delirium incidence and to help in early detection.
Methods: A preventive program was developed based on non-pharmacological measures and with support from patient relatives consisting in educational sessions, didactic material and questionnaires as well as specific strategies for all patients above 65 years old admitted to the hospital and within inclusion criteria. Two evaluations were made to physician and nursing personal before and after implementation of the program.
Results: Where an improvement in ability to identify disease was seen (initial 22% vs 93%; p= 0.000). 200 patients were included in the study group in one year where only one case of delirium developed showing and important reduction compared to previous incidence in our hospital (10% vs 0.5% p= 0.000) whereas in the surgical patients group none patient developed delirium (4.8% vs 0% p= 0.01, NNT= 21).
Conclusions: Implementation of a delirium preventive program was feasible. Due to the satisfactory results in our study it should be considered as an effective strategy for reducing incidence of this condition that may cause greater postoperative morbidity and mortality.


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