Sánchez-Navarro CA, Gándara-Quezada V, Olvera-Romo J

Language: Spanish
References: 21
Page: 82-86
PDF size: 434.70 Kb.

ABSTRACT

Introduction: older adults undergoing orthopedic procedures have a 15% increased risk of developing postoperative delirium (POD), with an incidence ranging from 5.1 to 52.5%. The 4AT-ES scale does not require training for its application in detecting POD. Objective: to measure the frequency of POD using the 4AT-ES scale in older adults postoperatively following total hip (THA) or knee arthroplasty (TKA). Material and methods: cross-sectional study. We included 146 older patients undergoing hip or knee arthroplasties in a secondary-level hospital. After approval from the Research and Ethics Committee and obtaining patient consent, the 4AT-ES scale was applied upon admission to the ward. Results: the mean age was 72 years, with 58.2% women. The main comorbidities were diabetes mellitus (26.7%) and hypertension (55%), with 89.7% classified as ASA grade II. POD was identified in 8.2% of patients, and cognitive impairment in 1.4% according to the 4AT-ES. All older patients with POD had undergone THA, major surgery lasting 2 hours, and had a hospital stay of 7 or more days. Conclusions: the 4AT-ES scale is applicable for detecting POD in older adults without requiring staff standardization.

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