2017, Number 1
Delirium diagnostic in patients older than 65 years old following hip surgery
Ortega GJP, Espinosa TAE, Romero GLP, Cendón OMM, Cruz CG
Full text
Language: Spanish
References: 9
Page: 30-32
PDF size: 178.69 Kb.
ABSTRACT
Background: In Mexico, a study performed during 2003 in a teaching hospital reported delirium prevalence of 12%, from which 50% of the patients went through a surgical procedure. According to a study performed at National Medical Center XXI Century, a delirium prevalence of 10.94% was reported. Objective: To know the prevalence of postoperative delirium in patients older than 65 years after hip surgery, also detect factors associated to its appearance. Material and methods: A prospective, cross-sectional, comparative and observational study in patients older than 65 years programmed for hip surgery at ABC Medical Center. Informed consent was obtained and a MiniMental test was performed before the procedure, after surgery daily evaluations were performed with Confusion Assessment Method test to evaluate and diagnose postoperative delirium. Data related to the patient and surgery were obtained to recognize associated factors to the syndrome in positive cases. Results: From a total of 35 patients included in the sample, 6 of them presented the criteria that suggests the diagnosis of delirium, with a prevalence of 17.1%. Conclusions: The prevalence of delirium at ABC Medical Center is similar to what has been reported in national and international literature, it is not possible to correlate directly the anesthetic technique or other factor with the diagnosis of delirium through this study. Further studies should be made to detect and prevent delirium.REFERENCES
López-Jaime MA, Vázquez-Estupiñan F, Aguilar-Madrid G, Cooper-Bribiesca D, Juárez-Pérez C. Prevalencia de delirium postquirúrgico y su relación con disfunción ejecutiva prequirúrgica en pacientes mayores de 60 años del hospital de especialidades CMN Siglo XXI. Vertientes Rev Esp CS. 2012; 15 (2): 78-87.