Postoperative Complications: Delirium

被引:22
作者
Allen, Steven R. [1 ]
Frankel, Heidi L. [2 ,3 ]
机构
[1] Univ Penn, Div Traumatol Surg Crit Care & Emergency Surg, Philadelphia, PA 19104 USA
[2] Penn State Hershey Med Ctr, Div Trauma Acute Care & Crit Care Surg, Hershey, PA 17033 USA
[3] Univ Maryland, R Adams Cowley Shock Trauma Ctr, Div Surg Crit Care, Baltimore, MD 21201 USA
关键词
Delirium; Postoperative complications; Cholinergic transmission; Serum anticholinergic activity; INTENSIVE-CARE-UNIT; SERUM ANTICHOLINERGIC ACTIVITY; MINI-MENTAL-STATE; CONFUSION ASSESSMENT METHOD; ELDERLY MEDICAL PATIENTS; CRITICALLY-ILL PATIENTS; MECHANICALLY VENTILATED PATIENTS; HOSPITALIZED OLDER PATIENTS; HIP FRACTURE; ICU PATIENTS;
D O I
10.1016/j.suc.2012.01.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Delirium is a common feature of the postoperative period, leading to increased morbidity and mortality and significant costs. Multiple factors predispose a patient to delirium in its hypoactive, hyperactive, or mixed forms. Tools have been validated for its quick and accurate identification to ensure timely and effective multidisciplinary intervention and treatment. A significant percentage of patients may require placement in skilled nursing facilities or similar care environments because of the long-lasting effects. The physician must be vigilant in the search for and identification of all forms of delirium and must effectively treat the underlying medical condition and symptoms.
引用
收藏
页码:409 / +
页数:24
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