Le delirium postopératoire

Verdonk, Franck

doi:10.1016/j.anrea.2019.09.005

Cited by 2 publications

(12 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hypoactive delirium, constituting approximately 25–50% of cases ( 9 – 11 ), is characterized by passivity, introversion, psychomotor slowing, decreased alertness and communication ( 2 , 12 – 14 ). This phenotype resembles severe psychoaffective syndromes, i.e.…”

Section: Deliriummentioning

confidence: 99%

“…In contrast, hyperactive delirium is marked by motor agitation, aggression, hallucinations and delusions ( 2 , 12 – 14 ). Hyperactive confusion, comprising 21.5% to 25% of confusional states, ( 9 – 11 ), is marked by heightened behavioral disturbances, distinguishing it from dementia syndromes ( 11 , 16 ).…”

Section: Deliriummentioning

confidence: 99%

“…Finally, mixed delirium, encompassing approximately 25% of confusional syndromes ( 9 ), combines the two previous states with rapid fluctuations, i.e. over less than 24 hours ( 2 ).…”

Section: Deliriummentioning

confidence: 99%

“…Several factors contribute to the heightened occurrence of such complications, including cognitive impairment, the presence of neurodegenerative disease, depression, substance abuse, cardiorespiratory status, functional abilities, mobility and risk of falls, frailty, diet, medication intake, family and social support, and postoperative delirium ( 1 ). Postoperative delirium has been reported in up to 70% of people over 60 years of age ( 2 ) and up to 90% of people with neurodegenerative diseases ( 3 ). These states of post-surgical confusion remain underdiagnosed for an estimated 40% to 60% of hospitalized patients and for patients with pre-existing neurodegenerative disease the estimates indicate a misidentification rate as high as 88% ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Delirium management in perioperative geriatric services: a narrative review of non-pharmaceutical strategies

Travers,

Gagliardi,

Ramseyer

2024

Front. Psychiatry

View full text Add to dashboard Cite

Delirium, a common complication in elderly surgical patients, poses significant challenges in perioperative care. Perioperative geriatric services (PGS) aim at managing comorbidities, postoperative complications, and initiating early recovery of mobility to enhance elderly patients’ prognosis in the perioperative period. Studies have shown that patients with preoperative cognitive disorders are at a significantly increased risk of postoperative delirium. While postoperative delirium affects up to 70% of people over 60 and 90% of people with neurodegenerative diseases, it remains underdiagnosed in many cases. Postoperative delirium can lead to functional decline, prolonged hospitalization, increased healthcare costs, cognitive impairment, and psychological malaise. This article briefly summarizes the literature on delirium, its risk factors, and its non-pharmaceutical management strategies within the perioperative period. It highlights the importance of integrating cognitive and psychological assessments into perioperative care protocols to provide baseline data, improve patient outcomes, reduce hospital stays, and minimize complications associated with delirium. By embracing evidence-based delirium management protocols, healthcare professionals can better identify and manage delirium, ultimately improving the quality of care for elderly surgical patients, which would also benefit healthcare staff and healthcare institutions.

show abstract

Section: Deliriummentioning

confidence: 99%

Section: Deliriummentioning

confidence: 99%

“…Finally, mixed delirium, encompassing approximately 25% of confusional syndromes ( 9 ), combines the two previous states with rapid fluctuations, i.e. over less than 24 hours ( 2 ).…”

Section: Deliriummentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Delirium management in perioperative geriatric services: a narrative review of non-pharmaceutical strategies

Travers,

Gagliardi,

Ramseyer

2024

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Its administration takes about two minutes and is accessible for clinical practice. It has been validated in different languages such as Danish (4), Turkish (5), Czech (6), and Korean (7), and used in different clinical practice scenarios: palliative care patients (8,9), cardiac surgery (10,11), liver transplantation (12), orthopedic surgery (13), urological surgery (14,15), scheduled post-operative patients (16)(17)(18)(19), post-anesthesia with medications such as ketamine (20), hospitalization (21), geriatrics hospitalization (22), oncologic hospitalization (23), and ICUs (24)(25)(26). The results of these studies report an average sensitivity of 96 % and specificity of 81 % using this scale.…”

Section: Introductionmentioning

confidence: 99%

Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review

2020

View full text Add to dashboard Cite

Objective: To analyze the context and use of the Nursing Delirium Screening Scale (Nu-DESC) for early detection of delirium in adult patients, compiling the available evidence. Method: Searching for relevant articles on databases such as Cinahl, Medline, Ovid, Scopus, and Web of Science. Inclusion criteria: Articles written in English, Spanish, and Portuguese, published between January 2013 and October 2019. Search terms: “nursing delirium screen,” “inpatient delirium screening,” and “nursing assessment.” We identified 23 articles in which the Nu-DESC was used. Two reviewers independently assessed the articles using the CASPe (Critical Appraisal Skills Program in Spanish) tool. Results: The Nu-DESC is employed in different contexts such as the adult intensive care unit (ICU), post-anesthetic care unit (PACU), palliative care unit, and hospitalization unit. It is more frequently used in the PACU with a more sensitive threshold (≥ 1); the test showed greater sensitivity of 54.5 % (95 % CI: 32.2–75.6) and specificity of 97.1 % (95 % CI: 95.3–98.4). Conclusion: The Nu-DESC facilitates the recognition of delirium episodes by the nursing team, makes care quicker and individualized for each patient, avoiding immediate pharmacological interventions, and coordinate interdisciplinary actions for diagnosis, especially in post-anesthetic care units.

show abstract

Le delirium postopératoire

Cited by 2 publications

References 40 publications

Delirium management in perioperative geriatric services: a narrative review of non-pharmaceutical strategies

Delirium management in perioperative geriatric services: a narrative review of non-pharmaceutical strategies

Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review

Contact Info

Product

Resources

About