Quality contract ‘prevention of postoperative delirium in the care of elderly patients’ study protocol: a non-randomised, pre–post, monocentric, prospective trial

Yürek, Fatima; Zimmermann, Julian-Dominic; Weidner, Elisa; Hauß, Armin; Dähnert, Enrico; Hadzidiakos, Daniel; Kruppa, Jochen; Kiselev, Jörn; Sichinava, Natia; Romero, Oscar Andrés Retana; Hoff, Laerson; Mörgeli, Rudolf; Junge, Lennart; Scholtz, Kathrin; Piper, Sophie K.; Grüner, Luzie; Harborth, Antonia Eva Maria; Eymold, Lisa; Gülmez, Tuba; Falk, Elke; Balzer, Felix; Treskatsch, Sascha; Höft, Moritz; Schmidt, Dieter; Landgraf, Franziska; Marschall, Ursula; Hölscher, A.; Rafii, Mani; Spies, Claudia

doi:10.1136/bmjopen-2022-066709

Cited by 2 publications

(2 citation statements)

References 47 publications

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“…Jeder Akutmediziner sollte sich und sein Umfeld für die Symptome des Delirs sensibilisieren und die Anwendung von Präventionsmaßnahmen aktiv unterstützen, damit die Patienten in einem geschützten, Delir-sensiblen Umfeld ihre medizinische Behandlung erfahren. QV ein 24/7-Delir-Experten-Support-Team bereit [13].…”

Section: Bedeutung Der Transformation Im Delir-managementunclassified

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Qualitätsvertrag zur Prävention des postoperativen Delirs

Yürek,

Marschall,

Gaedigk

et al. 2023

Anästhesiol Intensivmed Notfallmed Schmerzther

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Section: Bedeutung Der Transformation Im Delir-managementunclassified

“…Merke Es spielt keine Rolle, ob sich Patienten in der Anästhesiologischen Ambulanz, im OP, im Aufwachraum, auf der Intensivstation/Überwachungsstation oder auf der Normalstation befinden -Präventionsmaßnahmen sollten in allen Bereichen zum Einsatz kommen, denn "Jeder Moment ist Prävention" [13].…”

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Qualitätsvertrag zur Prävention des postoperativen Delirs

Yürek,

Marschall,

Gaedigk

et al. 2023

Anästhesiol Intensivmed Notfallmed Schmerzther

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Incidence of delirium after non-cardiac surgery in the Chinese elderly population: a systematic review and meta-analysis

Gong

Hou

Yang

et al. 2023

Front. Aging Neurosci.

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BackgroundPOD places a heavy burden on the healthcare system as the number of elderly people undergoing surgery is increasing annually because of the aging population. As a large country with a severely aging population, China's elderly population has reached 267 million. There has been no summary analysis of the pooled incidence of POD in the elderly Chinese population.MethodsSystematic search databases included PubMed, Web of Science, EMBASE, Cochrane Library Databases, China Knowledge Resource Integrated Database (CNKI), Chinese Biomedical Database (CBM), WanFang Database, and Chinese Science and Technology Periodicals (VIP). The retrieval time ranged from the database's establishment to February 8, 2023. The pooled incidence of delirium after non-cardiac surgery was calculated using a random effects model. Meta-regression, subgroup, and sensitivity analyses were used to explore the source of heterogeneity.ResultsA total of 52 studies met the inclusion criteria, involving 18,410 participants. The pooled incidence of delirium after non-cardiac surgery in the elderly Chinese population was 18.6% (95% CI: 16.4–20.8%). The meta-regression results revealed anesthesia method and year of publication as a source of heterogeneity. In the subgroup analysis, the gender subgroup revealed a POD incidence of 19.6% (95% CI: 16.9–22.3%) in males and 18.3% (95% CI: 15.7–20.9%) in females. The year of publication subgroup analysis revealed a POD incidence of 20.3% (95% CI: 17.4–23.3%) after 2018 and 14.6 (95% CI: 11.6–17.6%) in 2018 and before. In the subgroup of surgical types, the incidence of hip fracture surgery POD was 20.7% (95% CI: 17.6–24.3%), the incidence of non-cardiac surgery POD was 18.4% (95% CI: 11.8–25.1%), the incidence of orthopedic surgery POD was 16.6% (95% CI: 11.8–21.5%), the incidence of abdominal neoplasms surgery POD was 14.3% (95% CI: 7.6–21.1%); the incidence of abdominal surgery POD was 13.9% (95% CI: 6.4–21.4%). The anesthesia methods subgroup revealed a POD incidence of 21.5% (95% CI: 17.9–25.1%) for general anesthesia, 15.0% (95% CI: 10.6–19.3%) for intraspinal anesthesia, and 8.3% (95% CI: 10.6–19.3%) for regional anesthesia. The measurement tool subgroup revealed a POD incidence of 19.3% (95% CI: 16.7–21.9%) with CAM and 16.8% (95% CI: 12.6–21.0%) with DSM. The sample size subgroup revealed a POD incidence of 19.4% (95% CI: 16.8–22.1%) for patients ≤ 500 and 15.3% (95% CI: 11.0–19.7%) for patients > 500. The sensitivity analysis suggested that the pooled incidence of postoperative delirium in this study was stable.ConclusionOur systematic review of the incidence of delirium after non-cardiac surgery in elderly Chinese patients revealed a high incidence of postoperative delirium. Except for cardiac surgery, the incidence of postoperative delirium was higher for hip fracture surgery than for other types of surgery. However, this finding must be further explored in future large-sample studies.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier: PROSPERO CRD42023397883.

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Quality contract ‘prevention of postoperative delirium in the care of elderly patients’ study protocol: a non-randomised, pre–post, monocentric, prospective trial

Cited by 2 publications

References 47 publications

Qualitätsvertrag zur Prävention des postoperativen Delirs

Qualitätsvertrag zur Prävention des postoperativen Delirs

Incidence of delirium after non-cardiac surgery in the Chinese elderly population: a systematic review and meta-analysis

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