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Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review

“Postoperative delirium” is defined as delirium occurring in the hospital up to one week after a procedure or before discharge (whichever occurs first) that meets the DSM-5 diagnostic criteria. Objectives: To describe the risk factors related to this pathology and identify effective non-pharmacologi...

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Autores principales: Méndez-Martínez, Carlos, Fernández-Martínez, María Nélida, García-Suárez, Mario, Martínez-Isasi, Santiago, Fernández-Fernández, Jesús Antonio, Fernández-García, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470646/
https://www.ncbi.nlm.nih.gov/pubmed/34574877
http://dx.doi.org/10.3390/healthcare9091103
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author Méndez-Martínez, Carlos
Fernández-Martínez, María Nélida
García-Suárez, Mario
Martínez-Isasi, Santiago
Fernández-Fernández, Jesús Antonio
Fernández-García, Daniel
author_facet Méndez-Martínez, Carlos
Fernández-Martínez, María Nélida
García-Suárez, Mario
Martínez-Isasi, Santiago
Fernández-Fernández, Jesús Antonio
Fernández-García, Daniel
author_sort Méndez-Martínez, Carlos
collection PubMed
description “Postoperative delirium” is defined as delirium occurring in the hospital up to one week after a procedure or before discharge (whichever occurs first) that meets the DSM-5 diagnostic criteria. Objectives: To describe the risk factors related to this pathology and identify effective non-pharmacological forms of treatment. An integrative review of the available literature was performed. The search results considered included all quantitative studies published between 2011 and 2019 in both English and Spanish. A total of 117 studies were selected. Advanced age was identified as the principal risk factor for postoperative delirium. Nursing interventions appear to be the key to preventing or reducing the seriousness of delirium after an anaesthetic episode. The aetiology of postoperative delirium remains unknown, and no treatment exists to eliminate this pathology. The role of nursing staff is fundamental in the prevention, diagnosis, and management of the pathology.
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spelling pubmed-84706462021-09-27 Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review Méndez-Martínez, Carlos Fernández-Martínez, María Nélida García-Suárez, Mario Martínez-Isasi, Santiago Fernández-Fernández, Jesús Antonio Fernández-García, Daniel Healthcare (Basel) Systematic Review “Postoperative delirium” is defined as delirium occurring in the hospital up to one week after a procedure or before discharge (whichever occurs first) that meets the DSM-5 diagnostic criteria. Objectives: To describe the risk factors related to this pathology and identify effective non-pharmacological forms of treatment. An integrative review of the available literature was performed. The search results considered included all quantitative studies published between 2011 and 2019 in both English and Spanish. A total of 117 studies were selected. Advanced age was identified as the principal risk factor for postoperative delirium. Nursing interventions appear to be the key to preventing or reducing the seriousness of delirium after an anaesthetic episode. The aetiology of postoperative delirium remains unknown, and no treatment exists to eliminate this pathology. The role of nursing staff is fundamental in the prevention, diagnosis, and management of the pathology. MDPI 2021-08-26 /pmc/articles/PMC8470646/ /pubmed/34574877 http://dx.doi.org/10.3390/healthcare9091103 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Méndez-Martínez, Carlos
Fernández-Martínez, María Nélida
García-Suárez, Mario
Martínez-Isasi, Santiago
Fernández-Fernández, Jesús Antonio
Fernández-García, Daniel
Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review
title Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review
title_full Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review
title_fullStr Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review
title_full_unstemmed Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review
title_short Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review
title_sort related factors and treatment of postoperative delirium in old adult patients: an integrative review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470646/
https://www.ncbi.nlm.nih.gov/pubmed/34574877
http://dx.doi.org/10.3390/healthcare9091103
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