Screening Cognitive Changes and Delirium for the General Surgical Patients Aged Older Than 60

2.50
Hdl Handle:
http://hdl.handle.net/10755/153964
Type:
Presentation
Title:
Screening Cognitive Changes and Delirium for the General Surgical Patients Aged Older Than 60
Abstract:
Screening Cognitive Changes and Delirium for the General Surgical Patients Aged Older Than 60
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Demiralp, Meral, PhD, RN
P.I. Institution Name:Gulhane Military Medical Academy
Title:Assistant Professor
Co-Authors:Turgut Tufan, MD; Ismail Hakki Ozerhan, MD; Emine Iyigun, PhD, RN; Derya Celik, RN; Sevtap Simsek, RN; Caglayan Ates, RN
21st INRC [Research Presentation] Purpose: This study carried out to examine preoperative cognitive changes and postoperative delirium signs in general-surgical patients aged 60 and older. Methods: A prospective descriptive design was used. Participants were recruited at the intensive care unit of the general surgical department (ICU-GSD), Gulhane Military Medical Academy, Turkey. The sample of this study consisted of 147 patients were admitted to the ICU-GSD between December 01, 2007 and May 31, 2008. Data were collected from patients at the following four time; before the surgical operation, after the surgical operation on 1st, 3rd and 6th day An information form Mini Mental State Examination, and Delirium Rating Scale were used to collect data. Results: The mean age of participants was 69.23 +/- 6.58 years between range of 60 and 93. We also found that the intermediate, negative, and significant relation was presence between preoperative cognitive changes and postoperative 1st day delirium signs (p<0.001). Age, marital status, smoking history, and comorbidity were found as significant variables in the cognitive state and delirium signs scores. Conclusion: We believe that preoperative delirium risk assessment is important and recognizing patients who are at risk for delirium will help for developing treatment and prevention strategies in early term. Screening cognitive changes of the older patients before surgery and delirium monitoring should be introduced as standard of care within surgical clinics and surgical intensive care unit.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleScreening Cognitive Changes and Delirium for the General Surgical Patients Aged Older Than 60en_GB
dc.identifier.urihttp://hdl.handle.net/10755/153964-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Screening Cognitive Changes and Delirium for the General Surgical Patients Aged Older Than 60</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Demiralp, Meral, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Gulhane Military Medical Academy</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">meral_demiralp@yahoo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Turgut Tufan, MD; Ismail Hakki Ozerhan, MD; Emine Iyigun, PhD, RN; Derya Celik, RN; Sevtap Simsek, RN; Caglayan Ates, RN</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: This study carried out to examine preoperative cognitive changes and postoperative delirium signs in general-surgical patients aged 60 and older. Methods: A prospective descriptive design was used. Participants were recruited at the intensive care unit of the general surgical department (ICU-GSD), Gulhane Military Medical Academy, Turkey. The sample of this study consisted of 147 patients were admitted to the ICU-GSD between December 01, 2007 and May 31, 2008. Data were collected from patients at the following four time; before the surgical operation, after the surgical operation on 1st, 3rd and 6th day An information form Mini Mental State Examination, and Delirium Rating Scale were used to collect data. Results: The mean age of participants was 69.23 +/- 6.58 years between range of 60 and 93. We also found that the intermediate, negative, and significant relation was presence between preoperative cognitive changes and postoperative 1st day delirium signs (p&lt;0.001). Age, marital status, smoking history, and comorbidity were found as significant variables in the cognitive state and delirium signs scores. Conclusion: We believe that preoperative delirium risk assessment is important and recognizing patients who are at risk for delirium will help for developing treatment and prevention strategies in early term. Screening cognitive changes of the older patients before surgery and delirium monitoring should be introduced as standard of care within surgical clinics and surgical intensive care unit.</td></tr></table>en_GB
dc.date.available2011-10-26T12:38:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:38:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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