The Urgency of Studying the Problem of Postoperative Delirium in Elderly Patients

O.O. Pavlov, S.A. Lutsyk

Abstract


Postoperative delirium is an unfavorable posto­perative complication that can occur in patients of any age, from children to the elderly. The development of delirium is associated with prolongation of mechanical ventilation, the duration of stay in the intensive care units and reduced functional activity. Patients with postoperative delirium require additional labor force and time of the medical staff. The present literature review reveals insufficient number of researches on measures to prevent the development of delirium in the postoperative period in elderly patients. High-quality perioperative care for the elderly is a social and financial need. Elderly patients is one of the fastest growing segments of the population. The development of postoperative delirium leads to increased hospital stay and correlates with mortality and reduced quality of life. Identifying individuals predisposed to the development of delirium, creating centers of advanced experience enables to optimize the surgical treatment of these patients and to improve outcomes. In the future, the researches are expected to be long-term and to determine treatment outcomes along with an analysis of deaths and the quality of life of operated patients. The results of such studies should help clinicians in detecting certain indications for the surgical treatment.


Keywords


delirium; postoperative period; advanced age; urgency

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DOI: https://doi.org/10.22141/2224-0586.5.76.2016.76444

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