Preoperative Cognitive Assessment Recommendations for the Older Adult.
Mini-Cog
anesthesia
cognition
older adult
postoperative delirium
Journal
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
ISSN: 1532-8473
Titre abrégé: J Perianesth Nurs
Pays: United States
ID NLM: 9610507
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
25
11
2019
revised:
25
02
2020
accepted:
29
02
2020
pubmed:
10
6
2020
medline:
7
8
2021
entrez:
10
6
2020
Statut:
ppublish
Résumé
The purpose of this project was to identify the need for and to improve the preoperative cognitive assessment of the older adult. A retrospective chart review was used to explore the incidence of postoperative delirium (PD) and characteristics associated with it. A retrospective chart review was used to identify the incidence of PD in a community hospital. The data were analyzed using descriptive statistics for trends in demographic and physiological characteristics of older adults undergoing elective hip or knee surgery. The incidence of PD was found to be 11%. Older adults with PD had an increased mean age and comorbid conditions. PD was associated with a mean increase in hospital stay, postoperative complications, and 30-day readmission. Preoperative cognitive assessment can identify high-risk patients, stratify care, medically optimize the older adult before surgery, and improve perioperative outcomes.
Identifiants
pubmed: 32513620
pii: S1089-9472(20)30073-3
doi: 10.1016/j.jopan.2020.02.011
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
460-466Informations de copyright
Copyright © 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.