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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 18, Issue.: 1

Original-research-article

The Importance of Postoperative Delirium (POD) on Elderly Patients in Urology in Increasing the Day Stay in Hospital

 

Haxhire Gani1*, Pirro Prifti1, Rudin Domi1, Majlinda Naco1, Vjollca Beqiri1, Bilbil Hoxha1 and Aurel Janko1

1UHC “Mother Teresa”, Tirana, Albania.

Article Information
Editor(s):
(1) Toru Watanabe, Department of Pediatrics, Niigata City General Hospital, Japan.
(2) Athanasios Papatsoris, Department of Urology, School of Medicine, Sismanoglio General Hospital, Athens, Greece.
(3) Costas Fourtounas, Faculty of Medicine, School of Health Sciences, University of Thessaly, Greece.
Reviewers:
(1) Denise Bueno, Federal University of Rio Grande do Sul, Brazil.
(2) Anonymous, Tarumanagara University, Jakarta, Indonesia.
(3) Jan Jakobsson, Karolinska Institutet, Sweden.
(4) Lívia Stocco Sanches Valentin, University of São Paulo School of Medicine- FMUSP, Brazil.
(5) Anonymous, University of Nigeria, Nigeria.
Complete Peer review History: http://www.sciencedomain.org/review-history/16357

Abstracts

Introduction and Objectives: The Postoperative delirium on elderly patients (P.O.D.) is a frequent post operative disorder in sick and elderly patients, and always has been associated with prolongation of day stay in hospital, and certainly more cost for the hospital as well.

The Postoperative delirium on elderly patients causes an increased mortality and an increasing of mental status deterioration characterized by reduction of environmental recognition as well as the disorder of alertness.

This study is accomplished by Anesthesiology and Intensive Therapy  Service of the Urology Clinic of the University Hospital Center ` Mother Theresa`, Tirana, Albania.

The purpose of this study is to reveal the importance of Postoperative delirium on elderly patients (POD) admitted in Urologic Clinic, and impact of this complication on the day stay in hospital.

Materials and Methods: In this study are included 1496 patients aged over 65 years who underwent an operation at the urologic clinic. Period of study: from January 2010 to December 2012.

This study is prospective and random. All patients with psychological problems in admission and that were treated for these pathologies before admission in Urology Clinic are excluded from the study.

The effectiveness of routine screening of Postoperative Delirium in the elderly patients using Confusion Assessment Method (CAM) from Psychiatrists, were not necessary in these cases.

Results: Are evaluated all the data taken from patients and from their examinations as: age, usage of medications, symptoms, biochemical analysis, clinical balance, hemodynamic examinations, and preoperative, intra operative and postoperative evaluations.

In 1496 patients, 270 of them (18%) had of Postoperative Delirium in the elderly patients (POD). On the average, patients with delirium stayed in the hospital more than patients without delirium with a significant statistical difference between them t=5.12 p<0.01.

On the average, the patients with of Postoperative Delirium in the elderly patients (POD), stayed in the hospital more than the patients without delirium with a significant statistical difference between them ANOVA F=26.2 P<0.01.

Conclusion: From this study, even though small in number and short in time, it is evidently noticed that Postoperative Delirium in the elderly patients in urology has an important influence in the prolongation of the day stay in hospital. (ANOVA F=26.2 P<0.01).

Keywords :

POD; CAM.

Full Article - PDF    Page 1-10

DOI : 10.9734/BJMMR/2016/25865

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