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Κυριακή 2 Ιουλίου 2017

Predicting delirium: are we there yet?

Predicting delirium: are we there yet?: Postoperative delirium is an extremely common complication after all types of surgery in the elderly, with an incidence as high as 65% in patients admitted for hip fracture repair.1 The implications of an episode of delirium are serious and include an increased risk of dementia, increased length of stay, increased costs, and increased risk of mortality.1 Delirium is associated with progression of cognitive decline even in those with normal baseline cognition.2 It is widely acknowledged that delirium is a preventable complication, with the Australian Council for Safety and Quality in Health Care (ACSQHC), the National Institute for Health and Clinical Excellence (NICE, UK),3 and the American Society of Anesthesiologists (ASA) defining risk-prevention models for implementation in all hospitals. In Australia, the ACSQHC 'Cognitive Care' package4 has been distributed as a set of Clinical Care Standards highlighting the importance of preoperative cognitive assessment; NICE in the UK includes similar Clinical Guidelines; while in the USA, the ASA has commenced the 'Brain Health Initiative'.5 These organizations have developed guidelines for identifying at-risk patients, strategies for prevention, and for targeting research areas specific to reducing delirium.




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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,

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