Analysis of Risk Factors for Postoperative Delirium in Geriatric Patients at Skopje Macedonia Hospital: An Observational Study

Authors

  • Konstantina Pekovska Faculty of Medicine, University of Skopje, Skopje, North Macedonia
  • Igor Mitevska Faculty of Medicine, University of Skopje, Skopje, North Macedonia

DOI:

https://doi.org/10.37275/jacr.v5i2.533

Keywords:

Geriatric patients, Observational study, Postoperative delirium, Risk factors, Skopje Macedonia hospital

Abstract

Introduction: Postoperative delirium (DPO) is a complication that often occurs in geriatric patients and can increase morbidity and mortality. Risk factors for DPO in geriatric patients are multifactorial, including advanced age, history of DPO, dementia, comorbidities, and use of certain medications.

Methods: This study was carried out prospectively on 100 geriatric patients undergoing surgery at Skopje Macedonia Hospital. Patient data was collected using questionnaires, interviews, and physical examinations. DPO is defined using the confusion assessment method (CAM).

Results: Of 100 patients, 20 (20%) experienced DPO. Risk factors for DPO identified in this study were elderly (OR = 2.5; 95% CI 1.2-5.1), history of DPO (OR = 3.0; 95% CI 1.4-6.2), dementia (OR = 4.0; 95% CI 1.8-8.8), and use of anticholinergic drugs (OR = 2.2; 95% CI 1.1-4.4).

Conclusion: Elderly, history of DPO, dementia, and use of anticholinergic drugs are risk factors for DPO in geriatric patients. Efforts to prevent DPO in geriatric patients should focus on modifying these risk factors.

Authors

  • Konstantina Pekovska1*
  • Igor Mitevska1
  1. 1Faculty of Medicine, University of Skopje, Skopje, North Macedonia

Corresponding author Konstantina Pekovska — kpekovska@yahoo.com

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Published

2024-02-29

Issue

Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research

Section

Articles

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How to Cite

Analysis of Risk Factors for Postoperative Delirium in Geriatric Patients at Skopje Macedonia Hospital: An Observational Study. (2024). Journal of Anesthesiology and Clinical Research, 5(2), 575-579. https://doi.org/10.37275/jacr.v5i2.533

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