Postoperative Delirium
Conditions
Brief summary
Thi investigators aims to observe the impact of perioperative body temperature and the noise of operating room on postoperative delirium for elderly patients undergoing abdominal surgery. And based on this study the investigators aimed to explore the potential risk factors of postoperative delirium for elderly patients undergoing abdominal surgery.
Interventions
None listed
Sponsors
The Second Affiliated Hospital of Chongqing Medical University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Age 65-90 years old; * ASA I-III; * Patients who plan to undergo elective abdominal surgery under general anesthesia; * Volunteer to participate in this study and sign informed consent.
Exclusion criteria
* Patients with known mental illness or lack of communication or cognitive impairment before operation; * Severe vision, hearing, language impairment or other reasons unable to communicate with visitors; * Severe dysfunction of important organs such as heart, brain, lung, liver, kidney, etc.; * Long-term use of sedatives, antidepressants or alcoholism; * Patients with severe postoperative complications and admitted to intensive care unit; * Patients who refused or failed to complete the cognitive function test. * Patients who could not cooperate with the study for any other reason.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative delirium during the 3 days-follow-up after anesthetic resuscitation | From ending of the surgery to 3 days after anesthetic resuscitation | Postoperative delirium was tested with 3 minutes-Confusion Assessment Method or Confusion Assessment Method-intensive care unit (0-4, higher scores means worse outcome). The patient is determined to be postoperative delirium (ie, Confusion Assessment Method positive) if he/she fall ill quickly with confusion disorder, and with mental disorder or consciousness disorder. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative delirium in the postanesthesia care unit | From ending of the surgery to the time when discharge from postanesthesia care unit, an average of 30 minutes | Postoperative delirium was tested with 3 minutes-Confusion Assessment Method (0-4, higher scores means worse outcome). The patient is determined to be postoperative delirium (ie, Confusion Assessment Method positive) if he/she fall ill quickly with confusion disorder, and with mental disorder or consciousness disorder. |
| Hospital stay | From the ending of the surgery to hospital discharge, with means of about 7 days | Time duration of the patients' stay in hospital |
| Postoperative complication | From the ending of the surgery to hospital discharge, with means of about 7 days | The number of patients who having complication during the hospitalization |
Countries
China
Contacts
Primary ContactHuang He, MD
Outcome results
None listed