Postoperative delirium (POD) in elderly patients (aged 65 and above), assessed using the Thai version of the Sour Seven questionnaire, compared to the gold standard DSM-5 for POD diagnosis. Postoperative delirium Elderly Thai version of Sour Seven questionnaire DSM-5
Conditions
Interventions
: Elderly patients aged 65 years and above undergoing surgery under anesthesia.
Screening
Elderly patients.
Sponsors
Faculty of Medicine Siriraj Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Patient Inclusion Criteria: 1. Aged 65 years or above, undergoing elective surgery with a hospital stay of at least 2 days, and with a close caregiver present throughout the study period (from admission to 48 hours post-surgery). 2. Able to understand, read, write, and communicate in Thai. 3. No severe visual or hearing impairments that would hinder assessment. Caregiver Inclusion Criteria: 1. Aged 18 years or above. 2. Resides with the patient or has regular contact with the patient (at least 5 days per week) and provides continuous care, not just occasional visits. 3. Familiar with the patient's behavior, personality, and habits, having been the primary caregiver for at least 1 year. 4. Able to understand, read, write, and communicate in Thai.
Exclusion criteria
Exclusion criteria: Exclusion Criteria for Patients: 1. Patients who do not consent to participate in the study. 2. Patients with significantly reduced consciousness, drowsiness, or unresponsive to verbal stimuli (Richmond Agitation Sedation Scale -4 or -5), preventing delirium assessment. 3. Critically ill patients requiring intubation, who cannot communicate with the assessor. Exclusion Criteria for Caregivers 1. Caregivers who do not consent to participate in the study. 2. Caregivers who do not have a close relationship with the patient (e.g., hired caretakers). 3. Caregivers who do not provide continuous care or visit regularly during the patients hospitalization.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative delirium day1 and day2 after operation A Sour Seven-Thai score of 4 or above, or a DSM-5 diagnosis positive for all criteria A-E, will indicate the presence of postoperative delirium. | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactPawit Somnuke
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed