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Charlson's comorbidity index, risk factor delirium

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https://www.readbyqxmd.com/read/27650453/a-simple-tool-to-predict-development-of-delirium-after-elective-surgery
#1
Andy Dworkin, David S H Lee, Amber R An, Sarah J Goodlin
OBJECTIVES: To identify a quick clinical tool to assess the risk of delirium after elective surgery. DESIGN: Prospective observational study. SETTING: Preoperative assessment clinic at the Veterans Affairs Portland Health Care System. PARTICIPANTS: Community-living veterans aged 65 and older scheduled for elective surgery requiring general or major anesthesia. MEASUREMENTS: Confusion Assessment Method (CAM) or Family Confusion Assessment Method (FAM-CAM)...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27463247/postoperative-delirium-in-patients-after-pancreaticoduodenectomy
#2
Yasuhiro Ito, Yuta Abe, Kan Handa, Shintaro Shibutani, Tomohisa Egawa, Atsushi Nagashima, Minoru Kitago, Osamu Itano, Yuko Kitagawa
BACKGROUND/AIMS: Postoperative delirium (POD) is one of the most common complications after various types of surgery. The aim of this study was to investigate the incidence and risk factors for delirium after pancreaticoduodenectomy (PD). METHODS: This was a retrospective study of 146 consecutive patients who underwent PD between April 2007 and June 2015 at Saiseikai Yokohamashi Tobu Hospital. RESULTS: Twenty-nine patients (19.9%) were diagnosed with delirium...
2017: Digestive Surgery
https://www.readbyqxmd.com/read/27105460/medical-complications-after-adult-spinal-deformity-surgery-incidence-risk-factors-and-clinical-impact
#3
Alex Soroceanu, Douglas C Burton, Jonathan H Oren, Justin S Smith, Richard Hostin, Christopher I Shaffrey, Behrooz A Akbarnia, Christopher P Ames, Thomas J Errico, Shay Bess, Munish C Gupta, Vedat Deviren, Frank J Schwab, Virginie Lafage
STUDY DESIGN: Retrospective review of a prospective multi-center database evaluating surgical ASD patients. OBJECTIVE: This study aims to identify risk factors for medical complications in ASD patients undergoing surgery SUMMARY OF BACKGROUND DATA.: Adult Spinal Deformity (ASD) surgery is known for its high complication rate. This study examines baseline patient characteristics for predictors of medical complications in surgical ASD patients. METHODS: Intra and perioperative medical complications were included...
April 19, 2016: Spine
https://www.readbyqxmd.com/read/26955385/the-influence-of-patient-characteristics-on-anticholinergic-events-in-older-people
#4
Mohammed Saji Salahudeen, Prasad S Nishtala, Stephen B Duffull
AIMS: To examine patient characteristics that predict adverse anticholinergic-type events in older people. METHODS: This retrospective population-level study included 2,248 hospitalised patients. Individual data on medicines that are commonly associated with anticholinergic events (delirium, constipation and urinary retention) were identified. Patient characteristics examined were medicines with anticholinergic effects (ACh burden), age, sex, non-anticholinergic medicines (non-ACM), Charlson comorbidity index scores and ethnicity...
September 2015: Dementia and Geriatric Cognitive Disorders Extra
https://www.readbyqxmd.com/read/26412147/short-form-mini-nutritional-assessment-as-a-useful-method-of-predicting-the-development-of-postoperative-delirium-in-elderly-patients-undergoing-orthopedic-surgery
#5
Che-Sheng Chu, Chih-Kuang Liang, Ming-Yueh Chou, Yu-Te Lin, Chien-Jen Hsu, Po-Han Chou, Chin-Liang Chu
OBJECTIVE: Postoperative delirium (POD) is a major cause for concern among elderly patients undergoing surgery, often resulting in poor outcome. It is therefore important to predict and prevent POD. The aim of this study was to evaluate the Mini Nutritional Assessment Short-Form (MNA-SF) as a predictor of POD after orthopedic surgery. METHODS: Elderly patients undergoing orthopedic surgery between April 2011 and March 2013 were included in the study (n=544; mean age, 74...
January 2016: General Hospital Psychiatry
https://www.readbyqxmd.com/read/26044170/delirium-among-elderly-patients-admitted-to-a-post-acute-care-facility-and-3-months-outcome
#6
Doris Ka Ying Miu, Ching Wai Chan, Ching Kok
AIM: To investigate the prevalence and risk factors of delirium in an extended care unit, the persistence of delirium and 3-month outcome. METHOD: Patients aged >65 years were recruited. Basic demographic data, medical comorbidity using the Charlson Comorbidity Index, pre-existing cognitive impairment using the informant questionnaire on cognitive decline in the elderly, place of residence and physical function as measured by the modified Barthel Index were recorded...
May 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/25920706/delirium-and-other-clinical-factors-with-clostridium-difficile-infection-that-predict-mortality-in-hospitalized-patients
#7
Laurie R Archbald-Pannone, Timothy L McMurry, Richard L Guerrant, Cirle A Warren
BACKGROUND: Clostridium difficile infection (CDI) severity has increased, especially among hospitalized older adults. We evaluated clinical factors to predict mortality after CDI. METHODS: We collected data from inpatients diagnosed with CDI at a U.S. academic medical center (HSR-IRB#13630). We evaluated age, Charlson comorbidity index (CCI), whether patients were admitted from a long-term care facility, whether patients were in an intensive care unit (ICU) at the time of diagnosis, white blood cell count (WBC), blood urea nitrogen (BUN), low body mass index, and delirium as possible predictors...
July 1, 2015: American Journal of Infection Control
https://www.readbyqxmd.com/read/25641773/impact-of-an-inpatient-geriatric-consultative-service-on-outcomes-for-cognitively-impaired-patients
#8
Arif Nazir, Babar Khan, Steven Counsell, Macey Henderson, Sujuan Gao, Malaz Boustani
BACKGROUND: Impact of geriatric consultative services (GCS) on hospital readmission and mortality outcomes for cognitively impaired (CI) patients is not known. OBJECTIVE: Evaluate impact of GCS on hospital readmission and mortality among CI inpatients. DESIGN: Secondary data analysis of a prospective trial of a computerized decision support system between July 1, 2006 and May 30, 2008. SETTING: Study conducted at Eskenazi hospital, Indianapolis, Indiana, a 340-bed, public hospital with over 2300 yearly admissions of patients ages 65 years or older...
May 2015: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/25620568/alcohol-withdrawal-treatment-in-the-medically-hospitalized-patient-a-pilot-study-assessing-predictors-for-medical-or-psychiatric-complications
#9
Janet E Shu, Austin Lin, Grace Chang
BACKGROUND: Optimizing alcohol withdrawal treatment is a clinical priority, yet it is difficult to predict on presentation which patients would require benzodiazepines or in which patients withdrawal would be complicated. Detoxification studies typically exclude patients with medical comorbidities, psychiatric comorbidities, or multiple substance use disorders; therefore, it is difficult to generalize their conclusions to all types of patients. OBJECTIVE: This retrospective study with no exclusion criteria identifies the risk factors for complicated withdrawal...
September 2015: Psychosomatics
https://www.readbyqxmd.com/read/25307975/delirium-affects-length-of-hospital-stay-after-lung-transplantation
#10
P J Smith, S K Rivelli, A M Waters, A Hoyle, M T Durheim, J M Reynolds, M Flowers, R D Davis, S M Palmer, J P Mathew, J A Blumenthal
BACKGROUND: Delirium is relatively common after lung transplantation, although its prevalence and prognostic significance have not been systematically studied. The purpose of the present study was to examine pretransplant predictors of delirium and the short-term impact of delirium on clinical outcomes among lung transplant recipients. METHODS: Participants underwent pretransplant cognitive testing using the Repeatable Battery for the Assessment of Neuropsychological Status and the Trail Making Test...
February 2015: Journal of Critical Care
https://www.readbyqxmd.com/read/25258087/estimating-the-effect-of-incident-delirium-on-short-term-outcomes-in-aged-hip-fracture-patients-through-propensity-score-analysis
#11
Kristina Radinovic, Ljiljana Markovic-Denic, Emilija Dubljanin-Raspopovic, Jelena Marinkovic, Zoka Milan, Vesna Bumbasirevic
AIM: We aimed to evaluate the factors contributing to delirium after hip fracture and assess the effect of incident delirium on short-term clinical outcomes. METHODS: A total of 270 non-delirious, consecutive hip fracture patients 60 years and older were included in a prospective cohort study. The patients were assessed with respect to physical status according to the American Society of Anesthesiologists classification, medical comorbidities with the Charlson Comorbidity Index, cognitive function with the Portable Mental Status Questionnaire and depression with the Geriatric Depressive Scale...
July 2015: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/24804971/multidimensional-frailty-score-for-the-prediction-of-postoperative-mortality-risk
#12
Sun-wook Kim, Ho-Seong Han, Hee-won Jung, Kwang-il Kim, Dae Wook Hwang, Sung-Bum Kang, Cheol-Ho Kim
IMPORTANCE: The number of geriatric patients who undergo surgery has been increasing, but there are insufficient tools to predict postoperative outcomes in the elderly. OBJECTIVE: To design a predictive model for adverse outcomes in older surgical patients. DESIGN, SETTING, AND PARTICIPANTS: From October 19, 2011, to July 31, 2012, a single tertiary care center enrolled 275 consecutive elderly patients (aged ≥65 years) undergoing intermediate-risk or high-risk elective operations in the Department of Surgery...
July 2014: JAMA Surgery
https://www.readbyqxmd.com/read/24769400/prospective-analysis-of-adverse-events-in-surgical-treatment-of-degenerative-spondylolisthesis
#13
Adrienne M Kelly, Juliet N N Batke, Nicolas Dea, Dennis P P Hartig, Charles G Fisher, John T Street
BACKGROUND CONTEXT: Surgical adverse event (AE) monitoring is imprecise, of uncertain validity, and tends toward underreporting. Reports focus on specific procedures rather than outcomes in the context of presenting diagnosis. Specific intraoperative (intraop) or postoperative (postop) AEs that may be independently associated with degenerative spondylolisthesis (DS) have never been reported. PURPOSE: The primary purpose was to assess the AE profile of surgically treated patients with L4-L5 DS...
December 1, 2014: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/24346382/risk-factors-for-delirium-and-inpatient-mortality-with-delirium
#14
S Grover, D Ghormode, A Ghosh, A Avasthi, S Chakrabarti, S K Mattoo, S Malhotra
BACKGROUND: There is limited on the risk factors and mortality in patients with delirium from India. AIM: This study aimed to evaluate the risk factors associated with delirium and inpatient mortality rates of patients diagnosed with delirium by psychiatry consultation liaison services. MATERIALS AND METHODS: Three hundred and thirty-one patients diagnosed as delirium by the psychiatry consultation liaison services were examined on standardized instruments: Delirium Rating Scale Revised 98 version (DRS-R-98), amended Delirium Motor Symptom Scale (DMSS), Delirium Etiology Checklist (DEC), Charlson Comorbidity index, and a checklist for assessment of risk factors...
October 2013: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/24295565/delirium-in-patients-admitted-to-a-cardiac-intensive-care-unit-with-cardiac-emergencies-in-a-developing-country-incidence-prevalence-risk-factor-and-outcome
#15
Sanjay Lahariya, Sandeep Grover, Shiv Bagga, Akhilesh Sharma
AIM: To assess the incidence, prevalence, risk factors and outcome of delirium in patients admitted to a cardiac intensive care unit (ICU) of a tertiary care hospital. METHODS: Three hundred nine consecutive patients admitted to a 22-bed coronary care unit were screened for presence of delirium by using Confusion Assessment Method for Intensive Care Unit (CAM-ICU), and those found positive on CAM-ICU were further evaluated by a psychiatrist to confirm the diagnosis of delirium as per DSM-IV-TR criteria...
March 2014: General Hospital Psychiatry
https://www.readbyqxmd.com/read/23567395/measures-of-anticholinergic-drug-exposure-serum-anticholinergic-activity-and-all-cause-postdischarge-mortality-in-older-hospitalized-patients-with-hip-fractures
#16
Arduino A Mangoni, Barbara C van Munster, Richard J Woodman, Sophia E de Rooij
OBJECTIVES: To assess possible associations between anticholinergic drug exposure and serum anticholinergic activity (SAA) and their capacities to predict all-cause mortality in older hospitalized patients. SETTING: Academic medical center. PARTICIPANTS AND MEASUREMENTS: Data on clinical characteristics, full medication exposure, SAA, and 4 anticholinergic drug scoring systems (ADSSs: Anticholinergic Risk Scale [ARS], Anticholinergic Drug Scale, Anticholinergic Burden scale, and anticholinergic component of the Drug Burden Index) were collected in 71 older hospitalized patients (age 84 ± 6 years) awaiting surgical repair after hip fractures...
August 2013: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/23426343/the-clinical-and-economic-costs-of-delirium-after-surgical-resection-for-esophageal-malignancy
#17
Sheraz R Markar, Ian A Smith, Alan Karthikesalingam, Donald E Low
OBJECTIVE: The aim of this study was to identify preoperative risk factors and postoperative consequences that are associated with the occurrence of delirium after esophagectomy for malignancy. BACKGROUND: Delirium is an underdiagnosed, serious complication after major surgery, particularly in the elderly population. METHODS: All patients undergoing esophagectomy for cancer (1991-2011) were included. Patients with and without delirium were compared with respect to medical comorbidities, use of neoadjuvant therapy, operative outcomes, postoperative complications, overall cost, and survival...
July 2013: Annals of Surgery
https://www.readbyqxmd.com/read/23426334/predisposing-and-precipitating-factors-of-delirium-after-cardiac-surgery-a-prospective-observational-cohort-study
#18
Ulf Guenther, Nils Theuerkauf, Ingo Frommann, Kathrin Brimmers, Ramy Malik, Sangar Stori, Mona Scheidemann, Christian Putensen, Julius Popp
OBJECTIVE: To comprehensively assess pre-, intra-, and postoperative delirium risk factors as potential targets for intervention. BACKGROUND: Delirium after cardiac surgery is associated with longer intensive care unit (ICU) stay, and poorer functional and cognitive outcomes. Reports on delirium risk factors so far did not cover the full range of patients' presurgical conditions, intraoperative factors, and postoperative course. METHODS: After written informed consent, 221 consecutive patients ≥ 50 years scheduled for cardiac surgery were assessed for preoperative cognitive performance, and functional and physical status...
June 2013: Annals of Surgery
https://www.readbyqxmd.com/read/23165956/zolpidem-is-independently-associated-with-increased-risk-of-inpatient-falls
#19
COMPARATIVE STUDY
Bhanu Prakash Kolla, Jenna K Lovely, Meghna P Mansukhani, Timothy I Morgenthaler
BACKGROUND: Inpatient falls are associated with significant morbidity and increased healthcare costs. Zolpidem has been reported to decrease balance and is associated with falls. Yet, it is a commonly used hypnotic agent in the inpatient setting. Zolpidem use in hospitalized patients may be a significant and potentially modifiable risk factor for falling. OBJECTIVE: To determine whether inpatients administered zolpidem are at greater risk of falling. DESIGN: Retrospective cohort study...
January 2013: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/23153950/incidence-risk-factors-and-complications-of-postoperative-delirium-in-elderly-patients-undergoing-radical-cystectomy
#20
Michael C Large, Chad Reichard, Joshua T B Williams, Charles Chang, Sandip Prasad, Yiuka Leung, Catherine DuBeau, Gregory T Bales, Gary D Steinberg
OBJECTIVE: To identify the risk factors for, and complications associated with, the development of delirium after radical cystectomy. MATERIALS AND METHODS: From July 2008 to December 2009, 59 patients, aged ≥65 years and undergoing radical cystectomy, were prospectively enrolled. The baseline cognitive status was assessed using the Mini-Mental Status Examination. Postoperative delirium was assessed using the Confusion Assessment Method. RESULTS: A total of 49 patients completed the surgery and all assessments...
January 2013: Urology
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