Postoperative delirium occurred in elderly patients with issues related to.doc

 PAGE \* MERGEFORMAT 14 Postoperative delirium occurred in elderly patients with issues related to [Keywords:] in elderly patients, postoperative delirium, mortality and morbidity Postoperative delirium is a common sense of temporary cognitive disorders and reduce the level of mental state. The incidence of hospital wards in 10% to 50%, 15% are over the age of 60 postoperative patients (1). Delirium patients complications, prolonged hospitalization, poor functional recovery, nursing a long time, have a higher mortality rate. These all contribute to increasing mortality, dependency and a decline in activities of daily living. studies have shown that (2) cognitive defects were significantly increased risk of hospitalization and mortality (P lt;0.035 9, and delirium-related mortality occurring in hip fractures after 6 months (3). New York 4 581 cases of hip fracture hospital patients 9.5% incidence of hip fracture incidence of acute consciousness disorders other 2 times for elective surgery, the general continued to 1 ~ 9 d (4). Machang Song et al (5) reported that the incidence of postoperative delirium elderly 16.3%, death This figure represents the number of incidence of 4%. Postoperative delirium is a significant mortality and morbidity reasons. comparative study of hospitalized patients experience delirium group hospitalization time was 2 times, 20 times the mortality rate, 3 5 times need to be transferred to the intensive care unit (6). the emergence of delirium should be considered in need of emergency diagnosis and treatment of medical emergency. Some people think that it is the adverse consequences of surgery plays a central role in the chain, resulting in loss and loss of function independent living (7). 1 Risk factors and prevention Delirium appears as a result of multiple factors, including preoperative risk factors. Preoperative risk factors include age, cognitive ability and limited physical activity, alcohol abuse history and biochemical