Delirium in postoperative knee replacement. Diagnosis of delirium
DOI:
https://doi.org/10.32818/reccmi.a2n1a17Keywords:
postoperative delirium, delirium diagnosisAbstract
A 78 year-old male with Parkinson’s disease, who had a scheduled knee prosthesis intervention, presented an acute confusional pattern in the postoperative period associated with morphic and antiparkinsonian medication, with an unexpected fatal outcome. The identification of patients at risk and the precipitating causes of delirium, as well as the introduction of preventive measures are essential to improve mortality and associated complications.
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Postoperative Delirium in Older Adults: Best Practice Statement from the American Geriatrics Society. The American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. J Am Coll Surg. 2015; 220(2): 136-148.
Witlox J, Eurelings LS, de Jonghe JF, et al. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA. 2010; 304: 443-451.
Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ. 2010; 341: c3704.
Wong CL, MD, MHSc, Holroyd-Leduc J, Simel DL, Straus SE. Does This Patient Have Delirium? Value of Bedside Instruments. JAMA. 2010; 304: 779-786.
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Copyright (c) 2017 María Isabel González-Anglada, Cristina Garmendia-Fernández, Leonor Moreno-Núñez
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