Delirium and long-term psychopathology following surgery in older adults

To describe the risk of postoperative delirium and long-term psychopathology (depression, anxiety or post-traumatic stress syndrome (PTSS)) in older adults. 255 elderly patients (≥ 65 years) undergoing major surgery (planned surgical time > 60 min) in a tertiary hospital were compared to 76 non-s...

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Bibliographic Details
Published in:Journal of psychosomatic research 2022-04, Vol.155, p.110746-110746, Article 110746
Main Authors: de Mul, Nikki, van den Bos, Lisa M.E.C., Kant, Ilse M.J., van Montfort, Simone J.T., Schellekens, Willem-Jan M., Cremer, Olaf L., Slooter, Arjen J.C.
Format: Article
Language:English
Subjects:
Aged
Anxiety
Anxiety - epidemiology
Anxiety and PTSS
Chart reviews
Confusion
Delirium
Delirium - diagnosis
Delirium - epidemiology
Delirium - etiology
Depression
Elderly
General practice
Humans
Intelligence tests
Intensive care
Male
Medical screening
Mental depression
Older people
Patients
Post traumatic stress disorder
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative delirium
Postoperative psychopathology
Psychopathology
Risk Factors
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - etiology
Surgery
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Summary:To describe the risk of postoperative delirium and long-term psychopathology (depression, anxiety or post-traumatic stress syndrome (PTSS)) in older adults. 255 elderly patients (≥ 65 years) undergoing major surgery (planned surgical time > 60 min) in a tertiary hospital were compared to 76 non-surgical controls from general practice. Patients were assessed twice daily for postoperative delirium using the Confusion Assessment Method (CAM(-ICU)), nursing delirium screening scale (NuDESC) and validated chart review. Before surgery and 3 and 12 months thereafter, the participants filled in the Hospital Anxiety and Depression Scale (HADS), the Geriatric Depression Scale (GDS-15) and the Post-Traumatic Stress Syndrome-14-Questions Inventory (PTSS-14). Non-surgical controls filled in the same questionnaires with similar follow-up. Patients were more often male, had higher American Society of Anesthesiologists scores and more often had a spouse compared to controls (p 
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2022.110746