A Study on Incidence of Postoperative Delirium in a Tertiary Care Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: All types of surgery both major and minor may cause anxiety, depression and delirium due to pain, immobilization and lowsocio economic status. Delirium or acute confusional state is an organically-caused decline from a previously attained baseline level of cognitive function. It is typified by fluctuating course, attentional deficits and generalized severe disorganization of behavior. Delirium is a syndrome encompassing an array of neuropsychiatric symptoms, including a disturbance in consciousness/attention and cognition that develops acutely and tends to fluctuate. This study was made to find out the incidence of postoperative delirium among surgical procedures and to find out any factors responsible for the event. Total 100 patients undergoing surgery was selected who were admitted in General surgery, Orthopedics, Obstetrics and Gynecology wards. All patients preoperatively have undergone screening for any psychological illness with mental health screening form. The patients free of preoperative psychiatric illness were included in the study. After the surgery there were assessed for a period of four days to find out delirium by using Neecham’s Scale. Out of the study participants 61% were male and 39% were female.47% were in the age group of 30 to 50 years. The incidence of postoperative delirium was 3%.All the event happened in male only. The delirium occurred only after orthopedic surgery. There is minimum percentage of incidence of delirium in major surgery and that also can be avoided with proper counseling and medications. Keywords:Delirium, immobility, major surgery, Neecham’s scale.
Authors and Affiliations
S. P. Logesvar, Dr. R. Baskaran, Dr. M. Asok kumar, Dr. P. K. Govindarajan
Keywords
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