Risk Factors for Postoperative Delirium After Gastrectomy in Gastric Cancer Patients

  title={Risk Factors for Postoperative Delirium After Gastrectomy in Gastric Cancer Patients},
  author={Shinsaku Honda and Kenichiro Furukawa and Noriyuki Nishiwaki and Keiichi Fujiya and Hayato Omori and Sanae Kaji and Rie Makuuchi and Tomoyuki Irino and Yutaka Tanizawa and Etsuro Bando and Taiichi Kawamura and Masanori Terashima},
  journal={World Journal of Surgery},
PurposeThe incidence of postoperative delirium is reported to range from 9 to 87%; however, no report has focused on cases of postoperative delirium in gastric cancer surgery alone. Therefore, we investigated the incidence of and risk factors for postoperative delirium after gastrectomy in patients with gastric cancer.MethodsA total of 1037 patients who underwent surgery were included in the study. Patients were divided into two groups—those with (delirium group) or without (non-delirium group… 

The assessment of risk factors for postoperative delirium using cubic spline curves in gastroenterological surgery

Advanced age, preoperative hypoalbuminemia, psychosis, sedative-hypnotics, and intensive-care unit admission are risk factors for postoperative delirium in patients’> 50 years old undergoing gastroenterological surgery.

Is surgery the best treatment for elderly gastric cancer patients?

It is considered that minimally invasive surgery would be the optimal treatment after assessing preoperative risk and multidisciplinary team efforts, including perioperative respiratory rehabilitation, preoperative oral care, and early postoperative mobilization programs, are effective in preventing postoperative pneumonia.

Postoperative Delirium is Not Associated with Long-Term Decline in Activities of Daily Living or Mortality After Laryngectomy

Postoperative delirium was not associated with long-term ADL or mortality after laryngectomy, and longer surgery duration was significantly associated with worse overall survival.

Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review

Nursing interventions appear to be the key to preventing or reducing the seriousness of delirium after an anaesthetic episode and to identify effective non-pharmacological forms of treatment.

Preoperative Circulating MiR-210, a Risk Factor for Postoperative Delirium among Elderly Patients with Gastric Cancer Undergoing Curative Resection.

It is highlighted that preoperative miR-210 could serve as a potential predictor for Postoperative delirium in elderly GC patients undergoing curative resection.

Body mass index affects postoperative daily activities of older patients after gastrectomy

Among older patients with gastric cancer who underwent curative gastrectomy, underweight patients showed lower independence in ADL at discharge, whereas obese patients had a higher occurrence of postoperative complications and prolonged lengths of hospital stay.

CIA_A_303800 823..831

POD was not associated with long-term ADL or mortality after laryngectomy, and prolonged surgery was the only factor associated with a higher postoperative mortality rate.

Mechanism of action of dexmedetomidine on hemodynamics, analgesic and sedative effects and postoperative delirium in elderly patients undergoing hip fracture surgery

Dexmedetomidine is conducive to lowering the incidence of post-operative delirium in elderly patients undergoing hip fracture surgery, which keeps perioperative haemodynamics and therefore ideal analgesic and sedative effects.

A phase II study of ramelteon for the prevention of postoperative delirium in elderly patients undergoing gastrectomy

This phase II study suggested that the perioperative administration of ramelteon is safe and feasible for preventing postoperative delirium in elderly patients undergoing gastrectomy.

Usefulness of postoperative serum translocator protein as a predictive marker for delirium after breast cancer surgery in elderly women

Increased postoperative serum TP levels are independently associated with the degree of inflammatory response and the risk of POD in elderly breast cancer patients, substantializing TP as an inflammatory biomarker that can efficiently discriminate POD after breast cancer surgery.



Incidence and risk factors of postoperative delirium in elderly patients who underwent laparoscopic surgery for colorectal cancer

The results suggest that the risk of POD is associated with older age, past history of delirium or dementia, operative approach, Organ/Space SSI, and cardiac or pulmonary disease.

Postoperative Delirium in the Elderly: Risk Factors and Outcomes

Outcomes, including an increased rate of 6 month mortality, were worse in patients who developed postoperative delirium, and pre-existing cognitive dysfunction was the strongest predictor of the development of postoperativeDelirium.

Postoperative Delirium: The Importance of Pain and Pain Management

The hypothesis that pain and pain management strategies are important factors related to the development of postoperative delirium in elderly patients is validated.

Effect of Postoperative Delirium on Outcome after Hip Fracture

Patients who had delirium develop had a significantly longer length of hospitalization, and had significantly higher rates of mortality at 1 year, and were less likely to recover their prefracture level of ambulation and show a decline in level of independence in basic activities of daily living at the 1-year followup.

Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures.

This study shows that delirium has a serious impact on the rehabilitation outcome from both short- and long-term perspectives.

Impaired Mobility, ASA Status and Administration of Tramadol are Risk Factors for Postoperative Delirium in Patients Aged 75 Years or More After Major Abdominal Surgery

A perioperative geriatric assessment should be recommended to patients with an American Society of Anesthesiologists status of 3–4 and preoperative impaired mobility to facilitate the management of PD in elderly patients undergoing major abdominal surgery.

A Clinical Prediction Rule for Delirium After Elective Noncardiac Surgery

A simple predictive rule was developed that stratified patients into groups with low (2%), medium (8%, 13%), and high (50%) rates of postoperative delirium in an independent population.