Literature DB >> 23977818

Perioperative psycho-educational intervention can reduce postoperative delirium in patients after cardiac surgery: a pilot study.

Jeewon Lee1, Joonho Jung, Jai Sung Noh, Seungmin Yoo, You Sun Hong.   

Abstract

OBJECTIVE: Postoperative delirium after cardiac surgery is associated with many consequences such as poorer functional recovery, more frequent postoperative complications, higher mortality, increased length of hospital stay, and higher hospital costs. The aim of this study was to evaluate the efficacy of perioperative psycho-educational intervention in preventing postoperative delirium in post cardiac surgery patients.
METHOD: We conducted a comparative retrospective study between 49 patients who had received perioperative psycho-educational intervention and 46 patients who had received standard care. The primary outcome was the incidence of postoperative delirium. Secondary outcomes included length of ICU stay, and severity and duration of postoperative delirium among the patients who had developed delirium.
RESULTS: The incidence of postoperative delirium was significantly lower in the intervention group than that in the control group (12.24% vs. 34.78%, P = 0.009). Among the patients who had developed postoperative delirium, there was no statistical difference between the two groups regarding secondary outcomes.
CONCLUSIONS: Our results show that the patients who received perioperative psycho-educational intervention were associated with a lower incidence of postoperative delirium after cardiac surgery than those who received standard care. Clinicians would be able to implement this psycho-educational intervention as part of routine practice to reduce delirium.

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Year:  2013        PMID: 23977818     DOI: 10.2190/PM.45.2.d

Source DB:  PubMed          Journal:  Int J Psychiatry Med        ISSN: 0091-2174            Impact factor:   1.210


  2 in total

Review 1.  Perioperative Psychological Interventions in Heart Surgery–Opportunities and Clinical Benefit.

Authors:  Katharina Tigges-Limmer; Matthias Sitzer; Jan Gummert
Journal:  Dtsch Arztebl Int       Date:  2021-05-17       Impact factor: 5.594

2.  Delirium in cancer patients admitted to the intensive care unit: a retrospective study.

Authors:  Bárbara Rocha Gouveia; Rafael Tavares Jomar; Tania Cristina de Oliveira Valente
Journal:  Rev Bras Ter Intensiva       Date:  2019 Oct-Dec
  2 in total

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