Older Adults: Risk of Delirium Following Elective Surgery

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    Identifying older adults at risk of delirium following elective surgery: a systematic review and meta-analysis

    Watt J, Tricco AC, Talbot-Hamon C, Rios P, Grudniewicz A, Wong C, Sinclair D. Straus SE. Identifying older adults at risk of delirium following elective surgery: a systematic review and meta-analysis. J Gen Intern Med. 2018 Apr;33(4):500-509. doi: 10.1007/s11606-017-4204-x.
     

    Funders: Canadian Institutes of Health Research (CIHR) and Canada Research Chairs Program (CRCP)

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    • This review aims to improve clinician-patient discussions on informed consent prior to elective surgery in older adults and to help researchers and policy-makers develop interventions that effectively target modifiable risk factors for post-operative complications
    • Potentially modifiable prognostic factors including frailty, psychotropic medication use, smoking status, and the availability of caregiver support in the perioperative period should be studied further to improve patient outcomes
    • Even in the setting of elective surgery, delirium was common (1 in 6 older adults) and associated with other adverse postoperative complications including death

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    Date : 13 Aug 2020

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