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Risk Factors of Postoperative Delirium in Older Adult Spine Surgery Patients: A Meta-Analysis

Authors
 Wonhee Baek  ;  Young Man Kim  ;  Hyangkyu Lee 
Citation
 AORN JOURNAL, Vol.112(6) : 650-661, 2020-12 
Journal Title
 AORN JOURNAL 
ISSN
 0001-2092 
Issue Date
2020-12
Abstract
This literature review identifies factors that may place older adult patients at risk for developing delirium after spine surgery. We conducted a meta-analysis according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Using a variety of electronic databases, we identified five studies for inclusion that represent 645 patients who were 65 years or older. The pooled incidence rate of postoperative delirium was 13.0%. Factors associated with developing postoperative delirium included preoperative opioid use, cervical spine surgery versus lumbar or thoracic spine surgery, spine fusion versus simple spine surgery, hypertension, cerebrovascular disease, pulmonary disease, duration of surgery, and infused IV fluid volume. Nurses who provide perioperative care for older adult patients undergoing spine surgery should be aware of the potential risk factors of delirium to ensure patient safety. Further research is required to clearly delineate the risk factors for postoperative delirium in older adults.
Full Text
https://aornjournal.onlinelibrary.wiley.com/doi/10.1002/aorn.13252
DOI
10.1002/aorn.13252
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Hyang Kyu(이향규) ORCID logo https://orcid.org/0000-0002-0821-6020
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181286
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