预防老年癌症患者术后谵妄
Prevention of post-operative delirium in older patients with cancer undergoing surgery.
作者信息
Korc-Grodzicki Beatriz, Root James C, Alici Yesne
机构信息
Geriatrics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue Box 205, New York, NY 10065, United States.
Department of Psychiatry and Behavioral Science, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
出版信息
J Geriatr Oncol. 2015 Jan;6(1):60-9. doi: 10.1016/j.jgo.2014.10.002. Epub 2014 Oct 23.
Abstract
Prevention has been shown to be the most effective strategy for minimizing the occurrence of delirium as well as delirium-associated complications.(5) Therefore prevention of delirium in older adults undergoing surgery is a top research priority given the extent of the problem in this patient population. In this review, we will describe the POD syndrome, previously identified risk factors that predict POD in surgical cancer patients, long-term outcomes of POD and both non-pharmacologic and pharmacologic therapies aimed at preventing POD.
摘要
预防已被证明是将谵妄的发生以及与谵妄相关的并发症降至最低的最有效策略。（5）因此，鉴于该患者群体中问题的严重程度，预防老年手术患者的谵妄是首要的研究重点。在本综述中，我们将描述术后谵妄综合征、先前确定的预测手术癌症患者术后谵妄的风险因素、术后谵妄的长期后果以及旨在预防术后谵妄的非药物和药物治疗。
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