Schenning Katie J, Deiner Stacie G
Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code: HRC 5N, Portland, OR 97239, USA.
Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1010, New York, NY 10029, USA; Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1010, New York, NY 10029, USA; Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1010, New York, NY 10029, USA.
Anesthesiol Clin. 2015 Sep;33(3):505-16. doi: 10.1016/j.anclin.2015.05.007. Epub 2015 Jul 7.
Postoperative delirium, a common complication in older surgical patients, is independently associated with increased morbidity and mortality. Patients older than 65 years receive greater than one-third of the more than 40 million anesthetics delivered yearly in the United States. This number is expected to increase with the aging of the population. Thus, it is increasingly important that perioperative clinicians who care for geriatric patients have an understanding of the complex syndrome of postoperative delirium.
术后谵妄是老年外科患者常见的并发症,与发病率和死亡率增加独立相关。在美国,每年超过4000万例麻醉中,65岁以上的患者接受的麻醉量超过三分之一。随着人口老龄化,这一数字预计还会增加。因此,照顾老年患者的围手术期临床医生了解术后谵妄这一复杂综合征变得越来越重要。