Bosmak Felipe de Santana, Gibim Patrick Teller, Guimarães Sandra, Ammirati Adriano Luiz
Escola de Medicina da Universidade Anhembi Morumbi, São Paulo, SP, Brazil.
Department of Internal Medicine, Hospital Santo Antônio, Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil.
Rev Assoc Med Bras (1992). 2017 Mar;63(3):248-251. doi: 10.1590/1806-9282.63.03.248.
: Delirium is a common disorder that can potentiate mortality and comorbidity rates of patients hospitalized in intensive care units. Patients undergoing major orthopedic surgeries, such as knee and hip arthroplasty, are particularly vulnerable as they often have multiple risk factors for this disorder.
: Descriptive study of the incidence of delirium in patients treated with total knee and hip arthroplasty, given the advanced age and comorbidities in this population. We evaluated the medical records of patients who had previously undergone the designated surgeries for identification of postoperative delirium.
: We observed in this study an incidence of 8.92% of delirium, mostly affecting females with a mean age of 73 years and hypertension.
: The incidence of delirium in our study is similar to that observed in the general population, according to the literature. We found no correlation with sleep disorders, smoking or diabetes mellitus in this study, even though the importance of these factors for the onset of delirium is well-established in the literature.
谵妄是一种常见病症，可增加重症监护病房住院患者的死亡率和合并症发生率。接受重大骨科手术（如膝关节和髋关节置换术）的患者尤其易患谵妄，因为他们通常有多种导致该病症的风险因素。
鉴于该人群的高龄和合并症情况，对接受全膝关节和髋关节置换术患者的谵妄发生率进行描述性研究。我们评估了此前接受指定手术患者的病历，以确定术后谵妄情况。
我们在本研究中观察到谵妄发生率为8.92%，主要影响平均年龄73岁且患有高血压的女性。
根据文献，我们研究中谵妄的发生率与普通人群中观察到的相似。在本研究中，我们未发现与睡眠障碍、吸烟或糖尿病存在关联，尽管这些因素对谵妄发作的重要性在文献中已得到充分证实。
