泌尿外科手术后的术后谵妄：文献综述
Postoperative Delirium after Urological Surgery: A Literature Review.
作者信息
Leotsakos Ioannis, Katafigiotis Ioannis, Gofrit Ofer N, Duvdevani Mordechai, Mitropoulos Dionysios
机构信息
1st Department of Urology, University of Athens Medical School, Athens, Greece.
Department of Urology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
出版信息
Curr Urol. 2019 Nov;13(3):133-140. doi: 10.1159/000499280. Epub 2019 Nov 13.
PURPOSE
We aimed to thoroughly search and identify studies referring to risk factors associated with postoperative delirium (POD) in patients undergoing open as well as en-doscopic urological surgery.
METHODS
The review after a systematic literature search included 5 studies.
RESULTS
The incidence of POD was reported to be between 7.8 and 30% depending on the type of the urologic surgery, while in the majority of the studies the onset happened on the first postoperative day and the symptoms lasted 3 ± 0.8 days. Seventeen different risk factors for POD were identified and presented in detail.
CONCLUSION
The Mini-Mental State Examination score and older age were significantly associated with the development of POD. However, the Confusion Assessment Method is very well validated against the diagnosis of delirium from the specialists.
目的
我们旨在全面检索并识别提及接受开放及内镜泌尿外科手术患者术后谵妄（POD）相关危险因素的研究。
方法
系统文献检索后的综述纳入了5项研究。
结果
据报道，根据泌尿外科手术类型不同，POD的发生率在7.8%至30%之间，而在大多数研究中，发病发生在术后第一天，症状持续3±0.8天。确定并详细列出了17种不同的POD危险因素。
结论
简易精神状态检查表评分和高龄与POD的发生显著相关。然而，谵妄评定方法在专家诊断谵妄方面得到了很好的验证。
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