Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Berlin, Germany.
Department of Anaesthesiology and Pain Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Int Med Res. 2020 Jun;48(6):300060520927207. doi: 10.1177/0300060520927207.
In this survey, we assessed the current clinical management of postoperative delirium (POD) among Chinese anesthesiologists, after publishing the European POD guideline.
We administered an electronic survey, designed according to the European POD guideline. The survey was completed using mobile devices.
In total, 1,514 respondents from China participated in the survey. Overall, 74.4% of participants reported that delirium is very important. More than 95% of participants stated that they routinely assessed POD. In total, 61.4% screened for POD using clinical observation and 37.6% used a delirium screening tool. Although the depth of anesthesia (a POD risk factor) was monitored, electroencephalogram monitoring was unavailable to 30.6% of respondents. Regarding treatment, only 24.1% of respondents used a standard algorithm; 58.5% used individualized treatment.
Our survey showed that there are high awareness levels among Chinese anesthesiologists regarding the importance of POD. However, routine assessment and monitoring of all patients, including perioperative anesthesia depth monitoring, and a treatment algorithm need to be implemented on a larger scale. According to the results, efforts should be made to improve the knowledge of POD among Chinese anesthesiologists.
在发布欧洲术后谵妄（POD）指南后，我们评估了中国麻醉医师对术后谵妄的临床管理现状。
我们根据欧洲 POD 指南设计了电子调查问卷，并使用移动设备完成了调查。
共有 1514 名来自中国的参与者参与了此次调查。总体而言，74.4%的参与者认为谵妄非常重要。超过 95%的参与者表示他们常规评估 POD。总的来说，61.4%的人使用临床观察来筛查 POD，37.6%的人使用谵妄筛查工具。尽管监测了麻醉深度（POD 的一个风险因素），但仍有 30.6%的受访者无法进行脑电图监测。关于治疗，只有 24.1%的受访者使用标准算法；58.5%的人采用个体化治疗。
我们的调查显示，中国麻醉医师对 POD 的重要性有较高的认识。然而，仍需要在更大范围内对所有患者进行常规评估和监测，包括围手术期麻醉深度监测和治疗算法。根据调查结果，应努力提高中国麻醉医师对 POD 的认识。
