Senirli Rezarta Taga, Gediz Deniz, Yüksel Yeşim, Yildiz Muhammet, Ensari Nuray, Yilmaz N Didem Sonbay, GüR Özer Erdem
Department of Otorhinolaryngology- Head and Neck Surgery, "Antalya Education and Research Hospital", Antalya, Turkey.
Department of Psychiatry, "Antalya Education and Research Hospital", Antalya, Turkey.
Oral Maxillofac Surg. 2025 May 26;29(1):109. doi: 10.1007/s10006-025-01410-x.
Postoperative delirium is a state of confusion and cognitive impairment that can be observed after extensive surgery. This serious complication can lead to longer hospital stays and higher costs. As the global population ages, postoperative delirium has also become a concern for patients undergoing head and neck surgery. In this study, we investigated whether the preoperative recognition of cognitive impairment could help with the prediction of postoperative delirium among patients undergoing head and neck surgery.
We conducted a three-year prospective study in our clinic to analyze 46 patients who underwent surgeries lasting 6 h or longer. Mini-Mental State Examination scores, demographic data, medical history, surgical details and delirium assessments were examined to identify risk factors for postoperative delirium.
Our study revealed that 8.7% of the patients developed postoperative delirium. Longer surgery durations, lower serum sodium levels and lower Mini-Mental State Examination scores were risk factors for postoperative delirium.
Recognizing cognitive impairment and other potential risk factors during the preoperative period appears to play a critical role in reducing the incidence of postoperative delirium and its associated complications.
术后谵妄是一种在大型手术后可观察到的意识混乱和认知障碍状态。这种严重并发症会导致住院时间延长和费用增加。随着全球人口老龄化，术后谵妄也已成为接受头颈手术患者所关注的问题。在本研究中，我们调查了术前对认知障碍的识别是否有助于预测接受头颈手术患者的术后谵妄。
我们在诊所进行了一项为期三年的前瞻性研究，以分析46例接受持续6小时或更长时间手术的患者。检查简易精神状态检查表得分、人口统计学数据、病史、手术细节和谵妄评估，以确定术后谵妄的危险因素。
我们的研究显示，8.7%的患者发生了术后谵妄。手术时间延长、血清钠水平较低和简易精神状态检查表得分较低是术后谵妄的危险因素。
术前识别认知障碍和其他潜在危险因素似乎在降低术后谵妄及其相关并发症的发生率方面起着关键作用。
