The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in...

Area of Science:

• Geriatric Medicine
• Orthopedic Surgery
• Postoperative Care

Background:

• Elderly patients undergoing major orthopedic surgery are at high risk for postoperative delirium.
• Effective perioperative management strategies are crucial for improving outcomes in this population.

Purpose of the Study:

• To explore the association between perioperative geriatric management (PGM) and the incidence of postoperative delirium in elderly patients undergoing major orthopedic surgery.

Main Methods:

• A comparative study involving 350 participants aged 75+ undergoing major orthopedic surgery.
• The PGM group received comprehensive management, while the control group received standard care.
• Logistic regression analysis was used to determine the association between PGM and postoperative delirium.

Main Results:

• The prevalence of postoperative delirium was 13.71% overall.
• The PGM group showed a significantly lower incidence of delirium (7.43%) compared to the control group (14.29%).
• Factors associated with reduced delirium risk in the PGM group included lower Charlson comorbidity index, higher mini-cog scores, low Confusion Assessment Method scores, lower nutritional risk, and fewer major adverse cardiovascular events.

Conclusions:

• Perioperative geriatric management significantly decreases the incidence of postoperative delirium in elderly patients undergoing major orthopedic surgery.
• PGM implementation may lead to improved overall prognosis for these patients.