Preoperative Anemia As a Predictor of Postoperative Delirium in Patients With Colorectal Cancer

  • 0Clinic for Anesthesiology and Reanimatology. University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.

|

|

Summary

This summary is machine-generated.

Preoperative anemia (PA) significantly increases the risk of postoperative delirium (POD) in colorectal cancer (CRC) patients, with POD occurring 4.5 times more often in those with PA. Addressing PA is crucial for POD prevention.

Area Of Science

  • Colorectal Surgery
  • Anesthesiology
  • Geriatric Medicine

Background

  • The relationship between preoperative anemia (PA) and postoperative delirium (POD) in surgically treated patients remains unclear.
  • This study investigates the association between PA and POD in patients undergoing colorectal cancer (CRC) surgery.

Purpose Of The Study

  • To examine the relationship between PA and POD in patients surgically treated for CRC.
  • To improve preoperative preparation and identify patients at high risk for POD.

Main Methods

  • A prospective study analyzed 62 patients operated for CRC.
  • PA was defined by hemoglobin and hematocrit levels specific to sex.
  • Postoperative delirium (POD) was diagnosed using the Confusion Assessment Method (CAM) test.

Main Results

  • The incidence of POD was 27% on the first postoperative day.
  • A statistically significant positive correlation was found between PA and POD (p<0.05).
  • POD occurred 4.5 times more frequently in patients with PA (OR=4.500).

Conclusions

  • Preoperative anemia (PA) is linked to an increased incidence of POD in surgically treated CRC patients.
  • PA is identified as a significant preoperative risk factor for POD.
  • Identifying and correcting preoperative risk factors, including PA, is essential for POD prevention.

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management 01:28

285

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy 01:26

560

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Endoscopic Procedures II: Colonoscopy 01:25

618

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:

Ascending Colon: Rises upward on the right side of the abdomen.
Transverse Colon: Stretches from the ascending colon across the body to the left side.
Descending Colon: Travels...

Aneurysm IV: Nursing Management 01:22

375

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...