Impact of postanesthesia care unit delirium on self-reported cognitive function and perceived health status: a prospective observational cohort study.
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| Title: | Impact of postanesthesia care unit delirium on self-reported cognitive function and perceived health status: a prospective observational cohort study. |
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| Authors: | Kainz, Elena (AUTHOR), Stuff, Karin (AUTHOR), Kahl, Ursula (AUTHOR), Wiessner, Christian (AUTHOR), Yu, Yuanyuan (AUTHOR), von Breunig, Franziska (AUTHOR), Nitzschke, Rainer (AUTHOR), Haese, Alexander (AUTHOR), Graefen, Markus (AUTHOR), Fischer, Marlene (AUTHOR) |
| Source: | Quality of Life Research. Aug2022, Vol. 31 Issue 8, p2397-2410. 14p. 2 Diagrams, 3 Charts, 1 Graph. |
| Subjects: | Delirium, Cognitive ability, Cohort analysis, Radical prostatectomy, Intensive care units, Older patients, Nurse anesthetists |
| Abstract: | Purpose: The objective of this study was to determine the influence of postanesthesia care unit (PACU) delirium on self-reported cognitive function and perceived health status 3 months after surgery. Methods: This prospective observational cohort study was performed in a PACU at a high-volume prostate cancer center. We used a convenience sample of patients > 60 years undergoing elective radical prostatectomy. Patients with a history of cerebrovascular or neurodegenerative disease were excluded. Fifteen, 30, 45, and 60 following extubation, patients were screened for signs of delirium with the Confusion Assessment Method for the Intensive Care Unit. Three months after surgery self-reported cognitive function was assessed with the Cognitive Failures Questionnaire, and health status was evaluated with the 36-item Short-Form Health Survey (SF-36). Results: Signs of PACU delirium were present in 32.4% (n = 72/222) of patients, and 80.2% (n = 178/222) completed the 3-month follow-up. The presence of PACU delirium signs was not significantly associated with self-reported cognitive failures (B = 0.60, 95% CI: −1.72; 2.92, p = 0.61) or SF-36 physical component scores (B = 0.19, 95% CI: 0.02; 0.36, p = 0.03) or SF-36 mental component scores (B = −0.03, 95% CI: −0.18, 0.11, p = 0.66) 3 months after radical prostatectomy. Conclusions: In a cohort of educated, highly functioning, elderly male patients who were assessed immediately after surgery and at a 3-month follow-up, we found no association between PACU delirium and self-reported cognitive failures or perceived health status, which implies that PACU delirium may be an event of limited duration and impact. Trial registration: The study was registered at ClinicalTrials.gov (Identifier: NCT04168268, Date of registration: November 19, 2019). [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 157776264 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Impact of postanesthesia care unit delirium on self-reported cognitive function and perceived health status: a prospective observational cohort study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kainz%2C+Elena%22">Kainz, Elena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stuff%2C+Karin%22">Stuff, Karin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kahl%2C+Ursula%22">Kahl, Ursula</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wiessner%2C+Christian%22">Wiessner, Christian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yu%2C+Yuanyuan%22">Yu, Yuanyuan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22von+Breunig%2C+Franziska%22">von Breunig, Franziska</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nitzschke%2C+Rainer%22">Nitzschke, Rainer</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haese%2C+Alexander%22">Haese, Alexander</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Graefen%2C+Markus%22">Graefen, Markus</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fischer%2C+Marlene%22">Fischer, Marlene</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Aug2022, Vol. 31 Issue 8, p2397-2410. 14p. 2 Diagrams, 3 Charts, 1 Graph. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Delirium%22">Delirium</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Cohort+analysis%22">Cohort analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Radical+prostatectomy%22">Radical prostatectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Intensive+care+units%22">Intensive care units</searchLink><br /><searchLink fieldCode="DE" term="%22Older+patients%22">Older patients</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse+anesthetists%22">Nurse anesthetists</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: The objective of this study was to determine the influence of postanesthesia care unit (PACU) delirium on self-reported cognitive function and perceived health status 3 months after surgery. Methods: This prospective observational cohort study was performed in a PACU at a high-volume prostate cancer center. We used a convenience sample of patients > 60 years undergoing elective radical prostatectomy. Patients with a history of cerebrovascular or neurodegenerative disease were excluded. Fifteen, 30, 45, and 60 following extubation, patients were screened for signs of delirium with the Confusion Assessment Method for the Intensive Care Unit. Three months after surgery self-reported cognitive function was assessed with the Cognitive Failures Questionnaire, and health status was evaluated with the 36-item Short-Form Health Survey (SF-36). Results: Signs of PACU delirium were present in 32.4% (n = 72/222) of patients, and 80.2% (n = 178/222) completed the 3-month follow-up. The presence of PACU delirium signs was not significantly associated with self-reported cognitive failures (B = 0.60, 95% CI: −1.72; 2.92, p = 0.61) or SF-36 physical component scores (B = 0.19, 95% CI: 0.02; 0.36, p = 0.03) or SF-36 mental component scores (B = −0.03, 95% CI: −0.18, 0.11, p = 0.66) 3 months after radical prostatectomy. Conclusions: In a cohort of educated, highly functioning, elderly male patients who were assessed immediately after surgery and at a 3-month follow-up, we found no association between PACU delirium and self-reported cognitive failures or perceived health status, which implies that PACU delirium may be an event of limited duration and impact. Trial registration: The study was registered at ClinicalTrials.gov (Identifier: NCT04168268, Date of registration: November 19, 2019). [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-022-03087-1 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 2397 Subjects: – SubjectFull: Delirium Type: general – SubjectFull: Cognitive ability Type: general – SubjectFull: Cohort analysis Type: general – SubjectFull: Radical prostatectomy Type: general – SubjectFull: Intensive care units Type: general – SubjectFull: Older patients Type: general – SubjectFull: Nurse anesthetists Type: general Titles: – TitleFull: Impact of postanesthesia care unit delirium on self-reported cognitive function and perceived health status: a prospective observational cohort study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kainz, Elena – PersonEntity: Name: NameFull: Stuff, Karin – PersonEntity: Name: NameFull: Kahl, Ursula – PersonEntity: Name: NameFull: Wiessner, Christian – PersonEntity: Name: NameFull: Yu, Yuanyuan – PersonEntity: Name: NameFull: von Breunig, Franziska – PersonEntity: Name: NameFull: Nitzschke, Rainer – PersonEntity: Name: NameFull: Haese, Alexander – PersonEntity: Name: NameFull: Graefen, Markus – PersonEntity: Name: NameFull: Fischer, Marlene IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 31 – Type: issue Value: 8 Titles: – TitleFull: Quality of Life Research Type: main |
| ResultId | 1 |
