File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Incidence of postoperative delirium in older adults undergoing surgical procedures: A systematic literature review and meta-analysis

TitleIncidence of postoperative delirium in older adults undergoing surgical procedures: A systematic literature review and meta-analysis
Authors
Issue Date1-Mar-2023
PublisherWiley
Citation
Worldviews on Evidence-Based Nursing, 2023 How to Cite?
Abstract

Background

With the increase in life expectancy around the globe, the incidence of postoperative delirium (POD) among older people (≥65 years) is growing. Previous studies showed a wide variation in the incidence of POD, from 4% to 53%, with a lack of specific evidence about the incidence of POD by specific surgery type among older people. The aim of this systematic review and meta-analysis was to determine the incidence of POD by surgery type within populations 65 years and over.

Methods

Databases including PubMed, Cochrane library, Embase, and CINAHL were searched until October 2020. Due to the relatively higher number of meta-analyses undertaken in this area of research, a streamlined systematic meta-analysis was proposed.

Results

A total of 28 meta-analyses (comprising 284 individual studies) were reviewed. Data from relevant individual studies (n = 90) were extracted and included in the current study. Studies were grouped into eight surgery types and the incidence of POD for orthopedic, vascular, spinal, cardiac, colorectal, abdominal, urologic, and mixed surgeries was 20%, 14%, 13%, 32%, 14%, 30%, 10%, and 26%, respectively. POD detection instruments were different across the studies, with Confusion Assessment Method (CAM & CAM-ICU) being the most frequently adopted.

Linking Evidence to Action

This study showed that POD incidence in older people undergoing surgery varied widely across surgery type. The more complex surgeries like cardiac and abdominal surgeries were associated with a higher risk of POD. This highlights the need to include the level of surgery complexity as a risk factor in preoperative assessments.


Persistent Identifierhttp://hdl.handle.net/10722/328393
ISSN
2023 Impact Factor: 3.4
2023 SCImago Journal Rankings: 1.069

 

DC FieldValueLanguage
dc.contributor.authorIgwe, EO-
dc.contributor.authorNealon, J-
dc.contributor.authorO'Shaughnessy, P-
dc.contributor.authorBowden, A-
dc.contributor.authorChang, HC-
dc.contributor.authorHo, MH-
dc.contributor.authorMontayre, J-
dc.contributor.authorMontgomery, A-
dc.contributor.authorRolls, K-
dc.contributor.authorChou, KR-
dc.contributor.authorChen, KH-
dc.contributor.authorTraynor, V-
dc.contributor.authorSmerdely, P-
dc.date.accessioned2023-06-28T04:44:07Z-
dc.date.available2023-06-28T04:44:07Z-
dc.date.issued2023-03-01-
dc.identifier.citationWorldviews on Evidence-Based Nursing, 2023-
dc.identifier.issn1545-102X-
dc.identifier.urihttp://hdl.handle.net/10722/328393-
dc.description.abstract<div><h3>Background</h3><p>With the increase in life expectancy around the globe, the incidence of postoperative delirium (POD) among older people (≥65 years) is growing. Previous studies showed a wide variation in the incidence of POD, from 4% to 53%, with a lack of specific evidence about the incidence of POD by specific surgery type among older people. The aim of this systematic review and meta-analysis was to determine the incidence of POD by surgery type within populations 65 years and over.</p><h3>Methods</h3><p>Databases including PubMed, Cochrane library, Embase, and CINAHL were searched until October 2020. Due to the relatively higher number of meta-analyses undertaken in this area of research, a streamlined systematic meta-analysis was proposed.</p><h3>Results</h3><p>A total of 28 meta-analyses (comprising 284 individual studies) were reviewed. Data from relevant individual studies (<em>n</em> = 90) were extracted and included in the current study. Studies were grouped into eight surgery types and the incidence of POD for orthopedic, vascular, spinal, cardiac, colorectal, abdominal, urologic, and mixed surgeries was 20%, 14%, 13%, 32%, 14%, 30%, 10%, and 26%, respectively. POD detection instruments were different across the studies, with Confusion Assessment Method (CAM & CAM-ICU) being the most frequently adopted.</p><h3>Linking Evidence to Action</h3><p>This study showed that POD incidence in older people undergoing surgery varied widely across surgery type. The more complex surgeries like cardiac and abdominal surgeries were associated with a higher risk of POD. This highlights the need to include the level of surgery complexity as a risk factor in preoperative assessments.</p></div> -
dc.languageeng-
dc.publisherWiley-
dc.relation.ispartofWorldviews on Evidence-Based Nursing-
dc.titleIncidence of postoperative delirium in older adults undergoing surgical procedures: A systematic literature review and meta-analysis-
dc.typeArticle-
dc.identifier.doi10.1111/wvn.12649-
dc.identifier.hkuros344631-
dc.identifier.eissn1741-6787-
dc.identifier.issnl1545-102X-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats