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Assessment of the risk of postoperative delirium in elderly patients using E-PASS and the NEECHAM Confusion Scale by Hideyuki Hattori; Junichi Kamiya; Hiroshi Shimada; Hirotoshi Akiyama; Akihiro Yasui; Kojiro Kuroiwa; Koji Oda; Masahiko Ando; Takashi Kawamura; Atsushi Harada; Yuichi Kitagawa; Shinji Fukata is a Medicine article available to read on EtoBox.

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## Abstract ## Background The incidences of surgery‐field disorders such as femur neck fracture and colorectal cancer in elderly persons have increased with the rapid aging of society. In such patients, postoperative delirium is also frequent. Patients should be generally assessed from the aspect of both physical and mental conditions in order to predict a high‐delirium risk group. If so, delirium may be prevented more efficiently. In this study, we investigated whether the early detection of postoperative delirium in elderly patients is possible using a simple, useful behavior‐assessing scale, the NEECHAM Confusion Scale, and a method for comprehensively evaluating elderly persons' stress related to surgery, E‐PASS. ## Methods The subjects were 160 patients aged more than 75 years who underwent surgery. Among them, three patients had vascular surgery‐field disorders, 67 had orthopedic‐field disorders, and 90 had digestive surgery‐field disorders. To comprehensively evaluate surgery‐related stress, E‐PASS was employed. In addition, we assessed recognition, activities of daily living (ADL), and the quality of life (QOL). For delirium diagnosis and severity assessment, we used the NE

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Author

Hideyuki Hattori; Junichi Kamiya; Hiroshi Shimada; Hirotoshi Akiyama; Akihiro Yasui; Kojiro Kuroiwa; Koji Oda; Masahiko Ando; Takashi Kawamura; Atsushi Harada; Yuichi Kitagawa; Shinji Fukata

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 0885-6230)

Published

2009

Language

EN

Field

Medicine (Health Sciences)