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Perioperative Medicine
Published in: Perioperative Medicine 1/2016

Open Access 01-12-2016 | Commentary

Preoperative discussion with patients about delirium risk: are we doing enough?

Authors: Judith H. Tomlinson, Judith S. L. Partridge

Published in: Perioperative Medicine | Issue 1/2016

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Abstract

Postoperative delirium is a common complication in the older surgical population, occurring in 10–50 % of cases. It is thought to be more common if an individual is identified as frail. Postoperative delirium is associated with poor outcome including higher mortality rates, prolonged length of hospital stay, increased care needs on discharge and longer term post-traumatic stress disorder.
Guidelines from the American Geriatric Society and the National Institute for Health and Care Excellence highlight the importance of risk assessment at the time of the preoperative visit. This enables the perioperative team to plan a care pathway that minimises the risk of delirium occurring postoperatively. Risk assessment also informs a discussion with patient and family regarding their risk, as part of a process of informed patient consent. This is an essential step in conforming to current legal and General Medical Council guidance on the process of consent.
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Metadata
Title
Preoperative discussion with patients about delirium risk: are we doing enough?
Authors
Judith H. Tomlinson
Judith S. L. Partridge
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Perioperative Medicine / Issue 1/2016
Electronic ISSN: 2047-0525
DOI
https://doi.org/10.1186/s13741-016-0047-y

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