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Instruments to Identify Delirium in Patients Recovering From Anesthesia: A Scoping Review.
- Source :
-
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2022 Dec; Vol. 37 (6), pp. 961-965.e7. Date of Electronic Publication: 2022 Jun 25. - Publication Year :
- 2022
-
Abstract
- Purpose: To identify the validated instruments used for screening and detecting postoperative delirium (POD) during Post Anesthesia Recovery (PAR) period, and the incidence and associated risk factors with POD.<br />Design: A scoping review.<br />Methods: The study search occurred in May 2021 in the PubMed, Embase, Scopus, CINAHL, Web of Science and LILACS databases. Primary studies that used validated instruments for screening and detecting POD in the PAR period were included.<br />Findings: A total of 38 articles were included. The most used instruments were CAM-ICU, Nu-DESC, and RASS. The instruments that screened and detected delirium earliest were the Nu-DESC and CAM-ICU. POD incidence was up to 20% in more than half of the included studies. Cardiovascular comorbidities, chronic kidney disease, low functional reserve, chronic obstructive pulmonary disease and postoperative pain were among the primary risk factors.<br />Conclusion: The instrumentsshowing the greatest accuracy for screening and detecting POD in the PAR period were the Nu-DESC and CAM-ICU.<br /> (Copyright © 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1532-8473
- Volume :
- 37
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
- Publication Type :
- Academic Journal
- Accession number :
- 35760717
- Full Text :
- https://doi.org/10.1016/j.jopan.2021.12.005