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Role of perceived stress in postoperative delirium: an investigation among elderly patients.
- Source :
- Aging & Mental Health; Jan2020, Vol. 24 Issue 1, p148-154, 7p, 3 Charts
- Publication Year :
- 2020
-
Abstract
- Objectives: This study examined levels of perceived stress (PS), postoperative delirium (POD) and associated factors among Thai elderly patients undergoing elective noncardiac surgery. Background and aims: Preoperative PS and change after operation have not been widely studied. Moreover, psychological factors associated with PS and POD has been poorly investigated. Materials and Methods: In total, 429 elderly patients were recruited at a university hospital. The preoperative evaluation included sociodemographic data, health behaviors at risk, Perceived Stress Scale (PSS-10), Neuroticism Inventory (NI), Mental State Examination T10 (MSET10), Montreal Cognitive Assessment (MoCA) and Geriatric Depression Scale (GDS-15). Three-day postoperative evaluation included PSS-10 and Confusion Assessment Method Algorithm (CAM) or CAM-ICU for Delirium. Multiple regression and logistic regression analysis were performed to determine potential predictors. Results: Females were 58.97%, and the mean age was 69.93 ± 6.87 years. Mean pre- and postoperative PS were 12.77 ± 5.41 and 13.39 ± 5.26, respectively (P < 0.05). Multiple regression revealed that neuroticism, depression, and BMI predicted PS significantly. None of the independent variables was found to predict postoperative PS except for preoperative PS (p <.001). POD at the recovery room was predicted by preoperative PS (odds ratio = 1.181, 95% CI = 1.019–1.369), whereas overall POD was predicted by MoCA (odds ratio =.864, 95% CI =.771 -.968). Conclusion: Preoperative PS was significant in that it was associated with postoperative PS and POD. A careful assessment of preoperative PS as well as providing brief interventions for patients with high levels of this condition may reduce the risk of POD. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of delirium
DIAGNOSIS of mental depression
RISK of delirium
ACADEMIC medical centers
ALGORITHMS
COGNITIVE testing
CONFIDENCE intervals
DELIRIUM
HEALTH behavior
NEUROPSYCHOLOGICAL tests
PERSONALITY assessment
RECOVERY rooms
RISK assessment
PSYCHOLOGICAL stress
SURGICAL complications
ELECTIVE surgery
LOGISTIC regression analysis
MULTIPLE regression analysis
BODY mass index
PREOPERATIVE period
ODDS ratio
PSYCHOLOGICAL factors
Subjects
Details
- Language :
- English
- ISSN :
- 13607863
- Volume :
- 24
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Aging & Mental Health
- Publication Type :
- Academic Journal
- Accession number :
- 140999165
- Full Text :
- https://doi.org/10.1080/13607863.2018.1523881