Urology
Volume 65, Issue 3 , Pages 449-453 , March 2005

Postoperative acute confusional state in typical urologic population: Incidence, risk factors, and strategies for prevention

  • Johannes Hamann

      Affiliations

    • Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
    • Corresponding Author InformationReprint requests: Johannes Hamann, M.D., Klinik für Psychiatrie und Psychotherapie, Technische Universität München, Möhlstrasse 26, München 81675, Germany.
  • ,
  • H. Bickel

      Affiliations

    • Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
  • ,
  • H. Schwaibold

      Affiliations

    • Department of Urology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
  • ,
  • R. Hartung

      Affiliations

    • Department of Urology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
  • ,
  • H. Förstl

      Affiliations

    • Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technical University Munich, Munich, Germany

Received 12 August 2004 ,Accepted 5 October 2004.

References 

  1. World Health Organization . Internationale Klassifikation psychischer Störungen, ICD-10 . 1993; Bern, Huber
  2. Inouye SK . Prevention of delirium in hospitalized older patients (risk factors and targeted intervention strategies) . Ann Med . 2000;32:257–263
  3. Cole MG , Primeau FJ . Prognosis of delirium in elderly hospital patients . Can Med Assoc J . 1993;149:41–46
  4. Francis J , Martin D , Kapoor WN . A prospective study of delirium in hospitalized elderly . JAMA . 1990;263:1097–1101
  5. Thomas RI , Cameron DJ , Fahs MC . A prospective study of delirium and prolonged hospital stay (exploratory study) . Arch Gen Psychiatry . 1988;45:937–940
  6. Chung F , Meier R , Lautenschlager E , et al.   General or spinal anesthesia (which is better in the elderly?) . Anesthesiology . 1987;67:422–427
  7. Lynch EP , Lazor MA , Gellis JE , et al.   The impact of postoperative pain on the development of postoperative delirium . Anesth Analg . 1998;86:781–785
  8. Marcantonio ER , Goldman L , Orav EJ , et al.   The association of intraoperative factors with the development of postoperative delirium . Am J Med . 1998;105:380–384
  9. Dai YT , Lou MF , Yip PK , et al.   Risk factors and incidence of postoperative delirium in elderly Chinese patients . Gerontology . 2000;46:28–35
  10. Dyer CB , Ashton CM , Teasdale TA . Postoperative delirium (a review of 80 primary data-collection studies) . Arch Intern Med . 1995;155:461–465
  11. Inouye SK , van Dyck CH , Alessi CA , et al.   Clarifying confusion (the Confusion Assessment Method—a new method for detection of delirium) . Ann Intern Med . 1990;113:941–948
  12. Folstein MF , Folstein SE , McHugh PR . Mini-mental state (a practical method for grading the cognitive state of patients for the clinician) . J Psychiatr Res . 1975;12:189–198
  13. Zung WW . The Depression Status Inventory (an adjunct to the Self-Rating Depression Scale) . J Clin Psychol . 1972;28:539–543
  14. Charlson ME , Pompei P , Ales KL , et al.   A new method of classifying prognostic comorbidity in longitudinal studies (development and validation) . J Chronic Dis . 1987;40:373–383
  15. Ewing JA . Detecting alcoholism (the CAGE questionnaire) . JAMA . 1984;252:1905–1907
  16. Milstein A , Pollack A , Kleinman G , et al.   Confusion/delirium following cataract surgery (an incidence study of 1-year duration) . Int Psychogeriatr . 2002;14:301–306
  17. Clark RE , Brillman J , Davis DA , et al.   Microemboli during coronary artery bypass grafting (genesis and effect on outcome) . J Thorac Cardiovasc Surg . 1995;109:249–257
  18. American Psychiatric Association . Practice guideline for the treatment of patients with delirium . Am J Psychiatry . 1999;156(suppl):12–25
  19. Meagher DJ . Delirium (optimising management) . BMJ . 2001;322:144–149
  20. Inouye SK , Bogardus ST , Charpentier PA , et al.   A multicomponent intervention to prevent delirium in hospitalized older patients . N Engl J Med . 1999;340:669–676

PII: S0090-4295(04)01148-3

doi: 10.1016/j.urology.2004.10.004

Urology
Volume 65, Issue 3 , Pages 449-453 , March 2005