Psychological Risk Factor of Postoperative Delirium in Patients with Gastrointestinal Cancer (Original)
Year: 2016
Type: article
Study design: Observational Study
Abstract: Purpose : To determine whether some patients are at high risk for postoperative delirium, we investigated psychological risk factors in patients awaiting surgery for gastric or colorectal cancer.Methods : Patients with gastric or colorectal cancer who were 65 years or older and had been admitted to The Jikei University Kashiwa Hospital underwent the following tests before surgery : the Hospital Anxiety and Depression Scale (HADS), the 28 -item version of the General Health Questionnaire (GHQ -28), the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire -Core 30 (EORTC QLQ -C30), and the Mental Adjustment to Cancer scale (MAC scale).During a 7 -day postoperative observation period, delirium was diagnosed, if present, with the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, and the Confusion Assessment Method for the Intensive Care Unit.Results : Postoperative delirium was diagnosed in 17 (15.6%) of 109 patients.Compared with other patients, these patients had significantly higher scores for Anxiety (HADS), total score (GHQ - 28), Appetite loss (EORTC QLQ -C30) and Helplessness/Hopelessness (MAC scale) and significantly lower scores for Role (EORTC QLQ -C30) and Fighting Spirit (MAC scale).These patients also had a significantly higher Helplessness/Hopelessness score (odds ratio = 1.356 ; 95% confidence interval = 1.082 -1.698 ; p < 0.01).Conclusions : This study has shown that patients who have strong helplessness and hopelessness before surgery are at a high risk for postoperative delirium.(Jikeikai Med J 2016 ; 63 : 37 -43)
Authors: Yusuke Ochiai, Kobori Akihisa, Kazutaka Nukariya, Kazuhiko Nakayama, 結介 落合, 聡久 小堀, 和孝 忽滑谷, 和彦 中山
Institution: Jikei University School of Medicine
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2553031011