Retrospective Examination of Postoperative Delirium in General Surgery: Incidence, Risk Factors and Clinical Objectives | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 4, October 2025, Pages 1233-1237 PDF (216.27 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.365110.1418 | ||
| Author | ||
| Reda Jamjoom* | ||
| Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia | ||
| Abstract | ||
| Introduction: A serious side effect of general surgery, postoperative delirium (POD) is associated with increased morbidity, death, and medical expenses. The frequency, risk factors, and results of POD in patients having general surgery are investigated in this retrospective analysis. Methods: 511 individuals who underwent general surgery in 2022 had their medical data examined. The Confusion Assessment Method was used to diagnose POD. To find POD determinants, demographic, clinical, and surgical parameters were assessed. Results including 30-day readmission, 1-year mortality, and length of hospital stay were compared between patients with and without POD. Results: The incidence of POD was 12.8%, and the main independent risk factors were advanced age (1.05, 95% CI 1.03-1.07 per year), cognitive impairment (2.87, 95% CI 2.01-4.09), multiple comorbidities (1.21, 95% CI 1.08-1.35), emergency surgery (1.92, 95% CI 1.33-2.77), and prolonged operation time (1.01, 95% CI 1.00-1.02 per minute). POD patients had significantly higher 1-year mortality (7.7% vs. 1.5%, p<0.001), longer hospitalizations (14.2 vs. 8.5 days, and higher 30-day readmission rates (22.7% vs. 11.5%, p<0.001), and longer hospitalizations (1.7% vs. 1.5%, p<0.001). Conclusion: POD is a prevalent and severe complication following general surgery. Recognizing patients at high risk and applying multicomponent preventive strategies may help decrease POD's impact and enhance postoperative results. | ||
| Keywords | ||
| General surgery; objectives; postoperative delirium; risk factors | ||
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