Prevention Initiative for Postoperative Delirium
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Danielle Lee (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Terry Wicks
Abstract: Background: With an aging population, postoperative delirium is one of the most common anesthesia complications in those over 60, and 40% of reported cases could have been prevented. Postoperative delirium is associated with a decline in activities of daily living, increased mortality, increased nursing home placement, and increased hospital readmissions and costs. Purpose: The purpose of this project was to reduce delirium frequency by providing evidence-based anesthetic recommendations to anesthesia providers by using a best practice advisory flag in the electronic medical record to address the factors that have been shown to increase the risk of delirium development and can be influenced during anesthesia care. Methods: This project was a quantitative, cross-sectional design with retrospective data collection. Education was provided to staff using email and flyers. Baseline delirium frequency and post-implementation frequency were obtained through the use of the Epic program SlicerDicer. Results: The frequency of delirium before implementation of the best practice advisory was 5.6%, and the frequency after implementation was 4.5%. Although this indicates a slight reduction, this reduction was not indicated to be clinically significant. Conclusion: As the elderly population is rising, care should be taken to individualize their plan of care to best minimize the risk of associated complications.
Prevention Initiative for Postoperative Delirium
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Created on 6/25/2024
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Additional Information
- Publication
- Other
- Language: English
- Date: 2024
- Keywords
- postoperative delirium, elderly, anesthesia, pain management, opioid reduction, surgical stress response, Bispectral index, multimodal pain management, deep anesthesia, confusion, altered mental status, disorientation