Evaluating the Severity of the Delirium Risk among Patients Undergoing Orthopedic Surgery: A Cross-Sectional Study

Sohrabi, Mansureh; Gholami, Mohammad; Mokhayeri, Yaser; Foroughi, Saeid; Yunosi, Ellahe

doi:10.22087/ijac.2023.405357.1005

Evaluating the Severity of the Delirium Risk among Patients Undergoing Orthopedic Surgery: A Cross-Sectional Study

Document Type : Research

Authors

Mansureh Sohrabi ¹

Mohammad Gholami ²

Yaser Mokhayeri ³

Saeid Foroughi ⁴

Ellahe Yunosi ⁵

¹ Special care nursing master's student, member of the student research committee, Lorestan University of Medical Sciences, Khorramabad,Iran

² Associate Professor, PhD in Nursing Education and Faculty Member of Nursing and Midwifery Faculty, Lorestan University of Medical Sciences, Khoramabad, Iran

³ Assistant professor, PhD in epidemiology and member of the Faculty of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran

⁴ Assistant professor, PhD in nursing education and faculty member of Eligudarz Nursing Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran

⁵ Anesthesiologist and special care specialist, Imam Jafar Sadiq (AS) hospital, Aligudarz, Lorestan, Iran

10.22087/ijac.2023.405357.1005

Abstract

Delirium is a prominent neurological diagnosis frequently observed among patients who have had orthopedic surgery. Assessing the risk factors for developing delirium is one approach to elucidating its pathogenesis and providing efficient prevention strategies. Therefore, this study was conducted to investigate the severity of the risk of developing delirium among individuals undergoing orthopedic surgery. This study was a cross-sectional descriptive analysis of 109 orthopedic surgery patients in the male and female surgery departments of Imam Jafar Sadiq hospital in Aligudarz city in 2022. The study included demographic and clinical information questionnaires, and Mini Mental State Examination and Abbreviated Mental Test tools administered 24 hours before the surgery. The sampling approach used was sequential non-probability. The data were analyzed using descriptive statistics and SPSS v26 software. The evaluation of 109 patients revealed that 57 (52.3%) were male and 52 (47.7%) were female. The calculated mean age of the patients was 68.46±10.77 years. The study included 41 patients (37.6%) diagnosed with hypertension, 26 patients (23.9%) with diabetes, and 19 patients (17.4%) with cardiovascular disorders. A total of 29 patients, accounting for 26.6%, had a documented record of smoking and drug addiction. Regarding cognitive disorders, 19 patients (17.4%) were within the moderate range, whereas 90 patients (82.6%) fell within the mild to normal range. The findings of this study suggest a somewhat elevated level of risk factors for delirium in patients undergoing orthopedic surgery. So, identifying risk factors, explaining pathophysiological mechanisms, and encouraging patients to adjust their lifestyle and habits to prevent POD is very important. Therefore, it is crucial to identify these risk factors, elucidate the underlying pathophysiological mechanisms, and motivate patients to modify their lifestyle and habitual behaviors in order to prevent the development of postoperative delirium.

Keywords

Delirium

Orthopedic Surgery

Risk Factors

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