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

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 ۱۰۹ orthopedic surgery patients in the male and female surgery departments of Imam Jafar Sadiq hospital in Aligudarz city in ۲۰۲۲. The study included demographic and clinical information questionnaires, and Mini Mental State Examination and Abbreviated Mental Test tools administered ۲۴ hours before the surgery. The sampling approach used was sequential non-probability. The data were analyzed using descriptive statistics and SPSS v۲۶ software. The evaluation of ۱۰۹ patients revealed that ۵۷ (۵۲.۳%) were male and ۵۲ (۴۷.۷%) were female. The calculated mean age of the patients was ۶۸.۴۶±۱۰.۷۷ years. The study included ۴۱ patients (۳۷.۶%) diagnosed with hypertension, ۲۶ patients (۲۳.۹%) with diabetes, and ۱۹ patients (۱۷.۴%) with cardiovascular disorders. A total of ۲۹ patients, accounting for ۲۶.۶%, had a documented record of smoking and drug addiction. Regarding cognitive disorders, ۱۹ patients (۱۷.۴%) were within the moderate range, whereas ۹۰ patients (۸۲.۶%) 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.

کلیدواژه ها:

delirium ، Orthopedic Surgery ، risk factors