PP 18. Postoperative Delirium Following Surgery For Colorectal Cancer
G. Christodoulidis, M. Papaliaga, E. Prassa, D. Dimas, K. Tepetes
18:22 - 18:28h
at Margrit Room
Categories: Gastrointestinal Surgery, Poster Session , Robotic and Minimal Invasive Surgery
Session: Poster (P2) - Gastrointestinal Surgery / Minimal Invasive
Background
Delirium occurs more often in hospitalized patients and during the postoperative course of elderly patients. Postoperative delirium is associated with greater cost, longer hospital stay, postoperative complications, increased morbidity and mortality. The aim of this study was to evaluate the incidence and risk factors for postoperative delirium in patients who were subjected to colorectal cancer surgery.
Material and Methods
Pre-operative cognitive function was assessed by the Mini Mental State Examination and Hamilton depression scale. The onset of delirium was diagnosed by the Confusion Assessment Methods administered to the patients every 24 h starting from the first postoperative day to the day of discharge. Delirium Rating Scale was used to evaluate severity. Different pre-, intra- and postoperative parameters, were assessed.
Result
In a total of 20 patients, 4 developed postoperative delirium. Parameters such as advanced age, alcohol abuse, excessive blood loss, decreased blood albumin levels, increased cortisol levels, increased CRP, increased IL6 levels and hypotension were significantly correlated with the presence of postoperative delirium.
Conclusion
Postoperative delirium seems to be a frequent complication in patients operated for colorectal cancer. Several pre-, intra- and postoperative factors indicate the patient's risk for developing postoperative delirium
