Postoperative delirium is an independent risk factor for posttraumatic stress disorder in the elderly patient A prospective observational study
Postoperative delirium is an independent risk factor for posttraumatic stress disorder in the elderly patient A prospective observational study
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DOI：
10.1097/eja.0000000000000107
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发表时间：
2015-03-01
影响因子：
3.6
通讯作者：
Spies, Claudia D.
中科院分区：
文献类型：
--
作者：
Drews, Tanja;Franck, Martin;Spies, Claudia D.
背景：创伤后应激障碍（PTSD）可能出现在全麻手术住院的老年患者。这种情况下的患病率和危险因素尚不清楚。术后谵妄可能是一个危险因素。目的：本研究的目的是确定老年患者全身麻醉手术后3个月PTSD的患病率及其危险因素。设计一项前瞻性临床观察性研究。本研究于2009年3月至2010年5月在柏林的一家德国大学医院进行，是一项专注于麻醉深度的大型研究的一部分。纳入标准：60岁以上；全身麻醉的非心脏手术。排除标准：术前认知功能受损[简易精神状态检查（MMSE）评分]
BACKGROUND Posttraumatic stress disorder (PTSD) may appear after hospitalisation for surgery with general anaesthesia in elderly patients. Prevalence and risk factors in this setting are unknown. Postoperative delirium could be a risk factor.OBJECTIVE The purpose of this study was to identify the prevalence of, and risk factors for, PTSD 3 months after surgery with general anaesthesia in elderly patients.DESIGN A prospective, clinical observational study.SETTING This study was carried out between March 2009 and May 2010 in a German university hospital in Berlin and was part of a larger study focusing on depth of anaesthesia.PATIENTS Inclusion criteria: at least 60 years of age; non-cardiac surgery with general anaesthesia. Exclusion criteria: impaired preoperative cognitive function [mini-mental state examination (MMSE) score