Volume : VII, Issue : IV, April - 2018

The study on incidence of post operative delirium in geriatric patients who had infections after undergoing coronary artery bypass grafting surgery in a tertiary care hospital in Kerala

Dr Aswin Rajeev, Dr George Paul, Dr Sunil K Senan, Dr Priya Vijayakumar

Abstract :

 BACKGROUND: Delirium which is defined as an acute disorder of attention and global cognitive function is a common, serious and potentially

preventable source of morbidity and mortality in hospitalized elderly patients. Different studies have shown that occurrence of infections in
postoperative period can contribute to delirium.
OBJECTIVE: To assess the incidence of post operative delirium in geriatric patients who had infections after undergoing coronary artery bypass
grafting surgery (a major cardiac surgery).
MATERIALS AND METHODS: Prospective cohort study, Study Period: 1 ½ years. Using a prepared questionnaire after obtaining fully
informed written consent. 3 visits for each patient: 1) before surgery, 2) in the ICU: 48 hours after surgery, 3) In ward after shifting out from ICU.
Details from patients, care givers and nursing staff regarding features of delirium are obtained. Patients were classified into two groups, one group
who had post operative infections and other with no post operative infections.
RESULTS: Out of total 250 patients included in the study, 43 (17.2%) patients developed post operative delirium. Patients with post operative
infection had more chance of development of delirium after undergoing procedure compared to patients with no post operative infections. Out of
77 patients with infections after undergoing procedure 39 (50.6%) patients had post operative delirium (p:<0.001). This suggests that post
operative infections should be managed adequately.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Aswin Rajeev, Dr George Paul, Dr Sunil K Senan, Dr Priya Vijayakumar, The study on incidence of post operative delirium in geriatric patients who had infections after undergoing coronary artery bypass grafting surgery in a tertiary care hospital in Kerala, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018


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