Evaluation of Postoperative Delirium Using the 4AT TEST: Determining Incidence and Risk Factors in Patients Undergoing General Anaesthesia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- To evaluate the incidence of postoperative delirium using the 4AT test in patients undergoing surgery with general anaesthesia.
研究概览
简要总结
Postoperative delirium is a common yet under-recognized complication following surgery under general anaesthesia, associated with increased morbidity, prolonged hospital stay, and adverse outcomes. This prospective observational study aims to determine the incidence of postoperative delirium using the validated 4AT (4 A’s Test) and to identify perioperative risk factors in adults aged more than equal to 40 years. The study will be conducted at Shree Krishna Hospital. Delirium assessment will be performed in the post-anaesthesia care unit and at 12 and 24 hours postoperatively. Early identification of delirium may facilitate timely intervention and improve postoperative care and outcomes.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 40.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •American Society of Anesthesiologist (ASA) Grade 1 to 3 Adults aged more than equal to 40 years.
- •Patients undergoing surgery with general anaesthesia.
排除标准
- •Post op patient unreversed directly shifted to icu Patients who are taking Certain medications such as benzodiazepines, anticholinergics, high-dose opioids, corticosteroids, and centrally acting drugs Active delirium or altered mental status pre-operatively (diagnosed before surgery) Known psychiatric disorders with psychotic features requiring antipsychotic medications Severe dementia (inability to provide informed consent or complete baseline assessment) Current substance abuse or withdrawal states Patients on therapeutic sedation/mechanical ventilation pre-operatively Patients with pre-existing diagnosis of delirium or severe dementia.
- •Patients with severe neurological deficits or communication barriers (e.g., aphasia, severe hearing impairment).
- •Patients who refuse to give consent.
结局指标
主要结局
To evaluate the incidence of postoperative delirium using the 4AT test in patients undergoing surgery with general anaesthesia.
时间窗: At post anaesthesia care unit, at 12 and 24 hours
次要结局
- To identify the Risk factors for post operative delirium after general anaesthesia(At post anaesthesia care unit, at 12 & 24 hours)
研究者
Dr Nirali Paanchal
Pramukh Swami Medical College,Bhaikaka University