Effects of Perioperative Operating Room Environment on Postoperative Delirium in Elderly Patients With Abdominal Surgery : A Prospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 360
- 试验地点
- 1
- 主要终点
- Postoperative delirium during the 3 days-follow-up after anesthetic resuscitation
研究概览
简要总结
Thi investigators aims to observe the impact of perioperative body temperature and the noise of operating room on postoperative delirium for elderly patients undergoing abdominal surgery. And based on this study the investigators aimed to explore the potential risk factors of postoperative delirium for elderly patients undergoing abdominal surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 90 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 65-90 years old;
- •ASA I-III;
- •Patients who plan to undergo elective abdominal surgery under general anesthesia;
- •Volunteer to participate in this study and sign informed consent.
排除标准
- •Patients with known mental illness or lack of communication or cognitive impairment before operation;
- •Severe vision, hearing, language impairment or other reasons unable to communicate with visitors;
- •Severe dysfunction of important organs such as heart, brain, lung, liver, kidney, etc.;
- •Long-term use of sedatives, antidepressants or alcoholism;
- •Patients with severe postoperative complications and admitted to intensive care unit;
- •Patients who refused or failed to complete the cognitive function test.
- •Patients who could not cooperate with the study for any other reason.
结局指标
主要结局
Postoperative delirium during the 3 days-follow-up after anesthetic resuscitation
时间窗: From ending of the surgery to 3 days after anesthetic resuscitation
Postoperative delirium was tested with 3 minutes-Confusion Assessment Method or Confusion Assessment Method-intensive care unit (0-4, higher scores means worse outcome). The patient is determined to be postoperative delirium (ie, Confusion Assessment Method positive) if he/she fall ill quickly with confusion disorder, and with mental disorder or consciousness disorder.
次要结局
- Hospital stay(From the ending of the surgery to hospital discharge, with means of about 7 days)
- Postoperative delirium in the postanesthesia care unit(From ending of the surgery to the time when discharge from postanesthesia care unit, an average of 30 minutes)
- Postoperative complication(From the ending of the surgery to hospital discharge, with means of about 7 days)