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American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention.

Publication ,  Journal Article
Hughes, CG; Boncyk, CS; Culley, DJ; Fleisher, LA; Leung, JM; McDonagh, DL; Gan, TJ; McEvoy, MD; Miller, TE ...
Published in: Anesth Analg
June 2020

Postoperative delirium is a geriatric syndrome that manifests as changes in cognition, attention, and levels of consciousness after surgery. It occurs in up to 50% of patients after major surgery and is associated with adverse outcomes, including increased hospital length of stay, higher cost of care, higher rates of institutionalization after discharge, and higher rates of readmission. Furthermore, it is associated with functional decline and cognitive impairments after surgery. As the age and medical complexity of our surgical population increases, practitioners need the skills to identify and prevent delirium in this high-risk population. Because delirium is a common and consequential postoperative complication, there has been an abundance of recent research focused on delirium, conducted by clinicians from a variety of specialties. There have also been several reviews and recommendation statements; however, these have not been based on robust evidence. The Sixth Perioperative Quality Initiative (POQI-6) consensus conference brought together a team of multidisciplinary experts to formally survey and evaluate the literature on postoperative delirium prevention and provide evidence-based recommendations using an iterative Delphi process and Grading of Recommendations Assessment, Development and Evaluation (GRADE) Criteria for evaluating biomedical literature.

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Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

June 2020

Volume

130

Issue

6

Start / End Page

1572 / 1590

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Review Literature as Topic
  • Quality of Health Care
  • Quality Indicators, Health Care
  • Quality Assurance, Health Care
  • Postoperative Complications
  • Postoperative Cognitive Complications
  • Perioperative Care
  • Patient Readmission
 

Citation

APA
Chicago
ICMJE
MLA
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Hughes, C. G., Boncyk, C. S., Culley, D. J., Fleisher, L. A., Leung, J. M., McDonagh, D. L., … Perioperative Quality Initiative (POQI) 6 Workgroup, . (2020). American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention. Anesth Analg, 130(6), 1572–1590. https://doi.org/10.1213/ANE.0000000000004641
Hughes, Christopher G., Christina S. Boncyk, Deborah J. Culley, Lee A. Fleisher, Jacqueline M. Leung, David L. McDonagh, Tong J. Gan, Matthew D. McEvoy, Timothy E. Miller, and Timothy E. Perioperative Quality Initiative (POQI) 6 Workgroup. “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention.Anesth Analg 130, no. 6 (June 2020): 1572–90. https://doi.org/10.1213/ANE.0000000000004641.
Hughes CG, Boncyk CS, Culley DJ, Fleisher LA, Leung JM, McDonagh DL, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention. Anesth Analg. 2020 Jun;130(6):1572–90.
Hughes, Christopher G., et al. “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention.Anesth Analg, vol. 130, no. 6, June 2020, pp. 1572–90. Pubmed, doi:10.1213/ANE.0000000000004641.
Hughes CG, Boncyk CS, Culley DJ, Fleisher LA, Leung JM, McDonagh DL, Gan TJ, McEvoy MD, Miller TE, Perioperative Quality Initiative (POQI) 6 Workgroup. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Delirium Prevention. Anesth Analg. 2020 Jun;130(6):1572–1590.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

June 2020

Volume

130

Issue

6

Start / End Page

1572 / 1590

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Review Literature as Topic
  • Quality of Health Care
  • Quality Indicators, Health Care
  • Quality Assurance, Health Care
  • Postoperative Complications
  • Postoperative Cognitive Complications
  • Perioperative Care
  • Patient Readmission