Delirium in elderly vascular surgery patients.
The elderly represent a large percentage of patients seen in departments of vascular surgery. Delirium is a frequent perioperative complication in this population and contributes to increased morbidity and mortality. Prevention of problems associated with mental confusion rests in identifying comorbidities, their severity, and the risk factors associated with delirium syndrome. The aging of our population implies management of increasing numbers of older patients who often have concomitant pathologies and, consequently, polypharmacy. Optimization of their management rests on collaboration between surgeons, anesthetists, and geriatrists.
Department of Geriatrics, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France. Electronic address: tristan.cudennec@apr.aphp.fr.
Tristan
T
Cudennec
Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Olivier
O
Goëau-Brissonnière
Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Raphaël
R
Coscas
Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Clément
C
Capdevila
Department of Geriatrics, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Sophi
S
Moulias
Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Marc
M
Coggia
Department of Geriatrics, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Laurent
L
Teillet
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003693:Delirium / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015577:Geriatric Assessment; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*