American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults
American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults, Sharon K Inouye, Tom Robinson, Caroline Blaum, Jan Busby-Whitehead, Malaz Boustani, Ara Chalian, Stacie Deiner, Donna Fick, Lisa Hutchison, Jason Johanning, Mark Katlic, James Kempton, Maura Kennedy, Eyal Kimchi, Cliff Ko, Jacqueline Leung, Melissa Mattison, Sanjay Mohanty, Arvind Nana, Dale Needham, Karin Neufeld, Holly Richter, Sue Radcliff, Christine Weston, Sneeha Patil, Gina Rocco, Jirong Yue, Susan E Aiello, Marianna Drootin, Elvy Ickowicz, Mary Jordan Samuel, American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults, Sharon K Inouye, Tom Robinson, Caroline Blaum, Jan Busby-Whitehead, Malaz Boustani, Ara Chalian, Stacie Deiner, Donna Fick, Lisa Hutchison, Jason Johanning, Mark Katlic, James Kempton, Maura Kennedy, Eyal Kimchi, Cliff Ko, Jacqueline Leung, Melissa Mattison, Sanjay Mohanty, Arvind Nana, Dale Needham, Karin Neufeld, Holly Richter, Sue Radcliff, Christine Weston, Sneeha Patil, Gina Rocco, Jirong Yue, Susan E Aiello, Marianna Drootin, Elvy Ickowicz, Mary Jordan Samuel
Abstract
The abstracted set of recommendations presented here provides essential guidance both on the prevention of postoperative delirium in older patients at risk of delirium and on the treatment of older surgical patients with delirium, and is based on the 2014 American Geriatrics Society (AGS) Guideline. The full version of the guideline, American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults is available at the website of the AGS. The overall aims of the study were twofold: first, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the prevention of postoperative delirium in older adults; and second, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the treatment of postoperative delirium in older adults. Prevention recommendations focused on primary prevention (i.e., preventing delirium before it occurs) in patients who are at risk for postoperative delirium (e.g., those identified as moderate-to-high risk based on previous risk stratification models such as the National Institute for Health and Care Excellence (NICE) guidelines, Delirium: Diagnosis, Prevention and Management. Clinical Guideline 103; London (UK): 2010 July 29). For management of delirium, the goals of this guideline are to decrease delirium severity and duration, ensure patient safety and improve outcomes.
Keywords: clinical practice guidelines; delirium; delirium prevention; post-operative delirium.
Conflict of interest statement
All other authors have no conflict of interest to disclose.
© 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.
Source: PubMed