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Objective <p>Postoperative delirium is a state of confusion and cognitive impairment that can be observed after extensive surgery. This serious complication can lead to longer hospital stays and higher costs. As the global population ages, postoperative delirium has also become a concern for patients undergoing head and neck surgery. In this study, we investigated whether the preoperative recognition of cognitive impairment could help with the prediction of postoperative delirium among patients undergoing head and neck surgery.</p> Methods <p>We conducted a three-year prospective study in our clinic to analyze 46 patients who underwent surgeries lasting 6&#xa0;h or longer. Mini-Mental State Examination scores, demographic data, medical history, surgical details and delirium assessments were examined to identify risk factors for postoperative delirium.</p> Results <p>Our study revealed that 8.7% of the patients developed postoperative delirium. Longer surgery durations, lower serum sodium levels and lower Mini-Mental State Examination scores were risk factors for postoperative delirium.</p> Conclusion <p>Recognizing cognitive impairment and other potential risk factors during the preoperative period appears to play a critical role in reducing the incidence of postoperative delirium and its associated complications.</p>

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Incidence of postoperative delirium among patients who underwent head & neck surgery

  • 期刊论文

  • 发表日期：

    2025年5月26日

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  • Rezarta Taga Senirli,
  • Deniz Gediz,
  • Yeşim Yüksel,
  • Muhammet Yildiz,
  • Nuray Ensari,
  • N. Didem Sonbay Yilmaz,
  • Özer Erdem GüR

摘要

Objective

Postoperative delirium is a state of confusion and cognitive impairment that can be observed after extensive surgery. This serious complication can lead to longer hospital stays and higher costs. As the global population ages, postoperative delirium has also become a concern for patients undergoing head and neck surgery. In this study, we investigated whether the preoperative recognition of cognitive impairment could help with the prediction of postoperative delirium among patients undergoing head and neck surgery.

Methods

We conducted a three-year prospective study in our clinic to analyze 46 patients who underwent surgeries lasting 6 h or longer. Mini-Mental State Examination scores, demographic data, medical history, surgical details and delirium assessments were examined to identify risk factors for postoperative delirium.

Results

Our study revealed that 8.7% of the patients developed postoperative delirium. Longer surgery durations, lower serum sodium levels and lower Mini-Mental State Examination scores were risk factors for postoperative delirium.

Conclusion

Recognizing cognitive impairment and other potential risk factors during the preoperative period appears to play a critical role in reducing the incidence of postoperative delirium and its associated complications.