TY - JOUR AU - Rajeev, Dr A. AU - Paul, Dr G. AU - S, Dr Sunil K AU - Vijayakumar, Dr P. PY - 2018/02/28 Y2 - 2024/03/29 TI - The study of incidence of post operative delirium in geriatric patients who needed prolonged ICU stay after undergoing a major cardiac surgery in a tertiary care hospital JF - International Journal of Medical Science and Clinical Invention JA - ijmsci VL - 5 IS - 2 SE - Articles DO - 10.18535/ijmsci/v5i2.02 UR - http://valleyinternational.net/index.php/ijmsci/article/view/1073 SP - 3504-3506 AB - <p><strong>INTRODUCTION:</strong> Delirium, defined as an acute disorder of attention and global cognitive function&nbsp; is a common, serious and potentially preventable source of morbidity and mortality in&nbsp; hospitalized elderly patients.&nbsp; Different studies have shown that prolonged post operative ICU stay contributes to occurrence of delirium</p><p><strong>OBJECTIVE:</strong> To assess the incidence of post operative delirium in elderly patients who needed prolonged ICU stay after&nbsp; undergoing a major cardiac surgery (coronary artery bypass grafting).</p><p><strong>MATERIALS AND METHODS:</strong> Prospective cohort study, Study Period: 1 ½ years. Using a prepared questionnaire after obtaining fully informed written consent. 3 visits for each patient: 1) before surgery, 2) in the ICU: 48 hours after surgery and 3) In ward after shifting out from ICU. Prolonged ICU stay was defined as admission more than 3 days in ICU. The details from nursing staff and care givers were taken.</p><p><strong>RESULTS:</strong> Out of total 250 patients included in the study, 43 (17.2%) patients developed post operative delirium. 32 (26%) out of 19 patients who needed prolonged ICU stay developed post operative delirium compared to 11 (8.7%) out of 116 patients who spent less than 3 days in ICU in post operative period. (p Value: &lt;0.001). Prolonged ICU stay contributes to post operative delirium and measures have to be instituted to shift out the patient from ICU at the earliest after stabilization.</p> ER -