MP08-16 LOSS OF RENAL FUNCTION AND SLOW GAIT SPEED ARE RISK FACTORS FOR POSTOPERATIVE DELIRIUM AFTER UROLOGICAL SURGERY

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety II1 Apr 2016MP08-16 LOSS OF RENAL FUNCTION AND SLOW GAIT SPEED ARE RISK FACTORS FOR POSTOPERATIVE DELIRIUM AFTER UROLOGICAL SURGERY Shingo Hatakeyama, Tendo Sato, Teppei Okamoto, Hayato Yamamoto, Atsushi Imai, Takahiro Yoneyama, Yasuhiro Hashimoto, Takuya Koie, and Chikara Ohyama Shingo HatakeyamaShingo Hatakeyama More articles by this author , Tendo SatoTendo Sato More articles by this author , Teppei OkamotoTeppei Okamoto More articles by this author , Hayato YamamotoHayato Yamamoto More articles by this author , Atsushi ImaiAtsushi Imai More articles by this author , Takahiro YoneyamaTakahiro Yoneyama More articles by this author , Yasuhiro HashimotoYasuhiro Hashimoto More articles by this author , Takuya KoieTakuya Koie More articles by this author , and Chikara OhyamaChikara Ohyama More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2261AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The aim of this study was to identify risk factors associated with postoperative delirium in patients undergoing urological surgery. METHODS We prospectively evaluated pre- and postoperative risk factors for postoperative delirium in consecutive 215 patients who received urological surgery between August 2013 and February 2015. Preoperative factors included patient demographics, comorbidities, and frailty assessment. Frailty was measured by hand-grip strength, fatigue scale of depression, fall risk assessment, and gait speed (the timed Get-up and Go test). Postoperative factors included types of anesthesia, surgical procedure, renal function and serum albumin decline, blood loss, surgery time, highest body temperature, and complications. Uni- and multivariate logistic regression analyses were performed to assess pre- and postoperative predictors for the development of postoperative delirium. RESULTS Median age of this cohort was 67 years. Ten patients (4.7%) experienced postoperative delirium. These patients were significantly older, had weak handgrip strength, a higher fall risk assessment score, slow gait speed, and greater renal function decline compared with patients without delirium. Multivariate analysis revealed slow gait speed (>13.0 s) and rapid renal function decline (>30%) were independent risk factors for postoperative delirium. CONCLUSIONS Slow gait speed and rapid renal function decline after urological surgery significant factors for postoperative delirium. These data will be helpful for perioperative patient management. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e91 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Shingo Hatakeyama More articles by this author Tendo Sato More articles by this author Teppei Okamoto More articles by this author Hayato Yamamoto More articles by this author Atsushi Imai More articles by this author Takahiro Yoneyama More articles by this author Yasuhiro Hashimoto More articles by this author Takuya Koie More articles by this author Chikara Ohyama More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...