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Revista de salud publica del Paraguay

Print version ISSN 2224-6193On-line version ISSN 2307-3349


DIAZ - BOGADO, V  and  DELGADO, W. Postoperative delirium in patients over 60 years of age. National Hospital of Itauguá.2016. Rev. salud publica Parag. [online]. 2018, vol.8, n.1, pp.35-39. ISSN 2307-3349.


Postoperative delirium (DPO) is a frequent complication associated with cardiac and noncardiac surgery, especially in the elderly. There seems to be a correlation between DPO as a complication and a decline in quality of life and higher mortality.


To determine the frequency of delirium in the immediate postoperative period, in patients older than 60 years.


An observational, descriptive and cross-sectional study was performed in patients older than 60 years of age who underwent surgery at the National Hospital of Itauguá in 2016 using the CAM-ICU scale.


A total of 160 patients were examined, 55% were male and 45% female. 80% were scheduled surgeries and 20% of emergencies. Twenty patients with DPO were found. Of the patients with DPO, 45% were submitted to general anesthesia, 20% to spinal anesthesia, 20% to epidural anesthesia plus general anesthesia and 15% to regional block plus general anesthesia. 55% of the cases of DPO were surgeries of 3 or more hours, 40% of surgeries of 2-3 hours and 5% of surgeries of 1 hour or less in duration.


The frequency of DPO was 12.5%. The highest frequency was found in the age group of 70 - 79 years, in surgeries of more than 3 hours duration and in general anesthesia.

Keywords : postoperative deliriu; oldman; anesthesia.

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