Volume 27, Number 12 (Monthly-Mar 2017)                   J Urmia Univ Med Sci 2017, 27(12): 1025-1031 | Back to browse issues page



DOI: 10.18869/acadpub.umj.27.12.1025

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Mohammadi G, Raofy M, Sadagat K. DELIRIUM PREVALENCE AND RELATED RISK FACTORS IN PATIENTS WITH HEAD AND NECK CANCER SURGERY. J Urmia Univ Med Sci. 2017; 27 (12) :1025-1031
URL: http://umj.umsu.ac.ir/article-1-3141-en.html

associate professor Tabriz University of Medical Sciences , mohammadig@yahoo.co.nz
Abstract:   (1624 Views)

Background & Aims: Delirium is a common problem in hospitalized patients and may threaten the patient's life. Patients undergoing surgery may experience such a common complication. The high mortality in patients with delirium and lack of a rapid recovery from the disease, reveal the importance of addressing this problem. So the purpose of this study is to show the risk factors in the major head and neck cancer surgeries that cause delirium and help patients.

Materials & Methods: .In this study, 104 patients with head and neck cancer candidates for  surgery in Imam Reza Hospital in Tabriz university of medical sciences were studied. Demographic characteristics and risk factors of delirium were recorded and a personality test of MMPI was performed . All selected samples were studied. Data, based on T-TEST and ANOVA were analyzed.

Results: Based on obtained information %49.4 of study participants were female and %59.6 of men. More than16% of them had previous disease such as Hypertension, Diabetes, Cardiac Infarction, Atrial fibrillation and pulmonary disease.

Results showed that %90.4 of patients was without delirium and %9.6 of them has experienced delirium. Findings also showed that the most frequent diagnosis in terms of MMPI test sequence was related to anxiety disorder such as schizoaffective and severe depression. Results indicated a significant relation between literacy and the likelihood of patients experiencing delirium is P=%0.5. A significant relation between the type of surgery and the risk of delirium exists in the cancer of the larynx (P=%0.1) and also there was meaningful relation between the factors of the MMPI and delirium experiencing MA (p=%0.5) Pd (p=%0.5). There was no remarkable affinity between delirium and the existence of Hypertension, Diabetes, the residing period in ICU and the duration of Cardio Pulmonary diseases, potassium, sodium and glucose. The other findings also indicated that the MMPI test can be used as a tool to diagnose Delirium.

Conclusion: Because of high mortality in delirious patients we can get cognitive tests to recognize high risk persons to prevent. Psychic or psychotherapy is one of the first step of treatment.

Full-Text [PDF 256 kb]   (537 Downloads)    
Type of Study: Research | Subject: ENT
Received: 2015/12/16 | Accepted: 2016/09/11 | Published: 2017/03/11

References
1. Rafee R. An introduction to behavioral sciences, clinical psychiatry. Tehran: Arjmand publication; 2003. P. 337.
2. Sadock BJ, Sadock VA. Kaplan&Sadock’s Synopsis of Psychiatry. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2003. P.552. [Google Scholar]
3. Yildizeli M, Özyurtkan O, Batirel HF, Kuscu K, Bekiroglu N, Yüksel M. Factors associated with postoperative delirium after thoracic surgery. Ann ThoracSurg 2005;79: 1004–9. [Google Scholar]
4. Tashakori A, Shanehsaz A, KhajehMoughahi N. Comparison of incidence rate of post-operative Delirium between patients with open-heart surgery and general surgery, Ahwaz Golestan Hospital. Sci Med J 2004;41: 37–43. [Google Scholar]
5. Modirnya M, Khalkhali M. Delirium In CCU patients. Gilan Univ J 2002; 1: 1–7.
6. BaghaeiVaji M, Dehghan A, OstovarSirjani F, Parvaresh N. A study on the incidence of postoperative Delirium in the operated patients in Kerman medical sciences university hospitals in 1999. J Kerman Univ Med Sci. 2001; 8: 74–80. [Google Scholar]
7. Rogers MP, Liang MH, Daltroy LH, Eaton H, Peteet J, Wright E. et al. Delirium after elective orthopedic surgery: risk factors and natural history. Int J Psychiatry Med 1989; 19: 109–21. [Google Scholar]
8. Manos PJ, Wu R. The Duration of Delirium in medical and Post-operative Patients Referred for psychiatric consultation. Ann ClinPsychiatry 1997;9: 219–26. [Google Scholar]
9. McAlpine JN, Hodgson EJ, Abramowitz S, Richman SM, Su Y, Kelly MG, et al. The incidence and risk factors associated with postoperative delirium in geriatric patients undergoing surgery for suspected gynecologic malignancies. Gynecol Oncol 2008;109(2): 296–302. [Google Scholar]
10. Pandharipande P, Cotton BA, Shintani A, Thompson J, Pun BT, Morris JA Jr. et al. Prevalence and risk factors for development of delirium in surgical and trauma intensive care unit patients. J Trauma 2008;65: 34–41. [PubMed]
11. Yamagata K, Onizawa K, Yusa H, Wakatsuki T, Yanagawa T, Yoshida H. Risk factors for postoperative delirium in patients undergoing head and neck cancer surgery. Int J Oral Maxillofac Surg 2005;34(1): 33–6. [Google Scholar]
12. Penel N, Amela EY, Mallet Y, Lefebvre D, Clisant S, Kara A. et al. A simple predictive model for postoperative mortality after head and neck cancer surgery with opening of mucosa. Oral Oncol 2007;43: 174–80. [Google Scholar]
13. Jodati A, Safaie N, Raoofi M, Ghorbani L, Ranjbar F, Noorazar G, et al. Prevalence and risk factors of postoperative delirium in patients undergoing open heart surgery in northwest of iran. J Cardiovasc Thorac Res 2013;5(3): 97–9. [PubMed]
14. Yildizeli B, Ozyurtkan MO, Batirel HF, Kuşcu K, Bekiroğlu N, Yüksel M. Factors associated with postoperative delirium after thoracic surgery. Ann Thorac Surg 2005;79(3): 1004–9. [Google Scholar]
15. Shealy AE, Walker DR. Minnesota Multiphasic Personality Inventory prediction of intellectual changes following cardiac surgery. J Nerv Ment Dis 1978;166: 263–7. [Google Scholar]
16. Kampman R, Tienari P, Outakoski J, Hirvenoja R, Juolasmaa A. Psychic complications following open heart surgery: A review article. Nord Psykiatr Tidsskr 1977;31(7): 484–95. [Google Scholar]
17. Sanaei Y. Prevalence of psychological problem in Tehran hospital in 1387 http: /www. lsnaTums.com/ news/ archives/ research/ 003456.php/ html

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