Evaluación del delirio postoperatorio con escala 4AT-ES en artroplastía total en adultos mayores.
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| Title: | Evaluación del delirio postoperatorio con escala 4AT-ES en artroplastía total en adultos mayores. |
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| Alternate Title: | Evaluation of postoperative delirium with the 4AT-ES scale in total arthroplasty in older adults. |
| Authors: | Sánchez-Navarro, Carlos Armando1,2 anestesiacarlosarmando@gmail.com, Gándara-Quezada, Vanessa1,3, Olvera-Romo, Javier1,4 |
| Source: | Revista Mexicana de Anestesiología. abr-jun2026, Vol. 49 Issue 2, p82-86. 5p. |
| Subjects: | OLDER people, SURGICAL complications, KNEE surgery, ORTHOPEDIC surgery, COGNITION disorders, TOTAL hip replacement |
| Abstract (English): | Introduction: older adults undergoing orthopedic procedures have a 15% increased risk of developing postoperative delirium (POD), with an incidence ranging from 5.1 to 52.5%. The 4AT-ES scale does not require training for its application in detecting POD. Objective: to measure the frequency of POD using the 4AT-ES scale in older adults postoperatively following total hip (THA) or knee arthroplasty (TKA). Material and methods: cross-sectional study. We included 146 older patients undergoing hip or knee arthroplasties in a secondary-level hospital. After approval from the Research and Ethics Committee and obtaining patient consent, the 4AT-ES scale was applied upon admission to the ward. Results: the mean age was 72 years, with 58.2% women. The main comorbidities were diabetes mellitus (26.7%) and hypertension (55%), with 89.7% classified as ASA grade II. POD was identified in 8.2% of patients, and cognitive impairment in 1.4% according to the 4AT-ES. All older patients with POD had undergone THA, major surgery lasting 2 hours, and had a hospital stay of 7 or more days. Conclusions: the 4AT-ES scale is applicable for detecting POD in older adults without requiring staff standardization. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: los adultos mayores sometidos a procedimientos ortopédicos tienen 15% de riesgo aumentado de sufrir delirio postoperatorio (DPO), con una incidencia entre 5.1 y 52.5%. La escala 4AT-ES no requiere capacitación para su aplicación en detección de DPO. Objetivo: medir la frecuencia de DPO con la escala 4AT-ES en adultos mayores postoperados de artroplastía total de cadera (ATC) o rodilla. Material y métodos: estudio transversal. Incluimos a 146 pacientes mayores sometidos a artroplastías de cadera o rodilla en un hospital de segundo nivel. Tras la aprobación del Comité de Investigación y Ética, previo consentimiento de los pacientes, se les aplicó la escala 4AT-ES al ingreso a piso. Resultados: la media de edad fue de 72 años con 58.2% de mujeres, principales comorbilidades: DM (26.7%) e HAS (55%), clasificación ASA grado II en 89.7%. Se identificó DPO en 8.2% de los pacientes y deterioro cognitivo en 1.4% según el 4AT-ES. Todos los pacientes mayores con DPO fueron de ATC, cirugía mayor de dos horas y siete o más días de estancia hospitalaria. Conclusiones: el DPO en adultos mayores con la escala 4AT-ES es aplicable sin requerir estandarización del personal. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 193340458 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluación del delirio postoperatorio con escala 4AT-ES en artroplastía total en adultos mayores. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Evaluation of postoperative delirium with the 4AT-ES scale in total arthroplasty in older adults. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sánchez-Navarro%2C+Carlos+Armando%22">Sánchez-Navarro, Carlos Armando</searchLink><relatesTo>1,2</relatesTo><i> anestesiacarlosarmando@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Gándara-Quezada%2C+Vanessa%22">Gándara-Quezada, Vanessa</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Olvera-Romo%2C+Javier%22">Olvera-Romo, Javier</searchLink><relatesTo>1,4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Anestesiología%22">Revista Mexicana de Anestesiología</searchLink>. abr-jun2026, Vol. 49 Issue 2, p82-86. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22OLDER+people%22">OLDER people</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+complications%22">SURGICAL complications</searchLink><br /><searchLink fieldCode="DE" term="%22KNEE+surgery%22">KNEE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22ORTHOPEDIC+surgery%22">ORTHOPEDIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22COGNITION+disorders%22">COGNITION disorders</searchLink><br /><searchLink fieldCode="DE" term="%22TOTAL+hip+replacement%22">TOTAL hip replacement</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: older adults undergoing orthopedic procedures have a 15% increased risk of developing postoperative delirium (POD), with an incidence ranging from 5.1 to 52.5%. The 4AT-ES scale does not require training for its application in detecting POD. Objective: to measure the frequency of POD using the 4AT-ES scale in older adults postoperatively following total hip (THA) or knee arthroplasty (TKA). Material and methods: cross-sectional study. We included 146 older patients undergoing hip or knee arthroplasties in a secondary-level hospital. After approval from the Research and Ethics Committee and obtaining patient consent, the 4AT-ES scale was applied upon admission to the ward. Results: the mean age was 72 years, with 58.2% women. The main comorbidities were diabetes mellitus (26.7%) and hypertension (55%), with 89.7% classified as ASA grade II. POD was identified in 8.2% of patients, and cognitive impairment in 1.4% according to the 4AT-ES. All older patients with POD had undergone THA, major surgery lasting 2 hours, and had a hospital stay of 7 or more days. Conclusions: the 4AT-ES scale is applicable for detecting POD in older adults without requiring staff standardization. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: los adultos mayores sometidos a procedimientos ortopédicos tienen 15% de riesgo aumentado de sufrir delirio postoperatorio (DPO), con una incidencia entre 5.1 y 52.5%. La escala 4AT-ES no requiere capacitación para su aplicación en detección de DPO. Objetivo: medir la frecuencia de DPO con la escala 4AT-ES en adultos mayores postoperados de artroplastía total de cadera (ATC) o rodilla. Material y métodos: estudio transversal. Incluimos a 146 pacientes mayores sometidos a artroplastías de cadera o rodilla en un hospital de segundo nivel. Tras la aprobación del Comité de Investigación y Ética, previo consentimiento de los pacientes, se les aplicó la escala 4AT-ES al ingreso a piso. Resultados: la media de edad fue de 72 años con 58.2% de mujeres, principales comorbilidades: DM (26.7%) e HAS (55%), clasificación ASA grado II en 89.7%. Se identificó DPO en 8.2% de los pacientes y deterioro cognitivo en 1.4% según el 4AT-ES. Todos los pacientes mayores con DPO fueron de ATC, cirugía mayor de dos horas y siete o más días de estancia hospitalaria. Conclusiones: el DPO en adultos mayores con la escala 4AT-ES es aplicable sin requerir estandarización del personal. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35366/122903 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 5 StartPage: 82 Subjects: – SubjectFull: OLDER people Type: general – SubjectFull: SURGICAL complications Type: general – SubjectFull: KNEE surgery Type: general – SubjectFull: ORTHOPEDIC surgery Type: general – SubjectFull: COGNITION disorders Type: general – SubjectFull: TOTAL hip replacement Type: general Titles: – TitleFull: Evaluación del delirio postoperatorio con escala 4AT-ES en artroplastía total en adultos mayores. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sánchez-Navarro, Carlos Armando – PersonEntity: Name: NameFull: Gándara-Quezada, Vanessa – PersonEntity: Name: NameFull: Olvera-Romo, Javier IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: abr-jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 04847903 Numbering: – Type: volume Value: 49 – Type: issue Value: 2 Titles: – TitleFull: Revista Mexicana de Anestesiología Type: main |
| ResultId | 1 |
