Bibliographic Details
| Title: |
Evaluación del delirio postoperatorio con escala 4AT-ES en artroplastía total en adultos mayores. |
| 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] |
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| Database: |
MedicLatina |
