Dokument: Postoperative delirium in oral and maxillofacial surgery: a scoping review

Titel:Postoperative delirium in oral and maxillofacial surgery: a scoping review
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=68293
URN (NBN):urn:nbn:de:hbz:061-20250127-110229-8
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Alhammadi, Eman [Autor]
Kuhlmann, Julian Max [Autor]
Rana, Majeed [Autor]
Frohnhofen, Helmut [Autor]
Moellmann, Henriette L. [Autor]
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Dateien vom 27.01.2025 / geändert 27.01.2025
Stichwörter:Head and neck surgery, Maxillofacial surgery, Risk management, Postoperative delirium, Oral and maxillofacial surgery, Scoping review
Beschreibung:Background

Postoperative delirium (POD) in the oral and maxillofacial settings has gained more attention in recent decades. Due to advances in medical technology, treatment possibilities have expanded treatment for elderly and frail patients. This scoping review explores the correlation between POD and oral and maxillofacial surgery, summarizing screening and management protocols and identifying risk factors in this surgical field.
Methods

This review follows the Scoping Review extension of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-ScR). A comprehensive literature search was performed using multiple databases, focusing on articles published from 2002 to 2023 that discuss delirium in oral and maxillofacial surgery settings. The review was registered beforehand in the Open Science Framework (https://osf.io/r2ebc).
Results

From the initial 644 articles, 68 met the inclusion criteria. These studies highlighted the significant heterogeneity in POD diagnosis methods. The review identifies multiple risk factors across the preoperative, intraoperative, and postoperative phases that influence the occurrence of POD. Significant and independent risk factors in multiple regression analysis were highlighted, creating a clinical prediction list for the occurrence of POD.
Conclusion

It is crucial to preoperatively identify patients at risk for POD and actively modify these risks throughout the patient's hospital stay. Implementing nonpharmacological preventive measures for at-risk patients is recommended to decrease the incidence of POD. Future research should focus on creating standardized specialty-specific protocols incorporating validated assessment tools and addressing the full spectrum of risk factors associated with POD.
Rechtliche Vermerke:Originalveröffentlichung:
Alhammadi, E., Kuhlmann, J. M., Rana, M., Frohnhofen, H., & Möllmann, H. (2024). Postoperative delirium in oral and maxillofacial surgery: a scoping review. Head & Face Medicine, 20, Article 39. https://doi.org/10.1186/s13005-024-00439-9
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Medizinische Fakultät
Dokument erstellt am:27.01.2025
Dateien geändert am:27.01.2025
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