Perioperative psycho-educational intervention can reduce postoperative delirium in patients after cardiac surgery: A pilot study

International Journal of Psychiatry in Medicine

Volumn 45, Issue 2, 2013, Pages 143-158

  Lee, Jeewon ^a   Jung, Joonho ^a   Noh, Jai ^a   Yoo, Seungmin ^a   Hong, You ^a  

^a Ajou University School of Medicine   (South Korea)

Author keywords

cardiac surgery; postoperative delirium; psycho educational intervention

Indexed keywords

ATYPICAL ANTIPSYCHOTIC AGENT; HALOPERIDOL; QUETIAPINE; RISPERIDONE;

ADULT; AGED; AGGRESSION; AGITATION; ARTICLE; BEHAVIOR DISORDER; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; CONVALESCENCE; CORONARY ARTERY BYPASS GRAFT; DISEASE ASSOCIATION; DISEASE DURATION; DISEASE SEVERITY; FEMALE; HALLUCINATION; HEART MYXOMA; HEART SURGERY; HEART VALVE REPLACEMENT; HOSPITAL COST; HOSPITALIZATION; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; IRRITABILITY; LENGTH OF STAY; MALE; MENTAL HEALTH; PATIENT CARE; PILOT STUDY; POSTOPERATIVE CARE; POSTOPERATIVE DELIRIUM; PREOPERATIVE CARE; PSYCHOEDUCATION; RESIDENT; RETROSPECTIVE STUDY; SPEECH DISORDER; SURGICAL MORTALITY; THORACOABDOMINAL AORTA ANEURYSM; TREATMENT OUTCOME;

ADULT; AGED; CROSS-SECTIONAL STUDIES; DELIRIUM; EMPATHY; FEMALE; HEART DISEASES; HUMANS; INTENSIVE CARE UNITS; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; PERIOPERATIVE CARE; PHYSICIAN-PATIENT RELATIONS; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; THORACIC SURGERY; TREATMENT OUTCOME;

EID: 84879626680     PISSN: 00912174     EISSN: 15413527     Source Type: Journal    
DOI: 10.2190/PM.45.2.d     Document Type: Article

References (44)

1. Inouye SK. Delirium in older persons. The New England Journal of Medicine 2006; 354:1157-1165.
2. Leung JM. Postoperative delirium: Are there modifiable risk factors? European Journal of Anaesthesiology 2010;27:403-405.
3. Andrejaitiene J, Sirvinskas E. Early post-cardiac surgery delirium risk factors. Perfusion 2012;27:105-112.
4. Burkhart CS, Dell-Kuster S, Gamberini M, Moeckli A, Grapow M, Filipovic M, Seeberger MD, Monsch AU, Strebel SP, Steiner LA. Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass. Journal of Cardiothoracic and Vascular Anesthesia 2010;24:555-559.
5. Kazmierski J, Kowman M, Banach M, Fendler W, Okonski P, Banys A, Jaszewski R, Rysz J, Mikhailidis DP, Sobow T, Kloszewska I. Incidence and predictors of delirium after cardiac surgery: Results from the ipdacs study. Journal of Psychosomatic Research 2010;69:179-185.
6. Rothenhausler HB, Grieser B, Nollert G, Reichart B, Schelling G, Kapfhammer HP. Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: A prospective 12-month follow-up study. General Hospital Psychiatry 2005; 27:18-28. (Pubitemid 40202894)
7. Koster S, Hensens AG, Schuurmans MJ, van der Palen J. Consequences of delirium after cardiac operations. The Annals of Thoracic Surgery 2012;93:705-711.
8. Gottesman RF, Grega MA, Bailey MM, Pham LD, Zeger SL, Baumgartner WA, Selnes OA, McKhann GM. Delirium after coronary artery bypass graft surgery and late mortality. Annals of Neurology 2010;67:338-344.
9. Francis J, Kapoor WN. Prognosis after hospital discharge of older medical patients with delirium. Journal of the American Geriatrics Society 1992;40:601-606.
10. Steiner LA. Postoperative delirium. Part 2: Detection, prevention and treatment. European Journal of Anaesthesiology 2011;28:723-732.
11. Mathews A, Ridgeway V. Personality and surgical recovery: A review. The British Journal of Clinical Psychology/The British Psychological Society 1981;20:243-260. (Pubitemid 12197807)
12. Janis IL. Psychological stress: Psychoanalytic and behavioral studies of surgical patients. New York, NY: Wiley, 1958.
13. Johnston M. Anxiety in surgical patients. Psychological Medicine 1980;10:145-152. (Pubitemid 11141142)
14. Devine EC. Effects of psychoeducational care for adult surgical patients: A metaanalysis of 191 studies. Patient Education and Counseling 1992;19:129-142.
15. Mu DL, Wang DX, Li LH, Shan GJ, Li J, Yu QJ, Shi CX. High serum cortisol level is associated with increased risk of delirium after coronary artery bypass graft surgery: A prospective cohort study. Critical Care 2010;14:R238.
16. Schindler BA, Shook J, Schwartz GM. Beneficial effects of psychiatric intervention on recovery after coronary artery bypass graft surgery. General Hospital Psychiatry 1989;11:358-364. (Pubitemid 19222667)
17. Mumford E, Schlesinger HJ, Glass GV. The effect of psychological intervention on recovery from surgery and heart attacks: An analysis of the literature. American Journal of Public Health 1982;72:141-151. (Pubitemid 12173210)
18. Andreasen NC, Pressler M, Nopoulos P, Miller D, Ho BC. Antipsychotic dose equivalents and dose-years: A standardized method for comparing exposure to different drugs. Biological Psychiatry 2010;67:255-262.
19. Afonso A, Scurlock C, Reich D, Raikhelkar J, Hossain S, Bodian C, Krol M, Flynn B. Predictive model for postoperative delirium in cardiac surgical patients. Seminars in Cardiothoracic and Vascular Anesthesia 2010;14:212-217.
20. Koster S, Oosterveld FG, Hensens AG, Wijma A, van der Palen J. Delirium after cardiac surgery and predictive validity of a risk checklist. The Annals of Thoracic Surgery 2008;86:1883-1887.
21. Lonergan E, Britton AM, Luxenberg J, Wyller T. Antipsychotics for delirium. Cochrane Database System Review 2007:CD005594.
22. Lupien SJ, Maheu F, Tu M, Fiocco A, Schramek TE. The effects of stress and stress hormones on human cognition: Implications for the field of brain and cognition. Brain and Cognition 2007;65:209-237. (Pubitemid 350051538)
23. Fuchs E, Flugge G. Stress, glucocorticoids and structural plasticity of the hippocampus. Neuroscience and Biobehavioral Reviews 1998;23:295-300. (Pubitemid 29011632)
24. Thierry AM, Tassin JP, Blanc G, Glowinski J. Selective activation of mesocortical da system by stress. Nature 1976;263:242-244.
25. Fricchione GL, Nejad SH, Esses JA, Cummings TJ Jr, Querques J, Cassem NH, Murray GB. Postoperative delirium. The American Journal of Psychiatry 2008; 165:803-812. (Pubitemid 351948711)
26. Coffman JA, Dilsaver SC. Cholinergic mechanisms in delirium. The American Journal of Psychiatry 1988;145:382-383.
27. Stress and medical procedures. New York, NY: Oxford University Press, 1990.
28. Kiecolt-Glaser JK, Page GG, Marucha PT, MacCallum RC, Glaser R. Psychological influences on surgical recovery. Perspectives from psychoneuroimmunology. The American Psychologist 1998;53:1209-1218. (Pubitemid 128458596)
29. Kain ZN, Caldwell-Andrews AA. Preoperative psychological preparation of the child for surgery: An update. Anesthesiology Clinics of North America 2005;23: 597-614, vii. (Pubitemid 41681655)
30. Kalisvaart KJ, de Jonghe JF, Bogaards MJ, Vreeswijk R, Egberts TC, Burger BJ, Eikelenboom P, van Gool WA. Haloperidol prophylaxis for elderly hip-surgery patients at risk for delirium: A randomized placebo-controlled study. Journal of the American Geriatrics Society 2005;53:1658-1666. (Pubitemid 43109927)
31. Prakanrattana U, Prapaitrakool S. Efficacy of risperidone for prevention of postoperative delirium in cardiac surgery. Anaesthesia and Intensive Care 2007;35: 714-719. (Pubitemid 47572095)
32. Gamberini M, Bolliger D, Lurati Buse GA, Burkhart CS, Grapow M, Gagneux A, Filipovic M, Seeberger MD, Pargger H, Siegemund M, Carrel T, Seiler WO, Berres M, Strebel SP, Monsch AU, Steiner LA. Rivastigmine for the prevention of postoperative delirium in elderly patients undergoing elective cardiac surgery-A randomized controlled trial. Critical Care Medicine 2009;37:1762-1768.
33. Liptzin B, Laki A, Garb JL, Fingeroth R, Krushell R. Donepezil in the prevention and treatment of post-surgical delirium. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry 2005;13:1100-1106. (Pubitemid 46638655)
34. Sampson EL, Raven PR, Ndhlovu PN, Vallance A, Garlick N, Watts J, Blanchard MR, Bruce A, Blizard R, Ritchie CW. A randomized, double-blind, placebo-controlled trial of donepezil hydrochloride (aricept) for reducing the incidence of postoperative delirium after elective total hip replacement. International Journal of Geriatric Psychiatry 2007;22:343-349. (Pubitemid 46680845)
35. Aizawa K, Kanai T, Saikawa Y, Takabayashi T, Kawano Y, Miyazawa N, Yamamoto T. A novel approach to the prevention of postoperative delirium in the elderly after gastrointestinal surgery. Surgery Today 2002;32:310-314. (Pubitemid 34671262)
36. Larsen KA, Kelly SE, Stern TA, Bode RH, Jr., Price LL, Hunter DJ, Gulczynski D, Bierbaum BE, Sweeney GA, Hoikala KA, Cotter JJ, Potter AW. Administration of olanzapine to prevent postoperative delirium in elderly joint-replacement patients: A randomized, controlled trial. Psychosomatics 2010;51:409-418.
37. Alao AO, Soderberg M, Pohl EL, Koss M. Aripiprazole in the treatment of delirium. International Journal of Psychiatry in Medicine 2005;35:429-433.
38. Tabet N, Howard R. Pharmacological treatment for the prevention of delirium: Review of current evidence. International Journal of Geriatric Psychiatry 2009;24: 1037-1044.
39. Inouye SK, Bogardus ST, Jr., Charpentier PA, Leo-Summers L, Acampora D, Holford TR, Cooney LM Jr. A multicomponent intervention to prevent delirium in hospitalized older patients. The New England Journal of Medicine 1999;340:669-676. (Pubitemid 29110750)
40. Inouye SK. Prevention of delirium in hospitalized older patients: Risk factors and targeted intervention strategies. Annals of Medicine 2000;32:257-263. (Pubitemid 30311862)
41. Mouchoux C, Rippert P, Duclos A, Fassier T, Bonnefoy M, Comte B, Heitz D, Colin C, Krolak-Salmon P. Impact of a multifaceted program to prevent postoperative delirium in the elderly: The confucius stepped wedge protocol. BMC Geriatrics 2011;11:25.
42. Vidan MT, Sanchez E, Alonso M, Montero B, Ortiz J, Serra JA. An intervention integrated into daily clinical practice reduces the incidence of delirium during hospitalization in elderly patients. Journal of the American Geriatrics Society 2009;57: 2029-2036.
43. Diefenbacher A, Strain JJ. Consultation-liaison psychiatry: Stability and change over a 10-year-period. General Hospital Psychiatry 2002;24:249-256. (Pubitemid 34718151)
44. Bourgeois JA, Wegelin JA, Servis ME, Hales RE. Psychiatric diagnoses of 901 inpatients seen by consultation-liaison psychiatrists at an academic medical center in a managed care environment. Psychosomatics 2005;46:47-57. (Pubitemid 40076310)