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Functional capacity as a predictor of postoperative delirium in transurethral resection of prostate patients in Northeast Brazil

Authors Braga ILS, Castelo-Filho J, Pinheiro RSB, de Azevedo RB, Ponte AT, da Silveira RA, Braga-Neto P, Campos AR

Received 20 March 2019

Accepted for publication 16 July 2019

Published 22 August 2019 Volume 2019:15 Pages 2395—2401

DOI https://doi.org/10.2147/NDT.S209379

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Roger Pinder


Ianna Lacerda Sampaio Braga,1–3 João Castelo-Filho,2 Rafael de Sousa Bezerra Pinheiro,3 Rodrigo Barbosa de Azevedo,3 Antônio Talys Ponte,4 Romulo Augusto da Silveira,4 Pedro Braga-Neto,5,6 Adriana Rolim Campos1,2

1Northeast Biotechnology Network, Universidade de Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil; 2Medical School Graduate Program, Health Sciences Center, Universidade de Fortaleza, Fortaleza, Ceará, Brazil; 3Internal Medicine Service, Hospital Geral Dr. César Carls, Fortaleza, Ceará, Brazil; 4Urology Service, Hospital Geral Dr. César Cals, Fortaleza, Ceará, Brazil; 5Division of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza, Brazil; 6Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, Brazil

Correspondence: Ianna Lacerda Sampaio Braga
Medical School Graduate Program, Health Sciences Center, Universidade de Fortaleza (UNIFOR), Av. Washington Soares, 1321 - Edson Queiroz, Fortaleza, Ceará, Brazil
Email iannalacerda@unifor.br

Pedro Braga-Neto
Department of Clinical Medicine, Universidade Federal do Ceará, Rua Prof. Costa Mendes, 1608 - 4 andar - Rodolfo Teófilo
, Fortaleza, Ceará, Brazil
Tel +55 859 998 5616
Email pbraganeto@ufc.br

Introduction: Postoperative delirium (POD) is a common disorder and its frequency varies from 15% to 25% after major elective surgery. There are few data on the incidence of POD in Brazil. Here, we sought to assess the incidence of POD following transurethral resection of the prostate (TURP) and to examine precipitating and predisposing factors associated.
Method: We performed a prospective observational study of elderly male patients undergoing TURP (N=55) in Northeast Brazil. Information on demographic, medical, cognitive and functional characteristics were collected. The participants were followed until hospital discharge. POD was diagnosed by the Confusion Assessment Method.
Results: A total of three participants (5.45%) were identified with POD. Episodes of delirium lasted 3±1 days. The study sample consisted of a healthy population. Patients with POD had longer hospital stay and more precipitating factors. The POD group showed statistically significant lower Barthel index score (p<0.001) and higher Pfeffer’s Functional Activities Questionnaire scores (p<0.01).
Conclusion: Loss of functional capacity was associated with POD in a healthy population of elderly patients undergoing TURP.

Keywords: delirium, transurethral resection of prostate, neurocognitive disorders, risk factors, activities of daily living

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