Current Factors of Fragility and Delirium in Vascular Surgery

摘要: Background Vascular surgery patients are frequently deemed to be in a frail clinical condition and at risk for delirium. Therefore, we evaluated the incidence independent perioperative factors In addition, describe on frailty various vascular disease groups current practice. Methods This observational longitudinal study included 206 selected who were referred ward of large-sized teaching hospital (Amphia Hospital, Breda, The Netherlands) critical limb ischemia ( n  = 80), diabetic foot ulcers  = 27), abdominal aortic aneurysm (AAA)  = 62), carotid  = 37) between April 2013 December 2013. Data that characterize collected. Delirium was scored using Observation Screening Scale. Multivariable logistic regression analysis performed find Results present 24% patients, 19% with ulcer, 7% an AAA, 8% undergoing P  > 0.05). Of delirium, 53% octogenarians. stepwise revealed history delirium nurse help patient's home independently associated Patients worse related compared other our practice surgery. Conclusions is frequent complication practice, especially elderly. Nurse visits patients' homes Amphia Risk Score population. this study, identified as most vulnerable.