Awareness and perspectives among asian anesthesiologists on postoperative delirium: A multinational survey

Hyungmook Lee, Jeongmin Kim, Ki Young Lee, Tong J. Gan, Varinee Lekprasert, Prok Laosuwan, Sophia Tsong Huey Chew, Edwin Seet, Vera Lim, Lian Kah Ti

Research output: Contribution to journalArticlepeer-review

Abstract

Postoperative delirium (POD) is a common perioperative complication. Although POD is preventable in up to 40% of patients, it is frequently overlooked. The objective of the survey is to determine the level of knowledge and clinical practices related to POD among anesthesiologists in different Asian countries. A questionnaire of 22 questions was designed by members of the Asian focus group for the study of POD, and it was sent to anesthesiologists in Singapore, Thailand, and South Korea from 1 April 2019 through 17 September 2019. In total, 531 anesthesiologists (Singapore: 224, Thailand: 124, Korea: 183) responded to the survey. Half the respondents estimated the incidence of POD to be 11–30% and believed that it typically occurs in the first 48 h after surgery. Among eight important postoperative complications, POD was ranked fifth. While 51.4% did not perform any test for POD, only 13.7% monitored the depth of anesthesia in all their patients. However, 83.8% preferred depth of anesthesia monitoring if they underwent surgery themselves. The results suggest that Asian anesthesiologists underestimate the incidence and relevance of POD. Because it increases perioperative mortality and morbidity, there is an urgent need to educate anesthesiologists regarding the recognition, prevention, detection, and management of POD.

Original languageEnglish
Article number5769
JournalJournal of Clinical Medicine
Volume10
Issue number24
DOIs
StatePublished - 1 Dec 2021

Bibliographical note

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Anesthesiology
  • Consciousness monitors
  • NIR spectroscopy
  • Perioperative care
  • Postoperative cognitive complications
  • Postoperative complications

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