Clinical Research
BibTex RIS Cite

Knowledge of Doctors Working In Surgical Clinics about Delirium

Year 2021, Volume: 4 Issue: 3, 234 - 239, 01.09.2021
https://doi.org/10.19127/bshealthscience.885390

Abstract

Delirium is the neuropsychiatric disorder that most commonly affects patients treated in hospital. Our aim in this study; to determine the knowledge of doctors working in surgical clinics about delirium and to raise awareness on this issue. Surgical clinic doctors in our hospital were included in the study. The questionnaire containing socio-demographic characteristics and information about delirium was sent to the participants by e-mail. 140 participants were statistically evaluated. 60.7% of the participants were male, 61.4% were research assistants, 62.1% were between in the 1-5 years of profession and 43.6% were between the ages of 20-29. Among surgical clinics, doctors of anesthesiology and reanimation, gynecology and obstetrics clinics were the highest with a rate of 27.9%. Those who know the supportive measures correctly in preventing delirium; It was significantly higher in anesthesiology and reanimation clinic specialist and faculty members (respectively, P = 0.017, P = 0.004). Experts and cardiovascular surgery clinic doctors were the group that knew the pharmacological treatments used to prevent delirium most accurately (respectively, P = 0.006, P = 0.003). Those who diagnosed delirium were significantly higher in cardiovascular surgery clinic compared to other clinics (P = 0.001). In our study, we found that the diagnosis of delirium was more known by the doctors of anesthesiology and reanimation, cardiovascular surgery, urology, gynecology and obstetrics clinics; and we found that the treatment of delirium was known by anesthesiology and reanimation, cardiovascular surgery and general surgery clinic doctors.

References

  • Aldecoa C, Bettelli G, Bilotta F. 2017.European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium. EJA, 34(4): 192-214.
  • Bair BD. 2000. Presentation and recognition of common psychiatric disorders in the elderly. Clin Geriatr, 8: 26-48.
  • Belleli G, Morandi B, Zanetti E, Bozzini M, Lucchi E, Terrasi M, Trabucchi M. 2014. Recognition and management of delirium among doctors, nurses, physiotherapists, and psychologists: an Italian survey. Int psychogeriatr, 26(12): 2093-2102.
  • Bellelli G, Nobili A, Annoni G, Morandi A, Djade CD, Meagher DJ, Maclullich AM, Davis D, Mazzone A, Tettamanti M, Mannucci PM. 2015. REPOSI (REgistro POliterapie SIMI) Investigators. Under-detection of delirium and impact of neurocognitive deficits on in-hospital mortality among acute geriatric and medical wards. Eur J Intern Med, 26: 696–704.
  • Bogardus ST, Desai MM, Williams CS. 2003. The effects of a targeted multicompanent delirium intervention on postdischarge outcomes for hospitalized older adults. Am J Med, 114: 383-390.
  • Cameron DJ, Thomas RI, Mulvihil M. 1987. Delirium: a test of the diagnostic and statistical manual III criteria on medical inpatients. J Am Geriatr Soc, 35: 1007-1010.
  • Choi SH, Lee H, Chung TS, Park KM, Jung YC, Kim SI. 2012. Neural network functional connectivity during and after an episode of delirium. J Psikiyatriyim, 169: 498 -507.
  • Clegg A, Westby M, Young JB. 2011. Under-reporting of delirium in the NHS. Age Ageing, 40: 283–286.
  • DSM. 2013. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association, Arlington, USA.
  • Inouye S, Schlesinger MJ, Lydon TJ. 1999. Delirium: a symptom of how hospital care is falling older persons and a window to improve quality of hospital care. Am J Med, 7: 278-288
  • Inouye SK, Viscoli CM, Horwitz RI, Hurst LD, Tinetti ME. 1993. A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med, 119: 474-481.
  • İskit AT. 2002. Yoğun bakımdaki yaşlı hasta. Geriatri, 2002: 132-136.
  • Leentjens AFG, Diefenbacher A. 2006. A survey of delirium guidelines in Europe: J Psychosom Res, 61: 123-128.
  • Lin RY, Heacock LC, Bhargave GA, Fogel JF. 2010. Clinical associations of delirium in hospitalized adult patients and the role of on admission presentation. Int J Geriatr Psychiatry, 25: 1022–1029.
  • McCusker J, Cole MG, Dendukuri N. 2001. Delirium in older medical inpatients and subsequent cognitive and functional status: A prospective study: CMAJ, 165: 575-583.
  • Minden SL, Carbone LA, Barsky A. 2005. Predictors and outcomes of delirium: Gen Hosp Psychiatry, 27: 209-214.
  • Morandi A, Davis D, Taylor JK, Bellelli G, Olofsson B, Kreisel S, Teodorczuk A, Kalmhoz B, Hasemann W, Young J, Agar M, de Rooij SE, Meagher D, Trabucchi M, MacLullich AM. 2013. Consensus and variations in opinions on delirium care: a survey of European delirium specialists. Int Psychogeriatr, 25(12): 2067–2075.
  • Packard RC. 2001. Delirium. Neurolog, 7: 327-340.
  • Sharma PT, Sieber FE, Zakriya KJ. 2005. Recovery room delirium predicts postoperative delirium after hip-fracture repair. Anesth Analg,101: 1215-1220.
  • Tabet N, Hudson S, Sweeney V, Sauer J, Bryant C, Macdonald A. 2005. An educational intervention can prevent delirium on acute medical wards, Age Ageing, 34(2): 152-156.

Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri

Year 2021, Volume: 4 Issue: 3, 234 - 239, 01.09.2021
https://doi.org/10.19127/bshealthscience.885390

Abstract

Deliryum, hastanede tedavi gören hastaları en çok etkileyen nöropsikiyatrik bozukluktur. Bu çalışmadaki amacımız; cerrahi kliniklerde çalışan doktorların deliryum ile ilgili bilgilerini saptamak ve bu konu hakkında farkındalık oluşturmaktır. Hastanemizdeki cerrahi klinik doktorları çalışmaya dahil edildi. Sosyo-demografik özelliklerini ve deliryum konusunda bilgilerini içeren anket formu katılımcılara e-posta ile gönderildi. Katılan 140 kişi istatistiksel değerlendirmeye alındı. Katılımcıların %60,7’si erkek, %61,4’ü araştırma görevlisi, %62,1’si meslekte 1-5. yılında ve %43,6’sı 20-29 yaş aralığındaydı. Cerrahi klinikleri içinde anesteziyoloji ve reanimasyon ile kadın hastalıkları ve doğum klinikleri doktorları %27,9 oranla en fazlaydı. Deliryumu önlemede destekleyici önlemleri doğru bilenler; anesteziyoloji ve reanimasyon kliniği doktorlarında ve öğretim görevlilerinde anlamlı yüksekti (sırasıyla P = 0,017, P = 0,004). Deliryumu önlemede kullanılan farmakolojik tedavileri doğru bilenler; uzman doktorlar ve kardiyovasküler cerrahi kliniğinde anlamlı yüksekti (sırasıyla P = 0,006, P = 0,003). Deliryum tanısını koyanlar, kardiyovasküler cerrahi kliniğinde diğer kliniklere göre anlamlı yüksekti (P = 0,001). Çalışmamızda, deliryum tanısının anesteziyoloji ve reanimasyon, kardiyovasküler cerrahi, üroloji ve kadın hastalıkları ve doğum kliniği; deliryum tedavisinin ise anesteziyoloji ve reanimasyon, kardiyovasküler cerrahi ve genel cerrahi kliniği doktorları tarafından daha fazla bilindiğini saptadık.

References

  • Aldecoa C, Bettelli G, Bilotta F. 2017.European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium. EJA, 34(4): 192-214.
  • Bair BD. 2000. Presentation and recognition of common psychiatric disorders in the elderly. Clin Geriatr, 8: 26-48.
  • Belleli G, Morandi B, Zanetti E, Bozzini M, Lucchi E, Terrasi M, Trabucchi M. 2014. Recognition and management of delirium among doctors, nurses, physiotherapists, and psychologists: an Italian survey. Int psychogeriatr, 26(12): 2093-2102.
  • Bellelli G, Nobili A, Annoni G, Morandi A, Djade CD, Meagher DJ, Maclullich AM, Davis D, Mazzone A, Tettamanti M, Mannucci PM. 2015. REPOSI (REgistro POliterapie SIMI) Investigators. Under-detection of delirium and impact of neurocognitive deficits on in-hospital mortality among acute geriatric and medical wards. Eur J Intern Med, 26: 696–704.
  • Bogardus ST, Desai MM, Williams CS. 2003. The effects of a targeted multicompanent delirium intervention on postdischarge outcomes for hospitalized older adults. Am J Med, 114: 383-390.
  • Cameron DJ, Thomas RI, Mulvihil M. 1987. Delirium: a test of the diagnostic and statistical manual III criteria on medical inpatients. J Am Geriatr Soc, 35: 1007-1010.
  • Choi SH, Lee H, Chung TS, Park KM, Jung YC, Kim SI. 2012. Neural network functional connectivity during and after an episode of delirium. J Psikiyatriyim, 169: 498 -507.
  • Clegg A, Westby M, Young JB. 2011. Under-reporting of delirium in the NHS. Age Ageing, 40: 283–286.
  • DSM. 2013. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association, Arlington, USA.
  • Inouye S, Schlesinger MJ, Lydon TJ. 1999. Delirium: a symptom of how hospital care is falling older persons and a window to improve quality of hospital care. Am J Med, 7: 278-288
  • Inouye SK, Viscoli CM, Horwitz RI, Hurst LD, Tinetti ME. 1993. A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med, 119: 474-481.
  • İskit AT. 2002. Yoğun bakımdaki yaşlı hasta. Geriatri, 2002: 132-136.
  • Leentjens AFG, Diefenbacher A. 2006. A survey of delirium guidelines in Europe: J Psychosom Res, 61: 123-128.
  • Lin RY, Heacock LC, Bhargave GA, Fogel JF. 2010. Clinical associations of delirium in hospitalized adult patients and the role of on admission presentation. Int J Geriatr Psychiatry, 25: 1022–1029.
  • McCusker J, Cole MG, Dendukuri N. 2001. Delirium in older medical inpatients and subsequent cognitive and functional status: A prospective study: CMAJ, 165: 575-583.
  • Minden SL, Carbone LA, Barsky A. 2005. Predictors and outcomes of delirium: Gen Hosp Psychiatry, 27: 209-214.
  • Morandi A, Davis D, Taylor JK, Bellelli G, Olofsson B, Kreisel S, Teodorczuk A, Kalmhoz B, Hasemann W, Young J, Agar M, de Rooij SE, Meagher D, Trabucchi M, MacLullich AM. 2013. Consensus and variations in opinions on delirium care: a survey of European delirium specialists. Int Psychogeriatr, 25(12): 2067–2075.
  • Packard RC. 2001. Delirium. Neurolog, 7: 327-340.
  • Sharma PT, Sieber FE, Zakriya KJ. 2005. Recovery room delirium predicts postoperative delirium after hip-fracture repair. Anesth Analg,101: 1215-1220.
  • Tabet N, Hudson S, Sweeney V, Sauer J, Bryant C, Macdonald A. 2005. An educational intervention can prevent delirium on acute medical wards, Age Ageing, 34(2): 152-156.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Research Article
Authors

Şermin Eminoglu 0000-0001-5741-2960

Seyda Efsun Ozgunay 0000-0003-1501-9292

Derya Karasu 0000-0003-1867-9018

Ümran Karaca 0000-0001-5922-2300

Buket Özyaprak This is me 0000-0002-6327-4573

Publication Date September 1, 2021
Submission Date February 23, 2021
Acceptance Date March 15, 2021
Published in Issue Year 2021 Volume: 4 Issue: 3

Cite

APA Eminoglu, Ş., Ozgunay, S. E., Karasu, D., Karaca, Ü., et al. (2021). Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri. Black Sea Journal of Health Science, 4(3), 234-239. https://doi.org/10.19127/bshealthscience.885390
AMA Eminoglu Ş, Ozgunay SE, Karasu D, Karaca Ü, Özyaprak B. Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri. BSJ Health Sci. September 2021;4(3):234-239. doi:10.19127/bshealthscience.885390
Chicago Eminoglu, Şermin, Seyda Efsun Ozgunay, Derya Karasu, Ümran Karaca, and Buket Özyaprak. “Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri”. Black Sea Journal of Health Science 4, no. 3 (September 2021): 234-39. https://doi.org/10.19127/bshealthscience.885390.
EndNote Eminoglu Ş, Ozgunay SE, Karasu D, Karaca Ü, Özyaprak B (September 1, 2021) Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri. Black Sea Journal of Health Science 4 3 234–239.
IEEE Ş. Eminoglu, S. E. Ozgunay, D. Karasu, Ü. Karaca, and B. Özyaprak, “Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri”, BSJ Health Sci., vol. 4, no. 3, pp. 234–239, 2021, doi: 10.19127/bshealthscience.885390.
ISNAD Eminoglu, Şermin et al. “Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri”. Black Sea Journal of Health Science 4/3 (September 2021), 234-239. https://doi.org/10.19127/bshealthscience.885390.
JAMA Eminoglu Ş, Ozgunay SE, Karasu D, Karaca Ü, Özyaprak B. Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri. BSJ Health Sci. 2021;4:234–239.
MLA Eminoglu, Şermin et al. “Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri”. Black Sea Journal of Health Science, vol. 4, no. 3, 2021, pp. 234-9, doi:10.19127/bshealthscience.885390.
Vancouver Eminoglu Ş, Ozgunay SE, Karasu D, Karaca Ü, Özyaprak B. Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri. BSJ Health Sci. 2021;4(3):234-9.