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This study aims to
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 - Validation | Group 1 will be screened for delirium during the PACU stay using the CAM-PACU. Delirium criteria as defined by ICD-10 will be assessed in comparison. A subgroup of patients will receive an additional delirium screening using the CAM-PACU. This screening will be performed by another operator blinded for the results from the initial delirium screening. | ||
| 2 - Cognition | Group 2 will be screened for delirium during the PACU stay using the CAM-PACU. Delirium criteria as defined by ICD-10 will be assessed in comparison. This group will undergo additional assessment of preoperative and postoperative cognitive function as well as a POD screening using the 3D-CAM starting at postoperative day 1 until discharge from hospital but no longer than postoperative day 5. |
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| Measure | Description | Time Frame |
|---|---|---|
| Group 1: Sensitivity and specificity of "Confusion Assessment Method - Postanesthetic Care Unit" (CAM-PACU) | in reference to International Classification of Diseases-Version 10 (ICD-10) | 15-240 minutes postoperatively |
| Group 2: postoperative delirium after discharge from Postanesthetic Care Unit | 3D CAM and/or medical record | 0-5 days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| re-test reliability | CAM-PACU | 15-240 minutes postoperatively |
| cognitive performance | Montreal Cognitive Assessment (MoCA, 0-30 points, higher score = better outcome), Cognitive Telephone Screening Instrument (COGTEL), Patient Reported Outcomes Measurement Information System (PROMIS Neuro QoL) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients meeting inclusion criteria and presenting for sheduled surgery at the University Medical Centre Hamburg, Germany.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hamburg University Medical Centre Eppendorf | Hamburg | Free and Hanseatic City of Hamburg | 20251 | Germany |
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| ID | Term |
|---|---|
| D000071257 | Emergence Delirium |
| D060825 | Cognitive Dysfunction |
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| before, 7 and 30 days postoperatively |
| postoperative complications | European Perioperative Clinical Outcome (EPCO) definitions; Standardised Endpoints in Perioperative Medicine - Core Outcome Measures in Perioperative and Anaesthetic Care (Step-COMPAC) definitions | 30 days postoperatively |
| feasibility of delirium screening by questioning of medical staff | self-designed questionnaire | before, 3 and 12 months after implementation of CAM-PACU |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003072 | Cognition Disorders |