This study aims to 1. determine sensitivity and specificity of the Confusion Assessment Method for Postanesthesia Care Unit (CAM-PACU) 2. examine the effect of postanesthesia care unit delirium (PACU delirium) on the emergence of later onset postoperative delirium (POD) as well as cognitive recovery until one month postoperatively
Study Type
OBSERVATIONAL
Enrollment
450
Hamburg University Medical Centre Eppendorf
Hamburg, Hamburg, Germany
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)
Time frame: 15-240 minutes postoperatively
Group 2: postoperative delirium after discharge from Postanesthetic Care Unit
3D CAM and/or medical record
Time frame: 0-5 days postoperatively
re-test reliability
CAM-PACU
Time frame: 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)
Time frame: 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
Time frame: 30 days postoperatively
feasibility of delirium screening by questioning of medical staff
self-designed questionnaire
Time frame: before, 3 and 12 months after implementation of CAM-PACU
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