American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults

Mary Samuel, Sharon K. Inouye, Tom Robinson, Caroline Blaum, Jan Busby-Whitehead, Malaz Boustani, Ara Chalian, Stacie Deiner, Donna Fick, Lisa Hutchison, Jason Johanning, Mark Katlic, James Kempton, Maura Kennedy, Eyal Kimchi, Cliff Ko, Jacqueline Leung, Melissa Mattison, Sanjay Mohanty, Arvind NanaDale Needham, Karin Neufeld, Holly Richter, Sue Radcliff, Christine Weston, Sneeha Patil, Gina Rocco, Jirong Yue, Susan E. Aiello, Marianna Drootin, Elvy Ickowicz, Mary Jordan Samuel

Research output: Contribution to journalArticle

Abstract

The abstracted set of recommendations presented here provides essential guidance both on the prevention of postoperative delirium in older patients at risk of delirium and on the treatment of older surgical patients with delirium, and is based on the 2014 American Geriatrics Society (AGS) Guideline. The full version of the guideline, American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults is available at the website of the AGS. The overall aims of the study were twofold: first, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the prevention of postoperative delirium in older adults; and second, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the treatment of postoperative delirium in older adults. Prevention recommendations focused on primary prevention (i.e., preventing delirium before it occurs) in patients who are at risk for postoperative delirium (e.g., those identified as moderate-to-high risk based on previous risk stratification models such as the National Institute for Health and Care Excellence (NICE) guidelines, Delirium: Diagnosis, Prevention and Management. Clinical Guideline 103; London (UK): 2010 July 29). For management of delirium, the goals of this guideline are to decrease delirium severity and duration, ensure patient safety and improve outcomes.

Original languageEnglish (US)
Pages (from-to)142-150
Number of pages9
JournalJournal of the American Geriatrics Society
Volume63
Issue number1
DOIs
StatePublished - Jan 1 2015

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Keywords

  • Clinical practice guidelines
  • Delirium
  • Delirium prevention
  • Postoperative delirium

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Samuel, M., Inouye, S. K., Robinson, T., Blaum, C., Busby-Whitehead, J., Boustani, M., Chalian, A., Deiner, S., Fick, D., Hutchison, L., Johanning, J., Katlic, M., Kempton, J., Kennedy, M., Kimchi, E., Ko, C., Leung, J., Mattison, M., Mohanty, S., ... Samuel, M. J. (2015). American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults. Journal of the American Geriatrics Society, 63(1), 142-150. https://doi.org/10.1111/jgs.13281