Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey
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...
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| Format: | Article |
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MDPI AG
2021-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/24/5769 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Hyungmook Lee |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T03:52:10Z |
| format | Article |
| id | doaj.art-e9eb7509d7e946068aa50e836a6d5b46 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:52:10Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-e9eb7509d7e946068aa50e836a6d5b462023-11-23T08:55:57ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011024576910.3390/jcm10245769Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational SurveyHyungmook Lee0Jeongmin Kim1Ki-Young Lee2Tong J. Gan3Varinee Lekprasert4Prok Laosuwan5Sophia Tsong Huey Chew6Edwin Seet7Vera Lim8Lian Kah Ti9Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDepartment of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, College of Medicine, Yonsei University, Seoul 03722, KoreaDepartment of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, College of Medicine, Yonsei University, Seoul 03722, KoreaDepartment of Anesthesiology, School of Medicine, Stony Brook University Renaissance, Stony Brook, NY 11794, USADepartment of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDepartment of Anesthesiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, ThailandDivision of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore 169608, SingaporeDepartment of Anaesthesia, Khoo Teck Puat Hospital, Singapore 768828, SingaporeDepartment of Anaesthesia, Tan Tock Seng Hospital, Singapore 308433, SingaporeDepartment of Anaesthesia, National University Health System, Singapore 119228, SingaporePostoperative 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.https://www.mdpi.com/2077-0383/10/24/5769anesthesiologyconsciousness monitorsNIR spectroscopyperioperative carepostoperative cognitive complicationspostoperative complications |
| spellingShingle | 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 Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey Journal of Clinical Medicine anesthesiology consciousness monitors NIR spectroscopy perioperative care postoperative cognitive complications postoperative complications |
| title | Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey |
| title_full | Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey |
| title_fullStr | Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey |
| title_full_unstemmed | Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey |
| title_short | Awareness and Perspectives among Asian Anesthesiologists on Postoperative Delirium: A Multinational Survey |
| title_sort | awareness and perspectives among asian anesthesiologists on postoperative delirium a multinational survey |
| topic | anesthesiology consciousness monitors NIR spectroscopy perioperative care postoperative cognitive complications postoperative complications |
| url | https://www.mdpi.com/2077-0383/10/24/5769 |
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