{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679320763264.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.4030/jjcs.38.28"}},{"identifier":{"@type":"NAID","@value":"10031162280"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2013265016"}}],"dc:title":[{"@language":"en","@value":"Postoperative Delirium in Mature Patients"},{"@language":"ja","@value":"高齢手術患者における術後せん妄"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"This work was supported by the Research Grant for Longevity Science from the Ministry of Health, Labour and Welfare, Japan<br><br>

Delirium is the disease with decline of consciousness, cognitive function, esthesia, and/or attention.  It is easy to diagnose as postoperative delirium (POD) in patients with typical symptoms, such as confusion with hallucination or disorientation in early after operation.  However, in some cases, it is difficult to diagnose in the patients have lethargy or depression as POD.  Various scales are used for diagnosis for this disease.  In literature, the incidence of POD is vary from 4 to 87 %.  Pain, anesthesia and medication are well known risk factors.
<br> In, Department of Surgery, National Center for Geriatrics and Gerontology, the incidence of POD in operative patients with elective surgery was 73.9 % in mature subjects (80+).  Older age, low preoperative MMSE, low preoperative JNCS and history of erethism or executive hyperaction are among the risk factors of POD."},{"@language":"ja","@value":"せん妄は，意識，認知機能，知覚，注意が障害される病態である．術後比較的早期に錯乱状態に陥った患者が，錯覚や幻覚を訴えたり，医療従事者や介護者の指示を理解できなかったりそれに従うことができないなどの症状があれば，せん妄と診断できる．しかし，傾眠や抑うつ状態と類似の症状を呈することもあるため，診断に注意が必要な場合がある．術前からの精神神経疾患の既往などがある場合には，より診断が困難となる可能性もある．客観的な診断を行い，せん妄の程度を評価するために各種のスケールなどが用いられる．発症頻度は４～87％と報告により様々である．発症には，疼痛や麻酔，各種薬物などが危険因子として挙げられている．<br>
国立長寿医療研究センターでの調査では，80歳以上の待機手術患者での発症率は73.9％で，高齢，術前MMSE低値，術前JNCS低値，興奮・多動の既往が術後せん妄発症の危険因子であった．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222530104064","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258730776"}],"foaf:name":[{"@language":"en","@value":"Kitagawa Yuichi"},{"@language":"ja","@value":"北川 雄一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Operation and Intensive Care, Department of Surgery, National Center for Geriatrics and Gerontology"},{"@language":"ja","@value":"国立長寿医療研究センター手術・集中治療部外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03857883"},{"@type":"EISSN","@value":"18829112"},{"@type":"NCID","@value":"AN00002502"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)"},{"@language":"ja","@value":"日本外科系連合学会誌"},{"@language":"en","@value":"JJCS"},{"@language":"en","@value":"Nihon Gekakei Gakkai Rengokaishi"},{"@language":"ja","@value":"日外科系連会誌"}],"dc:publisher":[{"@language":"en","@value":"Japanese College of Surgeons"},{"@language":"ja","@value":"日本外科系連合学会"}],"prism:publicationDate":"2013","prism:volume":"38","prism:number":"1","prism:startingPage":"28","prism:endingPage":"35"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://search.jamas.or.jp/link/ui/2013265016"}],"availableAt":"2013","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E9%AB%98%E9%BD%A2%E8%80%85","dc:title":"高齢者"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%A1%93%E5%BE%8C%E3%81%9B%E3%82%93%E5%A6%84","dc:title":"術後せん妄"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%81%9B%E3%82%93%E5%A6%84","dc:title":"せん妄"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%8D%B1%E9%99%BA%E5%9B%A0%E5%AD%90","dc:title":"危険因子"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%AA%8D%E7%9F%A5%E6%A9%9F%E8%83%BD%E9%9A%9C%E5%AE%B3","dc:title":"認知機能障害"},{"@id":"https://cir.nii.ac.jp/all?q=elderly%20patient","dc:title":"elderly patient"},{"@id":"https://cir.nii.ac.jp/all?q=postoperative%20delirium","dc:title":"postoperative delirium"},{"@id":"https://cir.nii.ac.jp/all?q=delirium","dc:title":"delirium"},{"@id":"https://cir.nii.ac.jp/all?q=risk%20factors","dc:title":"risk factors"},{"@id":"https://cir.nii.ac.jp/all?q=cognitive%20disorder","dc:title":"cognitive disorder"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144826172544","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Adverse Outcomes of Geriatric Patients Undergoing Abdominal Surgery Who Are at High Risk for Delirium"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011145018092672","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Haloperidol Prophylaxis for Elderly Hip‐Surgery Patients at Risk for Delirium: A Randomized Placebo‐Controlled 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