Postoperative delirium in plastic or dermatologic surgery

Postoperative delirium in plastic or dermatologic surgery Postoperative delirium is a serious and commonly encountered problem in the field of surgery. But in plastic surgery, this problem is rarely reported. We restrospectively examined the incidence of delirium using the 12-point Delirium Rating Scale in 364 inpatients treated over a 3-year period, whose ages ranged from 56 to 96 years. Surgery for malignant tumors was the most frequent type of surgery. The overall incidence of delirium was 1.4%; but when distributed by disease, patients with extramammary Paget’s disease showed the highest incidence. We then examined the records of patients with extramammary Paget’s disease or carcinoma treated in the ten previous years. The incidence in this group was 20.7%, and all of them were men. The average age of the male patients manifesting delirium was 79.8 years and that of those who did not develop delirium was 73.2 years. As many reports suggest, in our patients, precipitating factors such as physical restraints, bladder catheterization, and risk factors such as old age, seemed to have been strongly related to the occurrence of delirium. In conclusion, postoperative delirium is rarely observed in the field of dermatologic or plastic surgery. In our practice, the incidence of delirium was particularly high in patients with extramammary Paget’s disease, especially in elderly male patients. Close attention must be paid to this subset of patients to prevent delirium. European Journal of Plastic Surgery Springer Journals

Loading next page...
Copyright © 2008 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


  • The impact of delirium in the intensive care unit on hospital length of stay
    Ely, EW; Gautam, S; Margolin, R

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial