Effective Delirium Prevention in Older Persons After Elective Surgery,JAMA Surgery

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Effective Delirium Prevention in Older Persons After Elective Surgery
JAMA Surgery ( IF 15.7 ) Pub Date : 2022-02-01 , DOI: 10.1001/jamasurg.2021.6370
Friederike Deeken ₁ , Alba Sánchez ₁ , Michael A Rapp _{1,

2} , Michael Denkinger ₃ , Simone Brefka _{3,

4} , Juliane Spank ₅ , Carola Bruns ₅ , Christine A F von Arnim _{6,

7} , Olivia C Küster ₇ , Lars O Conzelmann ₈ , Brigitte R Metz ₉ , Christoph Maurer ₁₀ , Yoanna Skrobik ₁₁ , Oksana Forkavets _{7,

12} , Gerhard W Eschweiler _{12,

13} , Christine Thomas _{5,

13} ,

Affiliation

Department of Social and Preventive Medicine, University of Potsdam, Potsdam, Germany.
Social and Preventive Medicine, Department of Sports and Health Sciences, Intrafaculty Unit of Cognitive Sciences, Faculty of Human Science, and Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health, University of Potsdam, Potsdam, Germany.
Agaplesion Bethesda Clinic Ulm, Institute for Geriatric Research, Ulm University, Geriatric Center Ulm, Ulm, Germany.
Department of Cardiothoracic and Vascular Surgery, Ulm University Hospital, Ulm, Germany.
Department of Geriatric Psychiatry and Psychotherapy, Klinikum Stuttgart, Stuttgart, Germany.
Division of Geriatrics, University Medical Center Goettingen, Göttingen, Germany.
Department of Neurology, University Hospital Ulm, Ulm, Germany.
Helios Clinic for Cardiac Surgery Karlsruhe, Karlsruhe, Germany.
Geriatric Center Karlsruhe, ViDia Christian Clinics Karlsruhe, Karlsruhe, Germany.
Center for Geriatrics and Gerontology, Medical Center University of Freiburg, Freiburg, Germany.
Department of Medicine, McGill University, Montreal, Quebec, Canada.
Geriatric Center at the University Hospital Tübingen, Tübingen, Germany.
Department of Psychiatry and Psychotherapy, University Hospital of Tübingen, Tübingen, Germany.

This stepped-wedge cluster randomized clinical trial examines whether a multifaceted prevention intervention is effective in reducing postoperative delirium incidence and prevalence among older patients after various major surgical procedures.

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