每周安排Weekly Schedule 周一Monday 老年麻醉與圍術(shù)期云查房 讀書筆記 周二Tuesday 《麻醉糾紛案例思考》 讀書筆記 周三Wednesday 國(guó)內(nèi)麻醉最新指南更新 周四Thursday《第70屆美國(guó)知識(shí)更新精粹》筆記 周五Friday經(jīng)典高分文獻(xiàn)閱讀 周六Saturday 本周推薦觀閱 周日Sunday 群內(nèi)討論熱議

翻譯：貓，校對(duì)：叮當(dāng)丸子麻

Infographic summary

   Post－operative delirium （POD） 術(shù)后譫妄 leads to poor outcomes， morbidity， and mortality 發(fā)病率和死亡率． The elderly are a particularly high risk group， with as many as 80％ of older individuals developing POD following surgery． With the global increase of the aging population人口老齡化， this will subsequently lead to a parallel increase in POD， and the increased financial burden associated with it． While the pathophysiology of POD is likely multifactorial and is still poorly understood， age over 65 years， acute hip fracture， coexisting serious illness and pre－existing cognitive impairment are the major risk factors for POD development． This infographic （Fig． 1） summarizes a recently published systematic literature review and meta－analysis that aimed to synthesize data on pharmacological and non－pharmacological interventions to reduce POD among older patients undergoing elective and emergency surgery ［1］．

術(shù)后譫妄（POD）導(dǎo)致不良的預(yù)后，包括發(fā)病率和死亡率的升高。老年人是一類特別高風(fēng)險(xiǎn)的群體，多達(dá)80％的老年人在手術(shù)后出現(xiàn)POD。隨著全球人口老齡化的增加，這將導(dǎo)致POD的同步增加，以及與之相關(guān)的財(cái)政負(fù)擔(dān)的增加。雖然POD的病理生理學(xué)可能是多因素的，但對(duì)POD的了解仍然很少，65歲以上、急性髖部骨折、并存的嚴(yán)重疾病和先前存在的認(rèn)知障礙是POD發(fā)展的主要危險(xiǎn)因素。這個(gè)信息圖（圖 1）總結(jié)了最近發(fā)表的系統(tǒng)文獻(xiàn)綜述和Meta分析，旨在綜合藥理學(xué)和非藥學(xué)干預(yù)的數(shù)據(jù)，以減少接受擇期和急診手術(shù)［1］的老年患者中的POD。

Systematic literature searches of CINAHL， Medline， Web of Science and Cochrane Library were conducted to identify studies published in the English language up to December 2018 on interventions aimed at reducing POD among older patients．

對(duì)CINAHL、Medline、Web of Science和Cochrane圖書館進(jìn)行系統(tǒng)文獻(xiàn)檢索，以確定截至2018年12月發(fā)表的旨在減少老年患者POD干預(yù)措施的英文研究。