The impact of preoperative psychiatric intervention for postoperative delirium after major oral and maxillofacial surgery with free flap reconstruction

Nitta, Yukie; Sanuki, Takuro; Sugino, Shigekazu; Sugimoto, Masahiro; Kido, Kanta

The impact of preoperative psychiatric intervention for postoperative delirium after major oral and maxillofacial surgery with free flap reconstruction

Nitta, Yukie; Sanuki, Takuro; Sugino, Shigekazu et al.

Journal of Stomatology Oral and Maxillofacial Surgery, 2025, 126(1), 102026

Permalink : https://hdl.handle.net/2115/95916

このアイテムのアクセス数:132件（2026-07-17 19:44 集計）

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アクセス権	open access
URI	https://hdl.handle.net/2115/95916
タイトル	The impact of preoperative psychiatric intervention for postoperative delirium after major oral and maxillofacial surgery with free flap reconstruction
著者	Nitta, Yukie ; Sanuki, Takuro ; Sugino, Shigekazu ; Sugimoto, Masahiro ; Kido, Kanta
e-Rad_Researcher 00463737 著者名 Nitta, Yukie
e-Rad_Researcher 40533881 著者名 Sanuki, Takuro
e-Rad_Researcher 00423765 著者名 Sugino, Shigekazu
著者名 Sugimoto, Masahiro
e-Rad_Researcher 40343032 著者名 Kido, Kanta
言語	英語
キーワード	postoperative delirium
	Risk factors
	preoperative psychiatric intervention
	Oral and maxillofacial surgery
	Free flap reconstruction
発行日	2025-02
出版者	Elsevier
収録物名	Journal of Stomatology Oral and Maxillofacial Surgery
巻(号)	126(1)
ページ	102026
抄録	Background: Postoperative delirium (POD) is a severe complication associated with various adverse outcomes, especially in older patients. Although the incidence and risk factors for POD have been explored in general surgery, they have not been fully elucidated. Early identification of high-risk patients and active preoperative intervention are considered essential for the prevention of POD. Recently, psychiatric consultation intervention have been shown to prevent delirium. This study investigated the effect of preoperative psychiatric interventions on preventing POD in our specific surgical context. Materials and Methods: This retrospective, single-center observational study included 86 patients who underwent major oral and maxillofacial surgery with free flap reconstruction between 2016 and 2023. The effect of psychiatric intervention were compared between patients with and without delirium. Results: Preoperative psychiatric intervention did not reduce the incidence of POD. The incidence of POD was 29.1 %. Univariate analyses showed no significant associations between POD and any clinical variables. Conclusion: There was no difference in the incidence of POD between patients who received preoperative psychiatric intervention and those who did not, and further investigation is needed to determine the efficacy of preoperative psychiatric intervention in the prevention of POD. (c) 2024 Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	2468-8509
EISSN	2468-7855
関連情報	PMID 39218156
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.jormas.2024.102026