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Background: Delirium is a common postoperative complication in geriatric patients, especially in those with underlying risk factors. Multicomponent nonpharmacologic interventions are effective in preventing delirium, however, implementation of these measures is variable in perioperative care. Study design: The UTSW POSH program is an interdisciplinary perioperative initiative involving geriatrics, surgery, and anesthesiology to improve care for high-risk geriatric patients undergoing elective spine surgery.
Postoperatively, patients were co-managed by the primary surgical team and the geriatrics consult service. Main outcomes included postoperative delirium and provider recognition of delirium. There was a threefold increase in the recognition of postoperative delirium by providers after program implementation, Conclusions: This study suggests that interdisciplinary care for high-risk geriatric patients undergoing elective spine surgery may reduce the incidence of postoperative delirium and increase provider recognition of delirium.
The benefit may be greater for those undergoing larger procedures. Keywords: deformity; delirium; geriatric; interdisciplinary surgery; prevention; spine. Abstract Background: Delirium is a common postoperative complication in geriatric patients, especially in those with underlying risk factors.
Gov't Research Support, U. Gov't, P.