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Invited Commentary
September 2017

Interventions to Reduce Postoperative Delirium: Aligning Surgical Care With Patients’ Needs and Priorities

Author Affiliations
  • 1Department of Surgery, University of Michigan, Ann Arbor
  • 2Palliative Care Program, University of Michigan Geriatrics Center, Ann Arbor
JAMA Surg. 2017;152(9):834. doi:10.1001/jamasurg.2017.1084

In this issue of JAMA Surgery, Chen and colleagues1 report a cluster randomized clinical trial of a modified Hospital Elder Life Program encompassing multicomponent nonpharmacologic interventions to reduce postoperative delirium in older adults undergoing major abdominal surgery. The interventions include orienting communications, oral and nutritional assistance, and early mobilization in addition to usual postoperative care, together requiring 30 additional minutes of care per day yet significantly reducing the incidence of postoperative delirium and length of hospital stay. The authors report that these simple interventions with minimal risk can have profound effects that are scalable and may be easily incorporated into existing postoperative protocols.

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