Post Operator Delirium Increasing the Hospital Financial Burden

Delirium is a clinical syndrome which is difficult to define exactly (1) but involves abnormalities of thought, perception and levels of awareness. Postoperative delirium (POD) is a frequent postoperative disorder to the sick and elderly, and always has been associated with extended of day stay in hospital, and certainly more cost for the hospital as well. Additionally, delirium is associated with increased postoperative complications, longer length of stay, longer intensive care unit stay (ICU), and much higher rates of discharge to a nursing home (1). Delirium is a frequent post operative disorder to the sick and elderly [2, 3], and has always been associated with extent [4] of day stay in hospital, and certainly more cost for the hospital as well. The Postoperative delirium on elderly patients causes an increased mortality and an increasing of mental status deterioration characterized by reduction of environmental recognition as well as the disorder of alertness (1). The purpose of this study is to evident the post operator delirium effects on financial burden of the hospital (5). Material and methods: In this study are included (5) all patients aged over 65 years old admitted in the urology clinic, who underwent surgery. The number of patients was 1496. The patients who had post operator delirium were 280 patients, ( 18 %of all patients). It is calculated the average day stay as well as the medicamental cost without hospital service, hotel service daily meals in cases that did not have delirium and those who did. Results: On the average the patients with delirium stayed in the hospital more than the patients without delirium with a significant statistical difference between them t=5.12 p