American Geriatrics Society Abstracted Clinical Practice Guideline for Postoperative Delirium in Older Adults
Open accessAbstract
The abstracted set of recommendations presented here provides essential guidance both on the prevention of postoperative delirium in older patients at risk of delirium and on the treatment of older surgical patients with delirium, and is based on the 2014 American Geriatrics Society ( AGS ) Guideline. The full version of the guideline, American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults is available at the website of the AGS . The overall aims of the study were twofold: first, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the prevention of postoperative delirium in older adults; and second, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the treatment of postoperative delirium in older adults. Prevention recommendations focused on primary prevention (i.e., preventing delirium before it occurs) in patients who are at risk for postoperative delirium (e.g., those identified as moderate‐to‐high risk based on previous risk stratification models such as the National Institute for Health and Care Excellence ( NICE ) guidelines, Delirium: Diagnosis, Prevention and Management . Clinical Guideline 103; London (UK): 2010 July 29). For management of delirium, the goals of this guideline are to decrease delirium severity and duration, ensure patient safety and improve outcomes.
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Several clinical management guidelines for delirium have been published, including from NICE and the American Geriatrics Society, emphasizing prevention with multicomponent non-pharmacological approaches.
“Several clinical management guidelines for delirium have been published 191 , which include those from the UK National Institute for Health and Care Excellence (NICE) 192 and the American Geriatrics Society 193 . The emphasis is on prevention, with the use of multicomponent non‐pharmacological approaches.”
From Mental health care for older adults: recent advances and new directions in clinical practice and research (2022) · cites this paper as [193]
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- [1]Hazzard WR Bierman EL Bass JP Perioperative management of the older patient Francis J Principles of Geriatric Medicine and Gerentology New York, NY McGraw-Hill International Book Company 1994 277 286
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- Authors
- The American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
- Affiliations
- American Geriatrics Society (US)
- Corresponding author
- The American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2014-12-12
- Volume
- 63
- Issue
- 1
- Pages
- 142-150
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- PMC
- PMC5901697
- OpenAlex
- W2581138085
- Cited by
- 561
- References
- 39
- Citations by year
- 2026: 44 · 2025: 51 · 2024: 70 · 2023: 55 · 2022: 68 · 2021: 56 · 2020: 44 · 2019: 43 · 2018: 36 · 2017: 43 · 2016: 35 · 2015: 15 · 2013: 1
- FWCI
- 24.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- NIH
- ADRC
- AGS Foundation for Anesthesia Education and Research
- Covidien and Aspect
- National Institute of Nursing Research
- MedEd Portal/Josiah Macy Foundation
- ORNIM
- Pelvalon
- Medtronics, Inc.
- Karl Storz Endoscopy America
- Covidien
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Health Sciences › Medicine › Surgery › Nausea and vomiting management
- Keywords
- postoperative delirium, older adults, delirium prevention, delirium management, perioperative care, pharmacological interventions, non-pharmacological treatment, risk stratification, surgical patients, patient safety
- MeSH terms
- Aged, Delirium, Humans, Postoperative Complications, Severity of Illness Index, Geriatric Assessment, Risk Assessment
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