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Surgery Today

, Volume 44, Issue 12, pp 2305–2313 | Cite as

Haloperidol prophylaxis does not prevent postoperative delirium in elderly patients: a randomized, open-label prospective trial

  • Shinji FukataEmail author
  • Yasuji Kawabata
  • Ken Fujisiro
  • Yuichi Katagawa
  • Kojiro Kuroiwa
  • Hirotoshi Akiyama
  • Yasuhito Terabe
  • Masahiko Ando
  • Takashi Kawamura
  • Hideyuki Hattori
Original Article

Abstract

Purpose

Postoperative delirium is the most common postoperative complication in the elderly. The purpose of this study was to evaluate the safety and effectiveness of the preventive administration of low-dose haloperidol on the development of postoperative delirium after abdominal or orthopedic surgery in elderly patients.

Subjects

A total of 119 patients aged 75 years or older who underwent elective surgery for digestive or orthopedic disease were included in this study.

Methods

Patients were divided into those who did (intervention group, n = 59) and did not (control group, n = 60) receive 2.5 mg of haloperidol at 18:00 daily for 3 days after surgery; a randomized, open-label prospective study was performed on these groups. The primary endpoint was the incidence of postoperative delirium during the first 7 days after the operation.

Results

The incidence of postoperative delirium in all patients was 37.8 %. No side effects involving haloperidol were noted; however, the incidences of postoperative delirium were 42.4 and 33.3 % in the intervention and control groups, respectively, which were not significantly different (p = 0.309). No significant effect of the treatment was observed on the severity or persistence of postoperative delirium.

Conclusions

The preventive administration of low-dose haloperidol did not induce any adverse events, but also did not significantly decrease the incidence or severity of postoperative delirium or shorten its persistence.

Keywords

Haloperidol prophylaxis Postoperative delirium Elderly patients Randomized open-label prospective trial NEECHAM 

Notes

Acknowledgments

This work was supported by a Research Grant for Longevity Sciences (17C-3, 21-13) from the Ministry of Health, Labour and Welfare and The Research Funding for Longevity Sciences (23-28) from National Center for Geriatrics and Gerontology (NCGG), Japan.

Conflict of interest

The authors of this report have no conflicts of interest.

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Copyright information

© Springer Japan 2014

Authors and Affiliations

  • Shinji Fukata
    • 1
    • 8
    Email author
  • Yasuji Kawabata
    • 1
  • Ken Fujisiro
    • 1
  • Yuichi Katagawa
    • 1
  • Kojiro Kuroiwa
    • 2
  • Hirotoshi Akiyama
    • 3
  • Yasuhito Terabe
    • 4
  • Masahiko Ando
    • 5
  • Takashi Kawamura
    • 6
  • Hideyuki Hattori
    • 7
  1. 1.Department of SurgeryNational Center for Geriatrics and GerontologyObuJapan
  2. 2.Department of SurgeryTokyo Metropolitan Geriatric HospitalTokyoJapan
  3. 3.Department of Gastroenterological SurgeryYokohama City University Graduate School of MedicineYokohamaJapan
  4. 4.Department of Restorative MedicineNational Center for Geriatrics and GerontologyObuJapan
  5. 5.Center for Advanced Medicine and Clinical ResearchNagoya University Graduate School of MedicineNagoyaJapan
  6. 6.Kyoto University Health ServiceKyotoJapan
  7. 7.Department of PsychiatryNational Center for Geriatrics and GerontologyObuJapan
  8. 8.Department of Perioperative Medical CareNational Center for Geriatrics and GerontologyObuJapan

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