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Harold Gilberstadt, PhD; Yoshio Sako, MD, PhD

Arch Gen Psychiatry. 1967;16(2):210-214.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A MAIN focus of interest in relation to open-heart surgery has been the reputedly high incidence of delirium or psychosis characterized by perceptual distortion, hallucinations, and paranoid ideation occurring two to five days following surgery. Egerton and Kay¹ reported a 41% incidence of postoperative delirium, and Blachly and Starr,² 57%. Kornfeld et al³ found a similar incidence in reviewing their records, but when they personally interviewed a sample of their patients they raised their estimate of the incidence of postoperative delirium to 70%. Predisposing factors which statistically are more frequent in the patients developing delirium are seriousness of illness preoperatively,² degree of physical stress during surgery,² and environmental circumstances such as marital instability, overwhelming personal problems, and a lack of positive interpersonal support during hospitalization.¹ However, there appears to be increasing evidence pointing toward the . . . [Full Text PDF of this Article]

Author Affiliations
Minneapolis

From the Veterans Administration Hospital, Minneapolis, and the University of Minnesota Medical School.

Footnotes
Submitted for publication June 16, 1966.

Read before the 11th annual conference of Veterans Administration Cooperative Studies in Psychiatry, New Orleans, March 17-19, 1966.

Reprint requests to Veterans Administration Hospital, 54th St and 48th Ave, S, Minneapolis 55417 (Dr. Gilberstadt).

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