Complex Assessment of the Incidence and Risk Factors of Delirium in a Large Cohort of Cardiac Surgery Patients: A Single-Center 6-Year Experience
المؤلفون المشاركون
Krzych, Łukasz J.
Wybraniec, Maciej T.
Krupka-Matuszczyk, Irena
Skrzypek, Michał
Bolkowska, Anna
Wilczyński, Mirosław
Bochenek, Andrzej A.
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-12-22
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Previous reports provided inconsistent data on the occurrence of postoperative delirium and emphasized its considerable impact on outcome.
This study sought to evaluate the incidence and predictors of delirium, together with its relation to cerebral ischemia in a large cohort of cardiac surgery patients in a tertiary high-volume center.
Methods and Results.
Consecutive patients (n=8792) were prospectively enrolled from 2003 to 2008.
Exclusion criteria were history of psychiatric disorders, use of psychoactive drugs, alcohol abuse, and data incompleteness.
Finally, 5781 patients were analyzed in terms of 100 perioperative patient-specific and treatment variables.
The incidence of postoperative delirium (DSM IV criteria) was 4.1% and it coexisted with cerebral ischemia in 1.1% of patients.
In bivariate analysis, 49 variables were significantly linked to postoperative delirium.
Multivariate analysis confirmed that delirium was independently associated with postoperative stroke (logistic odds ratio (logOR) = 2.862, P=0.004), any blood transfusions (logOR = 4.178, P<0.0001), age > 65 years (logOR = 2.417, P=0.002), carotid artery stenosis (logOR = 2.15, P=0.01), urgent/emergent surgery (logOR = 1.982, P=0.02), fasting glucose level, intraoperative oxygen partial pressure fluctuations, and hematocrit.
Area under ROC curve for the model was 0.8933.
Conclusions.
Early identification of nonpsychiatric perioperative determinants of delirium facilitates its diagnosis and might help develop preventive strategies to improve long-term outcome after cardiac surgery procedures.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Krzych, Łukasz J.& Wybraniec, Maciej T.& Krupka-Matuszczyk, Irena& Skrzypek, Michał& Bolkowska, Anna& Wilczyński, Mirosław…[et al.]. 2013. Complex Assessment of the Incidence and Risk Factors of Delirium in a Large Cohort of Cardiac Surgery Patients: A Single-Center 6-Year Experience. BioMed Research International،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-1005225
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Krzych, Łukasz J.…[et al.]. Complex Assessment of the Incidence and Risk Factors of Delirium in a Large Cohort of Cardiac Surgery Patients: A Single-Center 6-Year Experience. BioMed Research International No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-1005225
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Krzych, Łukasz J.& Wybraniec, Maciej T.& Krupka-Matuszczyk, Irena& Skrzypek, Michał& Bolkowska, Anna& Wilczyński, Mirosław…[et al.]. Complex Assessment of the Incidence and Risk Factors of Delirium in a Large Cohort of Cardiac Surgery Patients: A Single-Center 6-Year Experience. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-1005225
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1005225
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر