Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial
Abstract Background Although many studies have reported numerous risk factors for postoperative delirium, data are scarce about preoperative anxiety as a risk factor. The study aimed to investigate the association between preoperative anxiety and postoperative delirium in older patients undergoing c...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-11-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-020-01872-6 |
| _version_ | 1828959129747587072 |
|---|---|
| author | Koen Milisen Bastiaan Van Grootven Wim Hermans Karen Mouton Layth Al Tmimi Steffen Rex Elke Detroyer |
| author_facet | Koen Milisen Bastiaan Van Grootven Wim Hermans Karen Mouton Layth Al Tmimi Steffen Rex Elke Detroyer |
| author_sort | Koen Milisen |
| collection | DOAJ |
| description | Abstract Background Although many studies have reported numerous risk factors for postoperative delirium, data are scarce about preoperative anxiety as a risk factor. The study aimed to investigate the association between preoperative anxiety and postoperative delirium in older patients undergoing cardiac surgery. Methods Secondary data analysis of a randomized, observer-blind, controlled trial. A total of 190 patients 65 years or older and admitted to the intensive care unit and cardiac surgery unit of a university hospital scheduled for elective on-pump cardiac surgery were included. State anxiety was measured preoperatively using the Amsterdam Preoperative Anxiety and Information Scale and the Visual Analogue Scale for anxiety. Incidence of delirium was measured during the first 5 postoperative days using the Confusion Assessment Method for Intensive Care Unit (when ventilated), or the 3 Minute Diagnostic Interview for Confusion Assessment Method (when extubated) and by daily chart review. Results Preoperative state anxiety was reported by 31% of the patients and 41% had postoperative delirium. A multiple step logistic regression analyses revealed no association between preoperative anxiety and postoperative delirium. Significant risk factors for postoperative delirium were age (OR = 1.10, 95% CI (1.03–1.18)), activities of daily living (0.69, 95% CI (0.50–0.96)), diabetes mellitus (OR = 3.15, 95% CI (1.42–7.00)) and time on cardiopulmonary bypass (OR = 1.01, 95% CI (1.00 to 1.02)). Conclusions No relationship could be found between preoperative anxiety and postoperative delirium. |
| first_indexed | 2024-12-14T09:02:03Z |
| format | Article |
| id | doaj.art-281d9c15e51f4749ae8febf8a1b3b009 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-14T09:02:03Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-281d9c15e51f4749ae8febf8a1b3b0092022-12-21T23:08:47ZengBMCBMC Geriatrics1471-23182020-11-012011910.1186/s12877-020-01872-6Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trialKoen Milisen0Bastiaan Van Grootven1Wim Hermans2Karen Mouton3Layth Al Tmimi4Steffen Rex5Elke Detroyer6Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of LeuvenDepartment of Anesthesiology, KU Leuven - University of Leuven, University Hospitals of LeuvenDepartment of Anesthesiology, KU Leuven - University of Leuven, University Hospitals of LeuvenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of LeuvenAbstract Background Although many studies have reported numerous risk factors for postoperative delirium, data are scarce about preoperative anxiety as a risk factor. The study aimed to investigate the association between preoperative anxiety and postoperative delirium in older patients undergoing cardiac surgery. Methods Secondary data analysis of a randomized, observer-blind, controlled trial. A total of 190 patients 65 years or older and admitted to the intensive care unit and cardiac surgery unit of a university hospital scheduled for elective on-pump cardiac surgery were included. State anxiety was measured preoperatively using the Amsterdam Preoperative Anxiety and Information Scale and the Visual Analogue Scale for anxiety. Incidence of delirium was measured during the first 5 postoperative days using the Confusion Assessment Method for Intensive Care Unit (when ventilated), or the 3 Minute Diagnostic Interview for Confusion Assessment Method (when extubated) and by daily chart review. Results Preoperative state anxiety was reported by 31% of the patients and 41% had postoperative delirium. A multiple step logistic regression analyses revealed no association between preoperative anxiety and postoperative delirium. Significant risk factors for postoperative delirium were age (OR = 1.10, 95% CI (1.03–1.18)), activities of daily living (0.69, 95% CI (0.50–0.96)), diabetes mellitus (OR = 3.15, 95% CI (1.42–7.00)) and time on cardiopulmonary bypass (OR = 1.01, 95% CI (1.00 to 1.02)). Conclusions No relationship could be found between preoperative anxiety and postoperative delirium.http://link.springer.com/article/10.1186/s12877-020-01872-6AgedAnxietyDeliriumCardiac surgeryRisk factors |
| spellingShingle | Koen Milisen Bastiaan Van Grootven Wim Hermans Karen Mouton Layth Al Tmimi Steffen Rex Elke Detroyer Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial BMC Geriatrics Aged Anxiety Delirium Cardiac surgery Risk factors |
| title | Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial |
| title_full | Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial |
| title_fullStr | Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial |
| title_full_unstemmed | Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial |
| title_short | Is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery? Secondary data analysis of a randomized controlled trial |
| title_sort | is preoperative anxiety associated with postoperative delirium in older persons undergoing cardiac surgery secondary data analysis of a randomized controlled trial |
| topic | Aged Anxiety Delirium Cardiac surgery Risk factors |
| url | http://link.springer.com/article/10.1186/s12877-020-01872-6 |
| work_keys_str_mv | AT koenmilisen ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial AT bastiaanvangrootven ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial AT wimhermans ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial AT karenmouton ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial AT laythaltmimi ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial AT steffenrex ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial AT elkedetroyer ispreoperativeanxietyassociatedwithpostoperativedeliriuminolderpersonsundergoingcardiacsurgerysecondarydataanalysisofarandomizedcontrolledtrial |