Factors associated with delirium after cardiac surgery: A prospective cohort study
Background: Delirium is a frequent complication after cardiac surgery and is associated with a higher incidence of morbidity and mortality and a prolonged hospital stay. However, knowledge of the variables involved in its occurrence is still limited; therefore, in this study, we evaluated the periop...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=2;spage=183;epage=189;aulast=Ordóñez-Velasco |
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| author | Lina Maria Ordóñez-Velasco Edgar Hernández-Leiva |
| author_facet | Lina Maria Ordóñez-Velasco Edgar Hernández-Leiva |
| author_sort | Lina Maria Ordóñez-Velasco |
| collection | DOAJ |
| description | Background: Delirium is a frequent complication after cardiac surgery and is associated with a higher incidence of morbidity and mortality and a prolonged hospital stay. However, knowledge of the variables involved in its occurrence is still limited; therefore, in this study, we evaluated the perioperative risk factors independently associated with this complication.
Methods: This study was conducted in a referral tertiary care university hospital with a cardiovascular focus. A total of 311 consecutive adult patients undergoing any type of cardiac surgery were evaluated. The subjects were examined at regular intervals in the postoperative period using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) tool.
Results: The incidence of postoperative delirium (PD) was 10%. Among the 18 pre-, intra- and postoperative variables evaluated, the logistic regression analysis showed that low education level, history of diabetes or stroke, type of surgery, prolonged extracorporeal circulation, or red blood cell transfusion in the intra- or postoperative period were independently associated with delirium after cardiac surgery. An increased body mass index was identified as a protective factor.
Conclusions: The aforementioned risk factors are significantly and independently associated with the presentation of PD. Because some of these factors can be treated or avoided, the results of this study are highly relevant to reduce the risk of this complication and improve the care of patients undergoing cardiac surgery. |
| first_indexed | 2024-12-17T07:13:08Z |
| format | Article |
| id | doaj.art-a8a4f859e6f84cfeb32ed1337772de80 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-17T07:13:08Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-a8a4f859e6f84cfeb32ed1337772de802022-12-21T21:58:59ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842021-01-0124218318910.4103/aca.ACA_43_20Factors associated with delirium after cardiac surgery: A prospective cohort studyLina Maria Ordóñez-VelascoEdgar Hernández-LeivaBackground: Delirium is a frequent complication after cardiac surgery and is associated with a higher incidence of morbidity and mortality and a prolonged hospital stay. However, knowledge of the variables involved in its occurrence is still limited; therefore, in this study, we evaluated the perioperative risk factors independently associated with this complication. Methods: This study was conducted in a referral tertiary care university hospital with a cardiovascular focus. A total of 311 consecutive adult patients undergoing any type of cardiac surgery were evaluated. The subjects were examined at regular intervals in the postoperative period using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) tool. Results: The incidence of postoperative delirium (PD) was 10%. Among the 18 pre-, intra- and postoperative variables evaluated, the logistic regression analysis showed that low education level, history of diabetes or stroke, type of surgery, prolonged extracorporeal circulation, or red blood cell transfusion in the intra- or postoperative period were independently associated with delirium after cardiac surgery. An increased body mass index was identified as a protective factor. Conclusions: The aforementioned risk factors are significantly and independently associated with the presentation of PD. Because some of these factors can be treated or avoided, the results of this study are highly relevant to reduce the risk of this complication and improve the care of patients undergoing cardiac surgery.http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=2;spage=183;epage=189;aulast=Ordóñez-Velascobody mass indexcardiopulmonary bypasscerebral near infrared spectroscopyintensive care unitpostoperative delirium |
| spellingShingle | Lina Maria Ordóñez-Velasco Edgar Hernández-Leiva Factors associated with delirium after cardiac surgery: A prospective cohort study Annals of Cardiac Anaesthesia body mass index cardiopulmonary bypass cerebral near infrared spectroscopy intensive care unit postoperative delirium |
| title | Factors associated with delirium after cardiac surgery: A prospective cohort study |
| title_full | Factors associated with delirium after cardiac surgery: A prospective cohort study |
| title_fullStr | Factors associated with delirium after cardiac surgery: A prospective cohort study |
| title_full_unstemmed | Factors associated with delirium after cardiac surgery: A prospective cohort study |
| title_short | Factors associated with delirium after cardiac surgery: A prospective cohort study |
| title_sort | factors associated with delirium after cardiac surgery a prospective cohort study |
| topic | body mass index cardiopulmonary bypass cerebral near infrared spectroscopy intensive care unit postoperative delirium |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=2;spage=183;epage=189;aulast=Ordóñez-Velasco |
| work_keys_str_mv | AT linamariaordonezvelasco factorsassociatedwithdeliriumaftercardiacsurgeryaprospectivecohortstudy AT edgarhernandezleiva factorsassociatedwithdeliriumaftercardiacsurgeryaprospectivecohortstudy |