Postoperative Delirium in Cardiac Surgery Patients

• Published in: Journal of cardiothoracic and vascular anesthesia Vol. 32; no. 4; pp. 1597 - 1602
• Main Authors: Järvelä, Kati, Porkkala, Helena, Karlsson, Sari, Martikainen, Tero, Selander, Tuomas, Bendel, Stepani
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.08.2018
• Subjects: Aged; Aged, 80 and over; cardiac surgery; Cardiac Surgical Procedures - adverse effects; Cardiac Surgical Procedures - trends; delirium; Emergence Delirium - diagnosis; Emergence Delirium - etiology; Female; Humans; Male; Middle Aged; postoperative complications; Prospective Studies; Respiration, Artificial - adverse effects; Respiration, Artificial - trends; postoperative complications; cardiac surgery; delirium
• ISSN: 1053-0770; 1532-8422
• DOI: 10.1053/j.jvca.2017.12.030

The authors studied the incidence of postoperative delirium among cardiac surgery patients using the Intensive Care Delirium Screening Checklist (ICDSC). Prospective screening. Two university hospitals. A total of 1,036 consecutive patients. None. Patients were prospectively screened from day 1 to day 10 after surgery or until hospital discharge. Appropriate perioperative data were collected. The overall incidence of postoperative delirium was 11.5%. In the multivariate logistic regression analysis, age over 70 years, higher EuroSCORE points, longer aortic occlusion time, and profuse drainage increased the incidence of delirium. The duration of mechanical ventilation and intensive care unit length of stay were longer in the group of patients with delirium (10.6 hours [6.6-19.5] v 6.4 hours [4.9-8.6], p < 0.001, and 1.7 days [0.9-4.2] v 0.9 days [0.9-1], p < 0.001). Postoperative delirium is common after cardiac surgery, and it is associated with the duration of mechanical ventilation.