The incidence and consequences of mental disturbances in elderly patients post cardiac surgery—a comparison with younger patients

• Published in: Clinical cardiology (Mahwah, N.J.) Vol. 23; no. 7; pp. 540 - 546
• Main Authors: Heijmeriks, J. A., Dassen, W., Prenger, K., Wellens, H. J. J.
• Format: Journal Article
• Language: English
• Published: New York Wiley Periodicals, Inc 01.07.2000; Wiley
• Subjects: Adult; Age Factors; Aged; Aged, 80 and over; Biological and medical sciences; cardiac surgery; Cardiac Surgical Procedures - adverse effects; Cardiac Surgical Procedures - mortality; Clinical Investigation; Heart Diseases - mortality; Heart Diseases - surgery; Humans; Incidence; Medical sciences; Mental Disorders - epidemiology; Mental Disorders - etiology; Middle Aged; Netherlands - epidemiology; postoperative mental confusion; Prognosis; Prospective Studies; Quality of Life; Recovery of Function; Risk Factors; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Survival Rate; Netherlands; Human; Heart; Prognosis; Mortality; Exploration; Morbidity; Incidence; Quality of life; Surgery; Young adult; Mental disorder; Complication; Elderly; Age; Mental confusion; Comparative study
• ISSN: 0160-9289; 1932-8737
• DOI: 10.1002/clc.4960230714

Background: Limited data exist about the incidence and consequences of mental confusion following open heart surgery in different age groups. Likewise, little is known about preoperative predictors of mental confusion. Methods: Two‐hundred consecutive patients, aged şş75 years (Group 1), and 400 procedure‐ and gender‐matched younger patients (Group 2) who underwent coronary or valvular surgery were included in a prospective study. The relation between postoperative mental confusion, mortality, morbidity, and quality of life was studied. Results: Mental confusion was present in 11.8% Group 2 and 22.6% Group 1 patients. The incidence was higher after valvular surgery. Preoperative risk factors in Group 1 patients were diabetes mellitus, a history of heart failure, weak carotid pulsations, and repeat surgery. Late mortality, after a median follow‐up duration of 31 months, was significantly worse in patients who were confused, which was related to the underlying disease. Recovery of quality of life was clearly diminished in elderly patients with confusion in contrast to younger patients. Conclusion: Postoperative mental confusion has a high incidence in the elderly population and is associated with a diminished quality of life.