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Delirium after cardiac surgery. Incidence, phenotypes, predisposing and precipitating risk factors, and effects

Sanson, Gianfranco
•
Khlopenyuk, Yuliya
•
MILOCCO, Sara
altro
Fabiani, Adam
2018
  • journal article

Periodico
HEART & LUNG
Abstract
Background: In cardiac surgical patients little is known about different phenotypes of delirium and how the symptoms fluctuate over time. Objectives: Evaluate risk factors, incidence, fluctuations, phenotypic characteristics and impact on patients' outcomes of delirium. Methods: Prospective longitudinal study. In postoperative intensive care unit 199 patient were assessed three-times a day through an adapted versions of the Intensive Care Delirium Screening Checklist. Results: Delirium and subsyndromal delirium incidence were 30.7% and 31.2%, respectively. Delirium manifested mostly in the hypoactive form and showed a fluctuating trend for several days. Atrial fibrillation, benzodiazepine/opioids dosages, hearing impairment, extracorporeal circulation length, SAPS-II and mean arterial pressure were independent predictors for delirium. Delirium was a statistically significant predictor of chemical/physical restraint use and hospital length of stay. Conclusions: Given the fluctuating and phenotypic characteristics, delirium screening should be a systematic/intentional activity. Multidisciplinary prevention strategies should be implemented to identify and treat the modifiable risk factors.
DOI
10.1016/j.hrtlng.2018.04.005
WOS
WOS:000438836800026
Archivio
http://hdl.handle.net/11368/2934084
info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85046640191
https://www.sciencedirect.com/science/article/pii/S0147956317305587?via%3Dihub
Diritti
closed access
FVG url
https://arts.units.it/request-item?handle=11368/2934084
Soggetti
  • Cardiac surgery

  • Delirium

  • Incidence

  • Intensive care

  • Phenotype

  • Subsyndromal delirium...

Web of Science© citazioni
33
Data di acquisizione
Mar 22, 2024
Visualizzazioni
4
Data di acquisizione
Apr 19, 2024
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