Predicting postoperative delirium after vascular surgical procedures

Journal of Vascular Surgery
Linda VisserRobert A Pol

Abstract

The objective of this study was to determine the incidence of and specific preoperative and intraoperative risk factors for postoperative delirium (POD) in electively treated vascular surgery patients. Between March 2010 and November 2013, all vascular surgery patients were included in a prospective database. Various preoperative, intraoperative, and postoperative risk factors were collected during hospitalization. The primary outcome variable was the incidence of POD. Secondary outcome variables were any surgical complication, hospital length of stay, and mortality. In total, 566 patients were prospectively evaluated; 463 patients were 60 years or older at the time of surgery and formed our study cohort. The median age was 72 years (interquartile range, 66-77), and 76.9% were male. Twenty-two patients (4.8%) developed POD. Factors that differed significantly by univariate analysis included current smoking (P = .001), increased comorbidity (P = .001), hypertension (P = .003), diabetes mellitus (P = .001), cognitive impairment (P < .001), open aortic surgery or amputation surgery (P < .001), elevated C-reactive protein level (P < .001), and blood loss (P < .001). Multivariate logistic regression analysis revealed preoperative co...Continue Reading

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Citations

Dec 1, 2015·Annals of Vascular Surgery·Eric S WiseColleen M Brophy
Dec 2, 2015·Anaesthesia·J Steinmetz, L S Rasmussen
Sep 7, 2016·Perioperative Medicine·Judith H Tomlinson, Judith S L Partridge
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Mar 22, 2019·BMC Anesthesiology·Onuma ChaiwatChayanan Thanakiattiwibun
Apr 28, 2021·Annals of Vascular Surgery·Linda VisserRobert A Pol
May 14, 2021·Critical Care Research and Practice·Claudia DziegielewskiKwadwo Kyeremanteng
Aug 25, 2021·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·Björn MaassenLeo Cornelius Bollheimer
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Sep 26, 2017·Journal of Vascular Surgery·Christopher OldroydTerrence J Quinn

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