Profiles of delirium and the clinical outcomes of patients who underwent coronary artery bypass grafting: a prospective study from China

Journal of Clinical Nursing
Wei-ying ZhangYan Sun

Abstract

To explore the profiles of delirium in coronary artery bypass grafting patients and identify related patient outcomes. Delirium was assessed previously as a binary result, i.e. present or absent, but little attention was paid to the profiles of delirium, e.g. the subtype, severity, duration and the first episode, and little was known about clinical outcomes. A prospective study. Ninety-five delirious patients who underwent coronary artery bypass grafting were included. Delirium episodes were categorised as hypoactive, hyperactive or mixed type and as mild, moderate or severe. Duration in days and the first episode of delirium in day after surgery were recorded. Patient outcomes were recorded prospectively to determine the effects of delirium profiles. Mixed-type delirium was most common (44·21%), followed by hyperactive delirium (26·32%) and hypoactive delirium (29·47%). Patients with hypoactive delirium had a longer duration of ventilator use. Severity of delirium measurements revealed 28·42% mild, 51·58% moderate and 20·00% severe. Patients with severe delirium had a longer duration of ventilation use, longer lengths of intensive care unit stay and hospital stay compared to mild and moderate delirium. Delirium duration lasted...Continue Reading

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Citations

Nov 25, 2017·Journal of Alzheimer's Disease : JAD·Sarinnapha M VasunilashornSharon K Inouye
Sep 21, 2018·Critical Care Medicine·Karla D KrewulakKirsten M Fiest
May 21, 2020·Critical Care Nursing Quarterly·Luz Omaira Gómez Tovar, Angela Maria Henao Castaño
Aug 21, 2021·Enfermería intensiva·L O Gómez TovarI Y Troche-Gutiérrez

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