SavedAdd your journal

Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2015 / Cilt: 23 - Sayı: 4

Açık kalp cerrahisi sonrası deliryum

Delirium after open heart surgery

Sema TURAN
Çağıl VURAL
Hakan Volkan ACAR
Tuğba KAVASOĞLU
Mehmet Özcan ERDEMLİ
Kemal KAVASOĞLU
Pages
658–664
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was a statistically significantdifference between the clinical observations of the patients whowere reported to have delirium and those who were diagnosed withdelirium after the application of the CAM-ICU (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: This study aims to determine the incidence of deliriumand possible risk factors in patients undergoing open heart surgery.
📊
Key Findings & Data:Methods: Between April 2011 and November 2011, preoperative,intraoperative, and postoperative data of 400 patients (276 males, 124females; mean age 59.7 years; range 19 to 91 years) who underwentopen heart surgery were recorded.
💡
Conclusion & Impact:There was a statistically significantdifference between the clinical observations of the patients whowere reported to have delirium and those who were diagnosed withdelirium after the application of the CAM-ICU (p
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: This study aims to determine the incidence of deliriumand possible risk factors in patients undergoing open heart surgery. Methods: Between April 2011 and November 2011, preoperative,intraoperative, and postoperative data of 400 patients (276 males, 124females; mean age 59.7 years; range 19 to 91 years) who underwentopen heart surgery were recorded. The Confusion Assessment Methodfor the Intensive Care Unit (CAM-ICU) was applied to the patients at24 and 72 hours following surgery. The patients who were consultedby ICU physicians with a preliminary diagnosis of delirium werecompared to the patients whose CAM-ICU results were positive. Results: The incidences of delirium were 3.8% and 1.8% at 24and 72 hours, respectively. There was a statistically significantdifference between the clinical observations of the patients whowere reported to have delirium and those who were diagnosed withdelirium after the application of the CAM-ICU (p

Özet

Amaç: Bu çalışmada açık kalp cerrahisi yapılan hastalarda deliryuminsidansı ve muhtemel risk faktörleri belirlendi. Ça­lış­ma­pla­nı:­Nisan 2011 - Kasım 2011 tarihleri arasında, açıkkalp cerrahisi uygulanan 400 hastanın (276 erkek, 124 kadın; ort.yaş 59.7 yıl; dağılım 19-91 yıl) ameliyat öncesi, ameliyat sırası veameliyat sonrası verileri kaydedildi. Ameliyat sonrası 24. ve 72.saatlerde hastalara Yoğun Bakım Ünitesi-Konfüzyon DeğerlendirmeÖlçeği (YBÜ-KDÖ) uygulandı. Yoğun bakım hekimleri tarafındandeliryum öntanısıyla konsülte edilen hastalar ile YBÜ-KDÖ sonucupozitif olan hastalar karşılaştırıldı. Bul gu lar: Deliryum insidansı 24. ve 72. saatlerde sırasıyla%3.8 ve %1.8 idi. Deliryum olduğu bildirilen hastalar ileYBÜ-KDÖ uygulanarak deliryum tanısı konulan hastalarınklinik gözlemleri arasında istatistiksel olarak anlamlı farkbulundu (p

🔖

Cite This Article

TURAN, S., VURAL, Ç., ACAR, H. V., KAVASOĞLU, T., ERDEMLİ, M. Ö., KAVASOĞLU, K. (2022). Açık kalp cerrahisi sonrası deliryum. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 23 - Sayı: 4, 658–664. https://ajindex.com/articles/624566

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Sezer Ö, Karlıdağ R, Nisanoğlu V, But K, Özcan C, Ünal S. Risk factors for delirium in patients with in coronary bypass operation. New Symposium 2004;42:182-8
  2. Tuğlu C, Yıldırım E. Delirium. A frequent psychiatric syndrome encounted in hospitalized patients. Balkan Med J 2002;19:55-64
  3. Chang YL, Tsai YF, Lin PJ, Chen MC, Liu CY. Prevalence and risk factors for postoperative delirium in a cardiovascular intensive care unit. Am J Crit Care 2008;17:567-75
  4. Holroyd-Leduc JM, Abelseth GA, Khandwala F, Silvius JL, Hogan DB, Schmaltz HN, et al. A pragmatic study exploring the prevention of delirium among hospitalized older hip fracture patients: Applying evidence to routine clinical practice using clinical decision support. Implement Sci 2010;5:81
  5. Yaşayacak A, Eker F. Kalp damar cerrahisi yoğun bakım ünitesinde yatan hastalarda deliryum ve risk faktörlerinin belirlenmesi. Turk Gogus Kalp Dama 2012;20:265-74
  6. Parikh SS, Chung F. Postoperative delirium in the elderly. Anesth Analg 1995;80:1223-32
  7. Bucerius J, Gummert JF, Borger MA, Walther T, Doll N, Falk V, et al. Predictors of delirium after cardiac surgery delirium: effect of beating-heart (off-pump) surgery. J Thorac Cardiovasc Surg 2004;127:57-64
  8. Kazmierski J, Kowman M, Banach M, Fendler W, Okonski P, Banys A, et al. Clinical utility and use of DSM-IV and ICD- 10 Criteria and The Memorial Delirium Assessment Scale in establishing a diagnosis of delirium after cardiac surgery. Psychosomatics 2008;49:73-6
  9. Ely EW, Inouye SK, Bernard GR, Gordon S, Francis J, May L, et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA 2001;286:2703-10
  10. Akinci Seda B, Rezaki M, Özdemir H, Çelikcan A, Kanbak M, Yorgancı K, et al. Validity and reliability of confusion assessment method for the intensive care unit. Turk J Anaesth Reanim 2005;33:333-41
  11. Rudolph JL, Ramlawi B, Kuchel GA, McElhaney JE, Xie D, Sellke FW, et al. Chemokines are associated with delirium after cardiac surgery. J Gerontol A Biol Sci Med Sci 2008;63:184-9
  12. Maldonado JR, Wysong A, van der Starre PJ, Block T, Miller C, Reitz BA. Dexmedetomidine and the reduction of postoperative delirium after cardiac surgery. Psychosomatics 2009;50:206-17
  13. Ayazoğlu T, Tür H, Bolat C, Özkaynak İ, Candan MA. Yaşlılarda kardiyak cerrahi sonrası yoğun bakımda deliryum prevalansı ve risk faktörleri. J Exp Clin Med 2012;29:101-7