Original articleAdult cardiacConsequences of Delirium After Cardiac Operations
Section snippets
Patients and Methods
The Ethics Committee of Medisch Spectrum Twente ruled that approval was not required because this was an observational study, without invasive procedures. Informed consent was obtained from participating patients in accordance with hospital policy.
Study Population
The study included 300 patients, and postoperative delirium developed in 52 (17%), as diagnosed with the DOS scale. The mean duration of delirium was 1 to 3 days in most patients, sometimes 4 to 7 days, and in 2 patients, 11 and 14 days. The duration of delirium in some patients could not be estimated because they were transferred to another hospital for further postoperative recovery. Almost all patients were treated with a low dose of haloperidol (1 to 3 mg/d), and some patients received a
Comment
Delirium occurring after cardiac operations is associated with increased mortality and a higher hospital readmission rate, lower quality of life, cognitive failure as measured with the CFQ, functional dysfunction such as dependency in ADL, and reduced mobility. Because we assumed age could be a confounder, we corrected the outcomes for age, and found that in the event of delirium, only the incidence of dependency in ADL was no longer significantly higher. In the other outcomes, the correction
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Delirium vaak niet herkend
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Postoperative delirium: An independent risk factor for poorer quality of life with long-term cognitive and functional decline after cardiac surgery
2023, Journal of Clinical AnesthesiaCitation Excerpt :Rudolph and colleagues found that functional decline occurred in 36.3% at 1 month and in 14.6% at 12 months; [10] however, after adjustment for age, cognition, comorbidity and reference function, this trend was not significant. In relation to emotional problems, to date no significant differences have been demonstrated in their development between patients with or without postoperative delirium. [12] In general, emotional problems, such as anxiety and depression, are frequent in patients with coronary heart disease, according to authors such as Whooley et al. [19] who found a significant relationship between depressive symptoms and patients with coronary heart disease.
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