Järvelä Kati, Porkkala Helena, Karlsson Sari, Martikainen Tero, Selander Tuomas, Bendel Stepani
Heart Center, Tampere University Hospital, Tampere, Finland.
Hatanpää Hospital, Tampere, Finland.
J Cardiothorac Vasc Anesth. 2018 Aug;32(4):1597-1602. doi: 10.1053/j.jvca.2017.12.030. Epub 2017 Dec 21.
The authors studied the incidence of postoperative delirium among cardiac surgery patients using the Intensive Care Delirium Screening Checklist (ICDSC).
Prospective screening.
Two university hospitals.
A total of 1,036 consecutive patients.
None.
Patients were prospectively screened from day 1 to day 10 after surgery or until hospital discharge. Appropriate perioperative data were collected. The overall incidence of postoperative delirium was 11.5%. In the multivariate logistic regression analysis, age over 70 years, higher EuroSCORE points, longer aortic occlusion time, and profuse drainage increased the incidence of delirium. The duration of mechanical ventilation and intensive care unit length of stay were longer in the group of patients with delirium (10.6 hours [6.6-19.5] v 6.4 hours [4.9-8.6], p < 0.001, and 1.7 days [0.9-4.2] v 0.9 days [0.9-1], p < 0.001).
Postoperative delirium is common after cardiac surgery, and it is associated with the duration of mechanical ventilation.
作者使用重症监护谵妄筛查检查表（ICDSC）研究心脏手术患者术后谵妄的发生率。
前瞻性筛查。
两家大学医院。
共1036例连续患者。
无。
术后第1天至第10天或直至出院对患者进行前瞻性筛查。收集适当的围手术期数据。术后谵妄的总体发生率为11.5%。在多因素逻辑回归分析中，70岁以上、较高的欧洲心脏手术风险评估系统（EuroSCORE）评分、较长的主动脉阻断时间和大量引流增加了谵妄的发生率。谵妄患者组的机械通气时间和重症监护病房住院时间更长（10.6小时[6.6 - 19.5]对6.4小时[4.9 - 8.6]，p < 0.001；1.7天[0.9 - 4.2]对0.9天[0.9 - 1]，p < 0.001）。
心脏手术后术后谵妄很常见，且与机械通气时间有关。
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