Predictive model for postoperative delirium in cardiac surgical patients

Seminars in Cardiothoracic and Vascular Anesthesia

Volumn 14, Issue 3, 2010, Pages 212-217

  Afonso, Anoushka ^a   Scurlock, Corey ^a   Reich, David ^a   Raikhelkar, Jayashree ^a   Hossain, Sabera ^a   Bodian, Carol ^a   Krol, Marina ^a   Flynn, Brigid ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

Cardiac surgery; Confusion; Confusion Assessment Model for Intensive Care Units; Delirium; Intensive care medicine; Richmond Agitation Sedation Scale

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; CONFUSION ASSESSMENT MODEL FOR THE ICU; DELIRIUM; FEMALE; HEART SURGERY; HUMAN; INTENSIVE CARE PSYCHOSIS; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MODEL; NEUROPSYCHOLOGICAL TEST; OPERATION DURATION; POSTOPERATIVE COMPLICATION; PREDICTION; PROSPECTIVE STUDY; RICHMOND AGITATION SEDATION SCALE; SURGICAL PATIENT;

ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; CARDIAC SURGICAL PROCEDURES; DELIRIUM; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; MODELS, STATISTICAL; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; YOUNG ADULT;

EID: 77955682919     PISSN: 10892532     EISSN: None     Source Type: Journal    
DOI: 10.1177/1089253210374650     Document Type: Article

References (37)

1. Association AP Diagnostic and Statistical Manual of Mental Disorders. 4 th ed. Washington, DC: American Psychiatric Association ; 2000.
2. Jacobi J., Fraser GL, Coursin DB, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med. 2002 ; 30: 119-141. (Pubitemid 34112188)
3. Parikh SS, Chung F. Postoperative delirium in the elderly. Anesth Analg. 1995 ; 80: 1223-1232.
4. Marcantonio ER, Goldman L., Mangione CM, et al. A clinical prediction rule for delirium after elective noncardiac surgery. JAMA. 1994 ; 271: 134-139.
5. Dyer CB, Ashton CM, Teasdale TA Postoperative delirium: a review of 80 primary data-collection studies. Arch Intern Med. 1995 ; 155: 461-465.
6. Ely EW, Shintani A., Truman B., et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004 ; 291: 1753-1762.
7. Ely EW, Gautam S., Margolin R., et al. The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Med. 2001 ; 27: 1892-1900.
8. Thomason JW, Shintani A., Peterson JF, Pun BT, Jackson JC, Ely EW Intensive care unit delirium is an independent predictor of longer hospital stay: a prospective analysis of 261 non-ventilated patients. Crit Care. 2005 ; 9: R375 - R381.
9. Levkoff SE, Evans DA, Liptzin B., et al. Delirium: the occurrence and persistence of symptoms among elderly hospitalized patients. Arch Intern Med. 1992 ; 152: 334-340.
10. Koster S., Hensens AG, van der Palen J. The long-term cognitive and functional outcomes of postoperative delirium after cardiac surgery. Ann Thorac Surg. 2009 ; 87: 1469-1474.
11. Radtke FM, Franck M., Schneider M., et al. Comparison of three scores to screen for delirium in the recovery room. Br J Anaesth. 2008 ; 101: 338-343.
12. Francis J., Martin D., Kapoor WN A prospective study of delirium in hospitalized elderly. JAMA. 1990 ; 263: 1097-1101.
13. Gilman S. Cerebral disorders after open-heart operations. N Engl J Med. 1965 ; 272: 489-498.
14. Vincent JL, Moreno R., Takala J., et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure: on behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med. 1996 ; 22: 707-710.
15. Knaus WA, Draper EA, Wagner DP, Zimmerman JE APACHE II: a severity of disease classification system. Crit Care Med. 1985 ; 13: 818-829.
16. Charlson ME, Pompei P., Ales KL, MacKenzie CR A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987 ; 40: 373-383.
17. Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002 ; 166: 1338-1344.
18. Koster S., Oosterveld FG, Hensens AG, Wijma A., van der Palen J. Delirium after cardiac surgery and predictive validity of a risk checklist. Ann Thorac Surg. 2008 ; 86: 1883-1887.
19. Newman MF, Croughwell ND, Blumenthal JA, et al. Effect of aging on cerebral autoregulation during cardiopulmonary bypass: association with postoperative cognitive dysfunction. Circulation. 1994 ; 90: 11243-11249.
20. Rudolph JL, Jones RN, Levkoff SE, et al. Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery. Circulation. 2009 ; 119: 229-236.
21. Flacker JM, Cummings V., Mach JR Jr, Bettin K., Kiely DK, Wei J. The association of serum anticholinergic activity with delirium in elderly medical patients. Am J Geriatr Psychiatry. 1998 ; 6: 31-41.
22. Borger MA, Peniston CM, Weisel RD, Vasiliou M., Green RE, Feindel CM Neuropsychologic impairment after coronary bypass surgery: effect of gaseous microemboli during perfusionist interventions. J Thorac Cardiovasc Surg. 2001 ; 121: 743-749.
23. Newman MF, Kirchner JL, Phillips-Bute B., et al. Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery. N Engl J Med. 2001 ; 344: 395-402.
24. Rudolph JL, Ramlawi B., Kuchel GA, et al. Chemokines are associated with delirium after cardiac surgery. J Gerontol A Biol Sci Med Sci. 2008 ; 63: 184-189.
25. Brown WR, Moody DM, Challa VR, Stump DA, Hammon JW Longer duration of cardiopulmonary bypass is associated with greater numbers of cerebral microemboli. Stroke. 2000 ; 31: 707-713.
26. Norkiene I., Ringaitiene D., Misiuriene I., et al. Incidence and precipitating factors of delirium after coronary artery bypass grafting. Scand Cardiovasc J. 2007 ; 41: 180-185.
27. Bucerius J., Gummert JF, Borger MA, et al. Predictors of delirium after cardiac surgery delirium: effect of beating-heart (off-pump) surgery. J Thorac Cardiovasc Surg. 2004 ; 127: 57-64.
28. Walzer T., Herrmann M., Wallesch CW Neuropsychological disorders after coronary bypass surgery. J Neurol Neurosurg Psychiatry. 1997 ; 62: 644-648.
29. Van Dijk D., Jansen EW, Hijman R., et al. Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial. JAMA. 2002 ; 287: 1405-1412.
30. van Dijk D., Spoor M., Hijman R., et al. Cognitive and cardiac outcomes 5 years after off-pump vs on-pump coronary artery bypass graft surgery. JAMA. 2007 ; 297: 701-708.
31. Gustafson Y., Berggren D., Brannstrom B., et al. Acute confusional states in elderly patients treated for femoral neck fracture. J Am Geriatr Soc. 1988 ; 36: 525-530.
32. Franco K., Litaker D., Locala J., Bronson D. The cost of delirium in the surgical patient. Psychosomatics. 2001 ; 42: 68-73.
33. Berggren D., Gustafson Y., Eriksson B., et al. Postoperative confusion after anesthesia in elderly patients with femoral neck fractures. Anesth Analg. 1987 ; 66: 497-504.
34. Milbrandt EB, Deppen S., Harrison PL, et al. Costs associated with delirium in mechanically ventilated patients. Crit Care Med. 2004 ; 32: 955-962.
35. Leslie DL, Marcantonio ER, Zhang Y., Leo-Summers L., Inouye SK One-year health care costs associated with delirium in the elderly population. Arch Intern Med. 2008 ; 168: 27-32.
36. Devlin JW, Fong JJ, Fraser GL, Riker RR Delirium assessment in the critically ill. Intensive Care Med. 2007 ; 33: 929-940.
37. Rockwood K., Cosway S., Carver D., Jarrett P., Stadnyk K., Fisk J. The risk of dementia and death after delirium. Age Ageing. 1999 ; 28: 551-556.