Hypoactive delirium after cardiac surgery as an independent risk factor for prolonged mechanical ventilation

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 25, Issue 6, 2011, Pages 968-974

  Stransky, Melanie ^a   Schmidt, Christoph ^b   Ganslmeier, Patrycja ^a   Grossmann, Elmar ^b   Haneya, Assad ^a   Moritz, Stefan ^b   Raffer, Michael ^a   Schmid, Christof ^a   Graf, Bernhard M ^a   Trabold, Benedikt ^a  

^a UNIVERSITY HOSPITAL REGENSBURG   (Germany)

^b MARTIN LUTHER UNIVERSITÄT HALLE WITTENBERG   (Germany)

Author keywords

cardiac surgery; hypoactive delirium; Intensive Care Delirium Screening Checklist; risk factors

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIURETIC AGENT; HEMOGLOBIN;

AGED; AORTA CLAMPING; ARTICLE; ARTIFICIAL VENTILATION; BLOOD TRANSFUSION; DELIRIUM; DEPRESSION; FEMALE; HEART SURGERY; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RISK FACTOR;

ADRENERGIC BETA-ANTAGONISTS; AGE FACTORS; AGED; ANESTHESIA, GENERAL; APACHE; CARDIAC SURGICAL PROCEDURES; CHECKLIST; DELIRIUM; FEMALE; HEMOGLOBINS; HUMANS; HYPOKINESIA; INTENSIVE CARE; LENGTH OF STAY; MALE; MIDDLE AGED; MOTOR ACTIVITY; PAIN MEASUREMENT; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; PSYCHOMOTOR AGITATION; REGRESSION ANALYSIS; RESPIRATION, ARTIFICIAL; RISK FACTORS; TREATMENT OUTCOME;

EID: 82255191838     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2011.05.004     Document Type: Article

References (37)

1. P. Ceriana, F. Fanfulla, and F. Mazzacane Delirium in patients admitted to a step-down unit: analysis of incidence and risk factors J Crit Care 25 2010 136 143
2. T.N. Robinson, C.D. Raeburn, and Z.V. Tran Postoperative delirium in the elderly: Risk factors and outcomes Ann Surg 249 2009 173 178
3. B. Van Rompaey, M.M. Elseviers, and M.J. Schuurmans Risk factors for delirium in intensive care patients: A prospective cohort study Crit Care 13 2009 R77
4. S. Sockalingam, N. Parekh, and I.I. Bogoch Delirium in the postoperative cardiac patient: A review J Card Surg 20 2005 560 567
5. J.A. Hudetz, Z. Iqbal, and S.D. Gandhi Postoperative delirium and short-term cognitive dysfunction occur more frequently in patients undergoing valve surgery with or without coronary artery bypass graft surgery compared with coronary artery bypass graft surgery alone: Results of a pilot study J Cardiothorac Vasc Anesth July 21, 2010 [Epub ahead of print]
6. J. Kazmierski, M. Kowman, and M. Banach Incidence and predictors of delirium after cardiac surgery: Results from the IPDACS study J Psychosom Res 69 2010 179 185
7. S. Koster, F.G.J. Oosterveld, and A.G. Hensens Delirium after cardiac surgery and predictive validity of a risk checklist Ann Thorac Surg 86 2008 1883 1887
8. J. Bucerius, J.F. Gummert, and M.A. Borger Predictors of delirium after cardiac surgery delirium: Effect of beating-heart (off-pump) surgery J Thorac Cardiovasc Surg 127 2004 57 64
9. C.S. Burkhart, S. Dell-Kuster, and M. Gamberini Modifiable and nonmodifiable risk factors for postoperative delirium after cardiac surgery with cardiopulmonary bypass J Cardiothorac Vasc Anesth 24 2010 555 559
10. N. Bergeron, M.J. Dubois, and M. Dumont Intensive care delirium screening checklist: Evaluation of a new screening tool Intensive Care Med 27 2001 859 864
11. E.W. Ely, S.K. Inouye, and G.R. Bernard Delirium in mechanically ventilated patients: Validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU) JAMA 286 2001 2703 2710
12. P. Pandharipande, B.A. Cotton, and A. Shintani Motoric subtypes of delirium in mechanically ventilated surgical and trauma intensive care unit patients Intensive Care Med 33 2007 1726 1731
13. C.N. Sessler, M.S. Gosnell, and M.J. Grap The Richmond agitation-sedation scale: Validity and reliability in adult intensive care unit patients Am J Respir Crit Care Med 166 2002 1338 1344
14. S.T. O'Keeffe, and J.N. Lavan Clinical significance of delirium subtypes in older people Age Ageing 28 1999 115 119
15. B. Liptzin, and S.E. Levkoff An empirical study of delirium subtypes Br J Psychiatry 161 1992 843 845
16. D.J. Meagher, D. O'Hanlon, and E. O'Mahony Relationship between symptoms and motoric subtype of delirium J Neuropsychiatry Clin Neurosci 12 2000 51 56
17. S.A. Nashef, F. Roques, and P. Michel European system for cardiac operative risk evaluation (EuroSCORE) Eur J Cardiothorac Surg 16 1999 9 13
18. W.A. Knaus, E.A. Draper, and D.P. Wagner APACHE II: A severity of disease classification system Crit Care Med 13 1985 818 829
19. R.L. Mehta, J.A. Kellum, and S.V. Shaf Acute kidney injury network: Report of an initiative to improve outcomes in acute kidney injury Crit Care 11 2007 R31
20. E.W. Ely, A. Shintani, and B. Truman Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit JAMA 291 2004 1753 1762
21. S.A. Julious Sample sizes for clinical trials with normal data Stat Med 23 2004 1921 1986
22. P. Loponen, M. Luther, and J. Wistbacka Postoperative delirium and health related quality of life after coronary artery bypass grafting Scand Cardiovasc J 42 2008 337 344
23. D.J. Meagher, M. Moran, and B. Raju Motor symptoms in 100 patients with delirium versus control subjects: Comparison of subtyping methods Psychosomatics 49 2008 300 308
24. I. Norkiene, D. Ringaitiene, and I. Misiuriene Incidence and precipitating factors of delirium after coronary artery bypass grafting Scand Cardiovasc J 41 2007 180 185
25. J.W. Devlin, J.J. Fong, and G.L. Fraser Delirium assessment in the critically ill Intensive Care Med 33 2007 929 940
26. M.M.J. van Eijk, R.J. van Marum, and I.A.M. Klijn Comparison of delirium assessment tools in a mixed intensive care unit Crit Care Med 37 2009 1881 1885
27. E.J. Giltay, R.V.H.P. Huijskes, and K.H. Kho Psychotic symptoms in patients undergoing coronary artery bypass grafting and heart valve operation Eur J Cardiothorac Surg 30 2006 140 147
28. J.L. Rudolph, R.N. Jones, and S.E. Levkoff Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery Circulation 119 2009 229 236
29. J. Gaudreau, and P. Gagnon Psychotogenic drugs and delirium pathogenesis: The central role of the thalamus Med Hypotheses 64 2005 471 475
30. J.R. Maldonado Pathoetiological model of delirium: A comprehensive understanding of the neurobiology of delirium and an evidence-based approach to prevention and treatment Crit Care Clin 24 2008 789 856
31. M.F. Newman, J.P. Mathew, and H.P. Grocott Central nervous system injury associated with cardiac surgery Lancet 368 2006 694 703
32. D. van Dijk, M. Spoor, and R. Hijman Cognitive and cardiac outcomes 5 years after off-pump vs on-pump coronary artery bypass graft surgery JAMA 297 2007 701 708
33. A. Afonso, C. Scurlock, and D. Reich Predictive model for postoperative delirium in cardiac surgical patients Semin Cardiothorac Vasc Anesth 14 2010 212 217
34. A.D. Ebert, T.A. Walzer, and C. Huth Early neurobehavioral disorders after cardiac surgery: A comparative analysis of coronary artery bypass graft surgery and valve replacement J Cardiothorac Vasc Anesth 15 2001 15 19
35. A.I.R. Granberg Axll, C.W. Malmros, and I.L. Bergbom Intensive care unit syndrome/delirium is associated with anemia, drug therapy and duration of ventilation treatment Acta Anaesthesiol Scand 46 2002 726 731
36. L. Hempenius, B.L. van Leeuwen, and D.Z. van Asselt Structured analyses of interventions to prevent delirium Int J Geriatr Psychiatry 26 2011 441 450
37. E.R. Marcantonio, J.M. Flacker, and R.J. Wright Reducing delirium after hip fracture: A randomized trial J Am Geriatr Soc 49 2001 516 522