Risikofaktoren des postoperativen Deliriums in der Herzchirurgie

Christian Gernhardt; Sophie Kluge; Mira Meon; Claudia Schmidtke; Antje Karluß; Beate Sedemund-Adib; Tilman Wetterling; Hans-Hinrich Sievers; Klaus Junghanns

doi:10.1055/s-0043-103084

Risikofaktoren des postoperativen Deliriums in der Herzchirurgie

Christian Gernhardt, Sophie Kluge, Mira Meon, Claudia Schmidtke, Antje Karluß, Beate Sedemund-Adib, Tilman Wetterling, Hans-Hinrich Sievers, Klaus Junghanns

Vivantes Auguste-Viktoria-Klinikum

Abstract

Background Delirium is a common psychiatric disorder after cardiac surgery and predisposes patients to increased mortality and morbidity. Its prevention requires knowledge of the risk factors involved. Objective What are preoperative risk factors for postoperative delirium after cardiac surgery? Methods Prospective longitudinal study of 241 elective cardiac surgical patients with preoperative assessment of potential risk factors and delirium assessment twice daily over five postoperative days. Results 13 % of the patients experienced delirium. Reduced cognitive performance (OR: 3.80; 95 % CI: 1.66 - 8.66), higher comorbidity (OR: 1.36; 95 % CI: 1.07 - 1.7) and higher age (OR: 1.08; 95 % CI: 1.02 - 1.13) increased the risk of delirium. Conclusion Delirium after cardiac surgery is common. It occurs in particular in patients with low cognitive performance, higher comorbidity and higher age.

Titel in Übersetzung	Risk Factors for Postoperative Delirium after Cardiac Surgery
Originalsprache	Deutsch
Zeitschrift	Fortschritte der Neurologie Psychiatrie
Jahrgang	85
Ausgabenummer	5
Seiten (von - bis)	274-279
Seitenumfang	6
ISSN	0720-4299
DOIs	https://doi.org/10.1055/s-0043-103084
Publikationsstatus	Veröffentlicht - 2017

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title = "Risikofaktoren des postoperativen Deliriums in der Herzchirurgie",

abstract = "Background Delirium is a common psychiatric disorder after cardiac surgery and predisposes patients to increased mortality and morbidity. Its prevention requires knowledge of the risk factors involved. Objective What are preoperative risk factors for postoperative delirium after cardiac surgery? Methods Prospective longitudinal study of 241 elective cardiac surgical patients with preoperative assessment of potential risk factors and delirium assessment twice daily over five postoperative days. Results 13 % of the patients experienced delirium. Reduced cognitive performance (OR: 3.80; 95 % CI: 1.66 - 8.66), higher comorbidity (OR: 1.36; 95 % CI: 1.07 - 1.7) and higher age (OR: 1.08; 95 % CI: 1.02 - 1.13) increased the risk of delirium. Conclusion Delirium after cardiac surgery is common. It occurs in particular in patients with low cognitive performance, higher comorbidity and higher age.",

author = "Christian Gernhardt and Sophie Kluge and Mira Meon and Claudia Schmidtke and Antje Karlu{\ss} and Beate Sedemund-Adib and Tilman Wetterling and Hans-Hinrich Sievers and Klaus Junghanns",

note = "{\textcopyright} Georg Thieme Verlag KG Stuttgart · New York.",

year = "2017",

doi = "10.1055/s-0043-103084",

language = "Deutsch",

volume = "85",

pages = "274--279",

journal = "Fortschritte der Neurologie Psychiatrie",

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TY - JOUR

T1 - Risikofaktoren des postoperativen Deliriums in der Herzchirurgie

AU - Gernhardt, Christian

AU - Kluge, Sophie

AU - Meon, Mira

AU - Schmidtke, Claudia

AU - Karluß, Antje

AU - Sedemund-Adib, Beate

AU - Wetterling, Tilman

AU - Sievers, Hans-Hinrich

AU - Junghanns, Klaus

PY - 2017

Y1 - 2017

N2 - Background Delirium is a common psychiatric disorder after cardiac surgery and predisposes patients to increased mortality and morbidity. Its prevention requires knowledge of the risk factors involved. Objective What are preoperative risk factors for postoperative delirium after cardiac surgery? Methods Prospective longitudinal study of 241 elective cardiac surgical patients with preoperative assessment of potential risk factors and delirium assessment twice daily over five postoperative days. Results 13 % of the patients experienced delirium. Reduced cognitive performance (OR: 3.80; 95 % CI: 1.66 - 8.66), higher comorbidity (OR: 1.36; 95 % CI: 1.07 - 1.7) and higher age (OR: 1.08; 95 % CI: 1.02 - 1.13) increased the risk of delirium. Conclusion Delirium after cardiac surgery is common. It occurs in particular in patients with low cognitive performance, higher comorbidity and higher age.

AB - Background Delirium is a common psychiatric disorder after cardiac surgery and predisposes patients to increased mortality and morbidity. Its prevention requires knowledge of the risk factors involved. Objective What are preoperative risk factors for postoperative delirium after cardiac surgery? Methods Prospective longitudinal study of 241 elective cardiac surgical patients with preoperative assessment of potential risk factors and delirium assessment twice daily over five postoperative days. Results 13 % of the patients experienced delirium. Reduced cognitive performance (OR: 3.80; 95 % CI: 1.66 - 8.66), higher comorbidity (OR: 1.36; 95 % CI: 1.07 - 1.7) and higher age (OR: 1.08; 95 % CI: 1.02 - 1.13) increased the risk of delirium. Conclusion Delirium after cardiac surgery is common. It occurs in particular in patients with low cognitive performance, higher comorbidity and higher age.

U2 - 10.1055/s-0043-103084

DO - 10.1055/s-0043-103084

M3 - Zeitschriftenaufsätze

C2 - 28561177

SN - 0720-4299

VL - 85

SP - 274

EP - 279

JO - Fortschritte der Neurologie Psychiatrie

JF - Fortschritte der Neurologie Psychiatrie

IS - 5

ER -

Risikofaktoren des postoperativen Deliriums in der Herzchirurgie

Abstract

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