Subsyndromal delirium after cardiac surgery

Breu, Anita and Stransky, Melanie and Metterlein, Thomas and Werner, Tilmann and Trabold, Benedikt (2015) Subsyndromal delirium after cardiac surgery. SCANDINAVIAN CARDIOVASCULAR JOURNAL, 49 (4). pp. 207-212. ISSN 1401-7431, 1651-2006

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Abstract

Objectives. To evaluate the incidence of subsyndromal delirium (SSD) after cardiac surgery and its impact on clinical outcome. Design. In this prospective study, 506 patients were screened for SSD and clinical delirium (CD) using the Intensive Care Delirium Screening Checklist. Results. 150 (34%) patients were classified as having SSD and 54 (12%) patients as having CD. 2% of SSD patients developed CD. Patients' age, EuroSCORE, postoperative the Acute Physiology and Chronic Health Evaluation II, the incidences of emergency operations, and the number of aortic surgery increased from non-delirious (ND) to SSD. Intensive care unit (ICU) and hospital stays were longer in CD compared with SSD patients. ND patients did not differ from SSD patients regarding duration of ventilation, ICU stay, or hospital stay. The rate of home discharge decreased from ND over SSD to CD patients. Mortality in SSD patients did not differ from ND or CD patients. Conclusion. SSD showed a prevalence of 34% in patients after cardiac surgery. SSD occurred independent of CD for the majority of patients. Except for a lower rate of home discharge, the clinical outcome did not differ from that of ND patients. According to our data, SSD does not represent a preliminary or resolving stage of delirium.

Item Type: Article
Uncontrolled Keywords: SCREENING CHECKLIST; OUTCOMES; SYSTEM; cardiac surgery; critical care; Intensive Care Delirium Screening Checklist; subsyndromal delirium
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Jun 2019 09:20
Last Modified: 19 Jun 2019 09:20
URI: https://pred.uni-regensburg.de/id/eprint/5098

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