Delirium after Cardiac Surgery
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چکیده
Delirium after cardiac surgery is common and associated with acute cognitive dysfunction, physical, mental, and behavioral problems, as well as increased mortality. The impact is substantial for patients, families, and society as a whole. The aims of this article is to review the relationship between cognition and delirium, incidence and mechanism of delirium, factors associated with occurrence of delirium, as well as delirium identification and evaluation. By enhancing the awareness among professionals, action could be taken to identify delirium early and strategies applied to manage delirium and/or cognitive dysfunction.
منابع مشابه
Outcomes associated with postoperative delirium after cardiac surgery.
BACKGROUND Delirium after surgery is a common condition that leads to poor outcomes. Few studies have examined the effect of postoperative delirium on outcomes after cardiac surgery. OBJECTIVES To assess the relationship between delirium after cardiac surgery and the following outcomes: length of stay after surgery, prevalence of falls, discharge to a nursing facility, discharge to home with ...
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Introduction: Delirium has been considered as the most common cognitive disorder after major surgery. Melatonin therapy is effective in reducing the incidence of delirium after open heart surgery with pain relief mechanism and adjustment of the sleep cycle and the absence of specific side effects. This study was conducted to determine the effectiveness of melatonin on prevention of delirium aft...
متن کاملPreoperative and operative predictors of delirium after cardiac surgery in elderly patients.
OBJECTIVES Delirium is a common complication in elderly patients after cardiac surgery and is associated with adverse outcomes including prolonged hospital stay and increased mortality. Therefore, prevention or early detection of delirium is indicated. Our objective was to identify preoperative and operative characteristics that could predict delirium after cardiac surgery in elderly patients. ...
متن کاملIncidence and Risk Factors of Early Delirium after Cardiac Surgery
INTRODUCTION The aim of our study was to identify the incidence and risk factors of delirium after cardiac surgery implementing Intensive Care Delirium Screening Checklist (ICDSC). MATERIAL AND METHODS 87 patients, undergoing cardiac surgery at Vilnius University hospital, were prospectively monitored for postoperative delirium development, during intensive care unit stay. RESULTS The incid...
متن کاملPredicting, preventing, and identifying delirium after cardiac surgery.
Delirium after cardiac surgery is a major problem. The exact mechanisms behind delirium are not understood. Potential pathways of delirium include neurotransmitter interference, global cognitive disorder, and neuroinflammation. Several predisposing and precipitating risk factors have been identified for postoperative delirium. The development of delirium following cardiac surgery is associated ...
متن کاملPreoperative use of statins is associated with reduced early delirium rates after cardiac surgery.
BACKGROUND Delirium is an acute deterioration of brain function characterized by fluctuating consciousness and an inability to maintain attention. Use of statins has been shown to decrease morbidity and mortality after major surgical procedures. The objective of this study was to determine an association between preoperative administration of statins and postoperative delirium in a large prospe...
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