Long-Term Effects of Postoperative Delirium in Patients Undergoing Cardiac Operation: A Systematic Review

被引：141

作者：

Crocker, Elise

Beggs, Thomas

Hassan, Ansar

Denault, Andre

Lamarche, Yoan

Bagshaw, Sean

Elmi-Sarabi, Mahsa

Hiebert, Brett

Macdonald, Kerry

Giles-Smith, Lori

Tangri, Navdeep

Arora, Rakesh C.

机构：

[1] Univ Manitoba, Fac Med, Winnipeg, MB, Canada

[2] Royal Coll Surgeons Ireland, Sch Med, Dublin, Ireland

[3] St Johns Hosp, St John, NB, Canada

[4] Montreal Heart Inst, Montreal, PQ, Canada

[5] Univ Alberta, Fac Med & Dent, Edmonton, AB, Canada

[6] Univ Alberta, Sch Publ Hlth, Edmonton, AB, Canada

[7] St Boniface Gen Hosp, Winnipeg, MB, Canada

[8] Univ Manitoba Lib, Winnipeg, MB, Canada

[9] Seven Oaks Gen Hosp, Renal Program, Winnipeg, MB, Canada

[10] Univ Manitoba, Nephrol Sect, Dept Med, Winnipeg, MB, Canada

[11] Univ Manitoba, Dept Surg Cardiac Surg, Winnipeg, MB, Canada

来源：

ANNALS OF THORACIC SURGERY | 2016年 / 102卷 / 04期

关键词：

RISK-FACTORS; SURGERY; VALIDATION;

D O I：

10.1016/j.athoracsur.2016.04.071

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Delirium is an acute syndrome that involves fluctuating changes in attention and cognition. Although delirium is the most common neurologic complication after cardiac operation, data about its impact on long-term outcomes are lacking. The purpose of this systematic review was to examine the effect of postoperative delirium (PoD) on long-term outcomes, including morbidity, probability of death, cognitive decline, institutionalization, and health-related quality of life (HRQoL) in patients undergoing cardiac operation. After performing this systematic review we determined that PoD after cardiac operation is associated with an increased risk of probability of death and readmission to the hospital and a decrease in cognitive function, overall function, and HRQoL. (C) 2016 by The Society of Thoracic Surgeons

引用

页码：1391 / 1399

页数：9

共 22 条

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Trends in coronary artery bypass surgery results: A recent, 9-year study [J].