Postoperative delirium and health related quality of life after coronary artery bypass grafting
- 1 January 2008
- journal article
- Published by Informa UK Limited in Scandinavian Cardiovascular Journal
- Vol. 42 (5), 337-344
- https://doi.org/10.1080/14017430801939217
Abstract
We wanted to identify determinants for postoperative delirium and its influence on health related quality of life (HRQoL) during 36-month follow-up of coronary artery bypass (CABG) patients. A total of 302 patients were retrospectively analyzed. HRQoL was assessed prospectively by the 15D instrument. Delirium was diagnosed clinically. The incidence of delirium was 6.0%. The cumulative survival (all-cause death) in 36 months was 96.1% in patients without delirium and 77.8% in patients with delirium. Age, cerebral disease, chronic heart failure, male gender, postoperative pneumonia and low output syndrome were predictors for delirium. Delirium patients needed more resources i.e. intensive care or total duration of hospitalization and experienced no positive change in HRQoL. Moreover patients with high preoperative 15D score tended to suffer fairly severe but reversible impairment during the first 6 months after the operation. Preoperatively older and sicker patients with complicated postoperative course are at higher risk of developing delirium after CABG. Preoperative status and operative complications together with delirium may exert negative influence on forthcoming HRQoL, which is seen especially in patients with a relatively high preoperative level of HRQoL.Keywords
This publication has 19 references indexed in Scilit:
- Central nervous system injury associated with cardiac surgeryThe Lancet, 2006
- Psychotic symptoms in patients undergoing coronary artery bypass grafting and heart valve operationEuropean Journal of Cardio-Thoracic Surgery, 2006
- Association of Neurocognitive Function and Quality of Life 1 Year After Coronary Artery Bypass Graft (CABG) SurgeryPsychosomatic Medicine, 2006
- Neurocognitive complications after coronary artery bypass surgeryAnnals of Neurology, 2005
- Predictors of delirium after cardiac surgery delirium: Effect of beating-heart (off-pump) surgeryThe Journal of Thoracic and Cardiovascular Surgery, 2004
- The logistic EuroSCOREEuropean Heart Journal, 2003
- European system for cardiac operative risk evaluation (EuroSCORE)European Journal of Cardio-Thoracic Surgery, 1999
- Cerebral Injury After Cardiac SurgeryStroke, 1999
- Coronary artery bypass grafting: The Society of Thoracic Surgeons National Database experienceThe Annals of Thoracic Surgery, 1994
- A Predictive Model for Delirium in Hospitalized Elderly Medical Patients Based on Admission CharacteristicsAnnals of Internal Medicine, 1993