지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 275 - 282 (8page)
이용수
초록· 키워드
오류제보하기
Background: Postoperative delirium (POD) has an incidence rate of 9% to 41%. It is directly linked to decreasing cognitive function, increasing length of hospitalization and cost, as well as other complications and mortality. We aimed to assess the risk factors for POD among elderly patients by analyzing data from those who underwent spinal surgery.Methods: This study included 446 patients aged 65 years or older who underwent spinal surgery at our institution between March 2013 and May 2018. Data were collected retrospectively from the patients’ electronic medical records, and logistic regression was used to identify the risk factors associated with POD. The diagnosis of POD was based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and was made through consultation with a psychiatrist during postoperative hospitalization and before discharge.Results: Seventy-eight (78/446, 17.4%) patients were diagnosed with POD. The most relevant risk factor for POD was preoperative cognitive dysfunction (odds ratio [OR], 4.37; 95% confidence interval [CI], 1.60 to 11.93; P = 0.004), followed by emergency surgery (OR, 2.70; 95% CI, 1.27 to 5.74; P = 0.01), age (OR, 1.19; 95% CI, 1.13 to 1.26; P < 0.001), and anesthesia time (OR, 1.01; 95% CI 1.00 to 1.01; P = 0.002).Conclusions: Preoperative cognitive dysfunction, emergency surgery, age, and anesthesia time were factors that affected POD occurrence after spinal surgery. Patients with such associated factors may be at a higher risk for POD when undergoing spinal surgery, and hence, careful management may be necessary for these patients.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
이창현 / 2018 / Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 / Neurospine 15(1):66~76
Williams-Russo P / 1992 / Post-operative delirium : predictors and prognosis in elderly orthopedic patients / J Am Geriatr Soc 40:759~767
Marcantonio ER / 1998 / The association of intraoperative factors with the development of postoperative delirium / Am J Med 105:380~384
신영희 / 2015 / Impact of surgical approach on postoperative delirium in elderly patients undergoing gastrectomy: laparoscopic versus open approaches / Korean Journal of Anesthesiology 68(4):379~385
Yoon-Sik Oh / 2008 / Incidence and Risk Factors of AcutePostoperative Delirium in GeriatricNeurosurgical Patients / 대한신경외과학회지 43(3):143~148
Williams-Russo P / 1992 / Post-operative delirium : predictors and prognosis in elderly orthopedic patients / J Am Geriatr Soc 40:759~767
Marcantonio ER / 1998 / The association of intraoperative factors with the development of postoperative delirium / Am J Med 105:380~384
신영희 / 2015 / Impact of surgical approach on postoperative delirium in elderly patients undergoing gastrectomy: laparoscopic versus open approaches / Korean Journal of Anesthesiology 68(4):379~385
Yoon-Sik Oh / 2008 / Incidence and Risk Factors of AcutePostoperative Delirium in GeriatricNeurosurgical Patients / 대한신경외과학회지 43(3):143~148
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