Investigation of risk factors for early delirium after extracorporeal circulation cardiac surgery
Objective To explore the risk factors of early delirium after extracorporeal circulation cardiac sur-gery.Methods Eighty-four heart disease patients who underwent extracorporeal circulation heart surgery in Zhoukou City Center Hospital from April 2020 to June 2022 were selected.The occurrence of delirium during ICU treatment were observed.The medical records of delirious and non delirious patients were compared.The binary logistic regression analysis were used to investigate the risk factors for early postoperative delirium.Results 28 out of 84 patients devel-oped delirium.There were statistically significant differences between delirium and non delirium age,cardiopulmonary bypass time,ICU stay time,concomitant anxiety,sleep disorders,concomitant hypoxemia,use of benzodiazepines,and mechanical ventilation time(P＜0.05).There was no significant difference in gender,disease type,diabetes and hypertension between the two groups(P＞0.05).Binary logistic regression analysis showed that extracorporeal circula-tion time,ICU stay time,concomitant anxiety,sleep disorders,concomitant hypoxemia,and the use of benzodiaz-epines were risk factors for delirium.Conclusion Delirium is prone to occur in the early stage after cardiopulmonary bypass cardiac surgery,and prolonged cardiopulmonary bypass time and ICU stay can increase the risk of delirium.
NETL
NSTL
万方数据
