Postoperative Delirium Status,Related Factors,and Intervention Measures in Patients with Acute Aortic Dissection
Objective Exploring the current status,related factors,and intervention measures of postoperative delirium in patients with acute aortic dissection.Methods This article adopted a retrospective analysis and selected 210 patients with acute type A aortic dissection admitted to the the Sixth Ward of Cardiovascular Surgery in Henan Chest Hospital from January 2020 to June 2023 as the research subjects,including 130 males and 80 females.Patients were divided into delirium group and non-delirium group based on whether delirium occurs within 5 days after surgery.All clinical data were collected and summarized,the factors related to delirium occurrence were analyzed using univariate logistic regression,independent risk factors were analyzed using multivariate logistic regression,and the prognosis was explored.Results Among 110 patients with acute aortic dissection,32 cases(29.10％)developed delirium after operation.Univariate logistic regression analysis showed that age,history of alcoholism,alanine transaminase level before surgery,acute physiology and chronic health evaluation Ⅱ score on the day after surgery,mean arterial pressure in ICU for 6 hours,and local cerebral oxygen saturation in ICU for 6 hours were the relevant factors for the occurrence of delirium(P＜0.05).Aging,alcohol abuse history,mean arterial pressure in ICU for 6 hours,local cerebral oxygen saturation in ICU for 6 hours were independent risk factors for postoperative delirium in patients with acute aortic dissection(P＜0.05).Compared with the non-delirium group,the incidence of acute kidney injury and multiple organ dysfunction syndrome in ICU in delirium group was higher,and the residence time was prolonged(P＜0.05).Conclusion Aging,long history of alcoholism,mean arterial pressure in ICU for 6 hours and local cerebral oxygen saturation in ICU for 6 hours are independent risk factors for postoperative delirium in patients with acute aortic dissection.
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