Analysis of risk factors for postoperative delirium in the ICU following abdominal surgery
Objective This study aimed to identify the risk factors associated with delirium in the intensive care unit(ICU)among patients following abdominal surgery.Methods A total of 273 patients who underwent abdominal surgery and were admitted to the ICU at Jiangsu Provincial People's Hospital from August 2019 to August 2023 were included.Delirium was assessed using the Confusion Assessment Method for the ICU(CAM-ICU).Patients were categorized into a delirium group(n=52)and a non-delirium group(n=221)based on the occurrence of delirium.Univariate analysis was performed to identify potential risk factors,and a multivariate analysis was conducted to determine independent risk factors for postoperative delirium in the ICU.Results Univariate analysis indicated that age,hypertension,timing of surgery,infection status,sleep disorders,and blood urea nitrogen(BUN)levels were significantly associated with the occurrence of delirium in post-abdominal surgery patients(P<0.05).Multivariate analysis revealed that age over 65 years,hypertension,emergency surgery,and sleep disorders are independent risk factors for delirium in the ICU following abdominal surgery(P<0.05).Conclusion Risk stratification based on these factors may facilitate the allocation of preventive medical resources and reduce the incidence of delirium in patients undergoing abdominal surgery.
Intensive care unitDeliriumAbdominal surgeryRisk factors
万方数据
维普
