Retrospective analysis of postoperative delirium in elder patients after percutaneous coronary intervention
Objective To investigate the incidence and manifestation of delirium in elder after percutaneous coronary intervention and identify its possible risk factors. Methods Three hundred and five consecutive patients who underwent PCI were enrolled in the study. Risk factors for inducing delirium were analyzed in patients with delirium(n = 32) and without delirium(n=32) by Logistic regression analysis. Results Postoperative delirium was detected in 32 (10. 5%) patients during the first 6 days after surgery. According to multivatiate analysis,significant risk factors for the development of postoperative delirium were cerebrovascular history[odds ratio(OR) = 15. 129,95%CI 2. 355~ 97.183],atrial fibrillation history(OR = 32. 355,95%CI 4. 330~241. 746) and low LVEF(OR = 3. 409.95HCI 0. 668~17. 393). Conclusions The incidence of postoperative delirium in elder after PCI is high. Risk factors like cerebrovascular history, at rial fibrillation history and low LVEF are associated with postoperative delirium in elder after PCL