Related Experiment Video
Updated: Jun 30, 2025
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.5K
Predictive factors for postoperative delirium in thoracic surgery
Takashi Yaguchi1, Hideomi Ichinokawa2, Eiji Kirino3
1Department of General Thoracic Surgery, Juntendo University Shizuoka Hospital, 1129, Nagaoka, Izunokuni, Shizuoka-Prefecture, Japan.
General Thoracic and Cardiovascular Surgery
|March 21, 2024
Summary
Older age (≥80 years), male sex, cerebrovascular disease, hypertension, and smoking are key predictors of postoperative delirium after thoracic surgery. Identifying these factors can help prevent delirium in at-risk patients.
Area of Science:
- Medical research
- Surgical outcomes
- Psychiatry
Background:
- Postoperative delirium is a common complication following thoracic surgery.
- Identifying predictive factors is crucial for patient management and improving outcomes.
Purpose of the Study:
- To determine predictive factors for postoperative delirium in patients undergoing thoracic surgery.
- To analyze perioperative findings associated with postoperative delirium.
Main Methods:
- Retrospective study of 1674 patients undergoing thoracic surgery under general anesthesia (2012-2022).
- Postoperative delirium diagnosed using the Confusion Assessment Method by a psychiatrist.
Main Results:
- Incidence of postoperative delirium was 5.9% (99/1674).
- Significant predictors identified: age ≥80 years, male sex, history of cerebrovascular disease, hypertension, and smoking.
- Patients with none of the five risk factors had a 0% risk of delirium.
Conclusions:
- Age, male sex, cerebrovascular disease, hypertension, and smoking are significant predictors of postoperative delirium after thoracic surgery.
- Patients with these risk factors may benefit from pre-operative psychiatric consultation.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
80
01:26Endoscopic Studies II: Thoracocentesis
258
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
258
01:27Pneumothorax-II
142
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
142
01:26Tracheostomy Suctioning I: Pre-Procedural Steps
543
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
543
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
192
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
192
01:16Tracheostomy Care I: Pre-procedural Steps
185
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
185