狂妄症与心脏手术后的救援失败有关
Andrew M Young1, Raymond J Strobel1, Emily Kaplan2
1Division of Cardiac Surgery, University of Virginia, Charlottesville, Va.
JTCVS open
|January 11, 2024
概括
通过ICU混评估方法得分确定的一次术后妄,显著增加了30天的死亡率和心脏手术后的救援失败. 不注意是不利结果的关键预测因素.
科学领域:
- 临界护理医学 临界护理医学
- 外科手术的结果
- 神经科学是一个神经科学.
背景情况:
- 心脏手术后的术后妄想是与长期认知障碍和死亡率增加有关的关键问题.
- 早期发现和治疗妄症对于改善患者预后至关重要.
研究的目的:
- 调查ICU混乱评估方法得分升高与30天死亡率之间的关联.
- 确定心脏外科手术患者 Delirium 严重程度与救援失败之间的关系.
主要方法:
- 2011-2021年4030名心脏手术患者的分析.
- 使用的ICU混评估方法在ICU入院期间记录的得分,总结了前7个术后的日子.
- 使用单变量和多变量后勤回归来评估与死亡率和救援失败的关联.
主要成果:
- 任何积极的ICU混评估方法屏幕妄与更高的30天死亡率相关.
- 单一的妄想发作与增加的死亡率有关.
- 不注意 (特征2) 和更高的峰值里士满兴奋镇静量表得分与未能救援有很强的关联.
结论:
- 手术后妄想,即使是一次,也会显著增加心脏手术后的死亡风险.
- 不注意和激动的严重程度是未能救援的关键指标.
- 常规查痴呆症对于及时干预和改善患者的结果至关重要,减少死亡率和救援失败率.
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