心脏外科手术患者痴呆症对短期和长期死亡率的影响
Baland Mohammad1, Peter Nydahl2, Hanna Gravert1
1University Department of Cardiac Surgery, Hospital of Schleswig-Holstein, Kiel, Germany.
Intensive & critical care nursing
|November 12, 2025
概括
手术后痴呆症 (POD) 影响近19%的心脏手术患者,导致更糟糕的短期结果. 虽然POD与最初的并发症有关,但POD与最初的并发症有关.
科学领域:
- 关键护理医学 关键护理医学
- 心脏外科手术的结果
- 神经科学是一个神经科学.
背景情况:
- 手术后妄 (POD) 是心脏手术的重症监护室 (ICU) 患者经常出现的并发症.
- 人们对POD的长期影响,特别是对死亡率的影响,仍然不完全理解.
- 这项研究调查了POD与成人心脏ICU患者的长期死亡率之间的关联.
研究的目的:
- 确定心脏手术后成年患者中术后妄想和8年全因死亡率之间的关系.
- 评估POD的发病率及其对短期结果的影响.
- 评估POD对长期死亡率的独立影响,经过调整以考虑混因素.
主要方法:
- 551名成人患者的回顾性队列研究,这些患者在心脏手术后入院到大学医院的ICU.
- 收集的数据包括手术前,手术期间和手术后的变量.
- 主要结局:在ICU出院8年后的死亡率. 二次结局:POD发病率,ICU再接收,早期死亡率和停留时间 (LoS). 进行了回归分析.
主要成果:
- 在18.7%的患者中诊断出POD (n=103).
- 患有POD的患者经历了显著更长的ICU和医院LoS,更高的30天再入院率,并增加了30天的死亡率.
- 虽然POD最初与较高的6-8年死亡率有关,但经过对混因子进行调整 (p=0.205) 后,这种关联并不显著.
结论:
- 术后痴呆症在心脏手术ICU患者中很常见,与长期LoS和早期死亡率增加等不良短期结果有关.
- POD对所有原因的长期死亡率的独立影响似乎有限.
- 建议进行进一步的研究,以调查POD对生活质量和认知功能的影响.
关键词:
慢性慢性肺炎是一种慢性慢性肺炎,COPD是一种慢性肺炎.心脏外科手术是一项心脏手术.克隆尼迪因 (Clonidine) 是一种类型的药物.狂妄症是什么意思 狂妄症是什么意思脑病变是一种脑病变.哈洛佩里多尔 (Haloperidol) 是一种的药物.密集护理医学 密集护理医学长期结果 长期结果死亡率 死亡率 死亡率更多相关视频
06:10Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.6K
04:48Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
8.3K
相关概念视频
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
268
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
268
01:30Cardiomyopathy II: Dilated Cardiomyopathy
451
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
451
01:29Cardiomyopathy V: Interprofessional Care
323
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
323
01:28Acute Coronary Syndrome IV: Interprofessional Care
205
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
205
01:30Coronary Artery Disease III: Clinical Manifestations
313
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
313
01:27Mitral Stenosis IV: Nursing Management
239
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
239