Risk factors for postoperative delirium in children with congenital heart disease: a prospective nested case-control study.
10.7499/j.issn.1008-8830.2110026
- Author:
Juan LYU
1
;
Yan JIA
;
Meng YAN
;
Yan ZHAO
;
Ya-Fei LIU
;
Ya-Li LI
;
Yang LI
1
Author Information
1. Nursing School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100144, China).
- Publication Type:Journal Article
- Keywords:
Child;
Congenital heart disease;
Postoperative delirium;
Risk factor
- MeSH:
Case-Control Studies;
Child;
Delirium/complications*;
Heart Defects, Congenital/surgery*;
Humans;
Male;
Postoperative Complications/etiology*;
Prospective Studies;
Risk Factors
- From:
Chinese Journal of Contemporary Pediatrics
2022;24(3):232-239
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To study the risk factors for postoperative delirium (POD) in children with congenital heart disease.
METHODS:A prospective nested case-control study was performed on children with congenital heart disease who underwent surgery in Fuwai Hospital, Chinese Academy of Medical Sciences, from December 2020 to June 2021. The clinical data were compared between the POD group (n=114) and non-POD group (n=102). A multivariate unconditional logistic regression analysis was used to investigate the risk factors for POD in children with congenital heart disease.
RESULTS:The multivariate logistic regression analysis showed that age (OR=0.951, P<0.001), gender (OR=2.127, P=0.049), number of invasive catheters per day (OR=1.490, P=0.017), degree of postoperative pain (OR=5.856, P<0.001), and preoperative parental anxiety level (OR=1.025, P=0.010) were independent risk factors for POD in children with congenital heart disease.
CONCLUSIONS:The risk of POD increases in children with congenital heart disease who are younger, male, have higher number of invasive catheters per day, higher degree of postoperative pain, or higher preoperative parental anxiety level.
