Analysis of factors influencing postoperative delirium in patients with Stanford Type A aortic dissection
10.3760/cma.j.cn115682-20231128-02292
- VernacularTitle:Stanford A型主动脉夹层患者术后谵妄的影响因素分析
- Author:
Jun ZHAO
1
;
Shan ZHANG
;
Hongxia ZHAO
;
Yuan TIAN
;
Zhiying LI
;
Ying WU
Author Information
1. 首都医科大学附属北京安贞医院主动脉外科中心一区，北京 100029
- Keywords:
Aortic dissection;
Stanford Type A;
Postoperative delirium;
Influencing factor;
Receiver operating characteristic curve
- From:
Chinese Journal of Modern Nursing
2024;30(28):3873-3879
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the incidence of postoperative delirium (POD) in patients with Stanford Type A aortic dissection and analyze the influencing factors and predictive efficacy of these factors for POD.Methods:Totally 237 patients with Stanford Type A aortic dissection who were treated at Beijing Anzhen Hospital, Capital Medical University, from May 2020 to February 2021 were selected by convenience sampling. Data were collected using a general information questionnaire, the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), the Pittsburgh Sleep Quality Index (PSQI), the State-Trait Anxiety Inventory (STAI), and the Chinese version of the Critical Care Pain Observation Tool (CPOT). Logistic regression analysis was employed to identify factors influencing POD, and receiver operating characteristic (ROC) curves were used to evaluate the predictive value of each influencing factor and determine the optimal cutoff values.Results:A total of 237 questionnaires were distributed, with 232 valid questionnaires returned, yielding a recovery rate of 97.89% (232/237). Among the 232 patients, 37 developed delirium, resulting in an incidence rate of 15.95% (37/232). Logistic regression analysis revealed that carotid artery involvement, preoperative anxiety scores, postoperative pain scores, and length of ICU stay were influencing factors for POD in patients with Stanford Type A aortic dissection ( P<0.05). ROC curve analysis indicated that the area under the curve ( AUC) values for preoperative anxiety scores, postoperative pain scores, length of ICU stay, and carotid artery involvement in predicting POD were 0.924, 0.927, 0.954, and 0.718, respectively. Conclusions:The incidence of POD in patients with Stanford Type A aortic dissection is relatively high. Preoperative anxiety, postoperative pain, length of ICU stay, and carotid artery involvement are key factors influencing the occurrence of POD in these patients.
