Risk factors of delirium after cardiac surgery in adults: a Meta-analysis
10.3760/cma.j.cn115682-20220208-00575
- VernacularTitle:成人心脏外科术后谵妄危险因素的Meta分析
- Author:
Nan ZHANG
1
;
Yanqiu MA
;
Lan ZHANG
Author Information
1. 天津医科大学总医院感染科，天津 300041
- Keywords:
Delirium;
Cardiac surgical procedures;
Risk factors;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2022;28(32):4500-4506
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors of postoperative delirium in patients undergoing cardiac surgery through Meta-analysis, so as to provide a scientific basis for early clinical identification of postoperative delirium.Methods:The Chinese and English databases were searched by computer, and the retrieval time limit was from the establishment of the database to May 28, 2021. The articles on the risk factors of delirium in adult patients after cardiac surgery was collected and Meta-analysis was conducted with RevMan 5.4 software.Results:A total of 19 articles were included, including 10 731 subjects, including 1 901 cases in the case group and 8 830 cases in the control group, involving 14 risk factors. Meta-analysis showed that the risk factors with statistical differences included age ≥ 65 years ( OR=3.39) , history of cerebrovascular disease ( OR=2.00) , history of diabetes ( OR=1.88) , history of cognitive impairment ( OR=3.88) , history of depression ( OR=3.65) , history of atrial fibrillation ( OR=2.90) , preoperative Mini Mental State Examination (MMSE) score≤27 ( OR=3.96) , prolonged operation time ( OR=1.29) , postoperative mechanical ventilation time>24 hours ( OR=3.44) , postoperative cardiac insufficiency ( OR=2.56) and poor sleep quality ( OR=4.43) . Conclusions:Age≥65 years, cerebrovascular disease history, diabetes history, cognitive impairment history, depression history, atrial fibrillation history, MMSE≤27, prolonged operation time, postoperative mechanical ventilation time>24 hours, postoperative cardiac insufficiency, poor sleep quality are the risk factors of delirium after cardiac surgery in adults.
