The association of hemoglobin with postoperative delirium and atrial fibrillation after cardiac surgery: a retrospective sub-study

Sarı, Sinem; Brooker, Jack; Montalvo-Campana, Mateo; Shehata, Peter; Pu, Xuan; Insler, Steven R.; Troianos, Christopher A.; Turan, Alparslan

doi:10.1016/j.bjane.2023.02.003

Cited by 2 publications

(3 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2022, Andrási et al published the results of their study, which showed that an increased need for RBC and fresh frozen plasma transfusion as well as a longer duration of surgery and a longer duration of CPB were associated with an increased risk of postoperative delirium [19]. In contrast, a 2023 analysis of the DECADE trial carried out by Sari et al, which included 585 Cleveland Clinic patients undergoing cardiac surgery, did not find an association between postoperative haemoglobin level and the incidence of postoperative delirium [16]. Our study did not find an association between the intraoperative course and postoperative delirium, which may be due to the cohort selected and a small number of intraoperative complications leading to increased duration of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The difference may be due to the fact that our study only included patients who were scheduled for planned CABG surgery, whose comorbidities were well controlled before surgery and who were in a relatively good overall condition. A number of independent risk factors for postoperative delirium have been identified, the most important being age, diabetes, TIA, electrolyte disturbances and renal failure [13][14][15][16]. In a 2021 meta-analysis by Chen et al analysing 14 studies with a total sample size of 13,286, the following risk factors for postoperative delirium in cardiac surgery patients were identified: age, carotid artery stenosis, depression, diabetes, NYHA functional class III or IV, duration of mechanical ventilation and length of ICU stay [17].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Association of Infection with Delirium in the Post-Operative Period after Elective CABG Surgery

Żukowska¹,

Kaczmarczyk

Listewnik

et al. 2023

JCM

View full text Add to dashboard Cite

Delirium is one of the most common complications of coronary artery by-pass graft (CABG) surgery. The identification of patients at increased risk of delirium and the implementation of preventive measures to reduce the risk of postoperative delirium is necessary to improve treatment outcomes after CABG. The aim of this study was to assess the association between postoperative delirium and postoperative infection and 10-year mortality in patients undergoing CABG surgery. This is a retrospective, observational cohort study of patients undergoing planned on-pump CABG between April 2010 and December 2012. We analysed a group of 3098 patients operated on in our cardiac surgery centre, from whom we selected a cohort of patients undergoing planned CABG surgery. All patients were assessed for postoperative infection, such as pneumonia, bloodstream infections (BSIs) and surgical site infections (SSIs). Patients who experienced postoperative delirium were significantly more likely to have infection (7.4% vs. 22%; p = 0.0037). As regards particular types of infection, significant differences were only found for pneumonia and sternal SSIs. Patients who experienced postoperative delirium had significantly lower 5-year (p = 0.0136) and 10-year (p = 0.0134) survival. Postoperative delirium significantly increases long-term mortality in patients undergoing CABG surgery. Pneumonia and sternal SSIs significantly increase the risk of postoperative delirium in cardiac surgery patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Association of Infection with Delirium in the Post-Operative Period after Elective CABG Surgery

Żukowska¹,

Kaczmarczyk

Listewnik

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Interestingly, in this issue of the Brazilian Journal of Anesthesiology , Sari et al 15 published an innovative retrospective subanalysis of the DECADE trial. 16 This study revealed no statistically significant association between various hemoglobin levels and delirium or atrial fibrillation in patients undergoing cardiac surgery.…”

mentioning

confidence: 99%