Risk factors for postoperative delirium in vascular surgery

Delirium following vascular surgery: increased incidence with preoperative β-blocker administration

“…44 Our study re-confirms a number of previous reports that identify aortic reconstruction, preoperative depression, and cerebrovascular disease as risk factors for postoperative delirium. 4,20,45,46 Complex vascular procedures and significant atherosclerosis reflected as severe peripheral or cerebrovascular disease may predispose patients to multiorgan dysfunction and delirium. Patients with vascular disease have lower reserve to cope with blood loss, hemodynamic instability, and inflammatory response associated with major vascular surgical procedures.…”

“…In contrast to previous reports, we did not use age [60 as an inclusion criterion, and we did not limit the list of vascular procedures to open aortic reconstructive and peripheral bypass surgery. [3][4][5]47 In order to reduce bias, we also excluded all patients undergoing carotid surgery from the analysis. Patients with uncomplicated carotid surgery usually had length of stay\48 h and therefore did not meet our inclusion criteria.…”

“…Delirium is a common and well-recognized complication after vascular surgery that affects over 30% of patients [1][2][3][4] and is associated with prolonged length of stay, 5 increased health care costs, 6 and higher morbidity and mortality. [7][8][9][10] Furthermore, patients with delirium are more likely to be discharged to either intermediate-or long-term care facilities, 5 increasing the primary admission health care costs to the community.…”

Postoperative delirium: risk factors and management: Continuing Professional Development

“…Various clinical prediction models for postoperative delirium have been published, some procedure-specific 15,16 and others more general in scope. [17][18][19] A representative riskprediction model designed for an unselected population of non-cardiac surgical patients is detailed in Table 1.…”

Voie d’abord endovasculaire contre voie d’abord ouverte pour la chirurgie de l’anévrysme de l’aorte: incidence de delirium postopératoire

“…4 Rates of delirium after major vascular surgery vary from 30% to more than 50%. [5][6][7][8] In this study, we compared the incidence of postoperative delirium in patients undergoing OPEN aortic aneurysm repair surgery with the incidence in patients undergoing the EVAR approach. We hypothesized that the EVAR approach would be associated with a reduced incidence of postoperative delirium.…”