Risk Factors of Postoperative Delirium in Older Adult Spine Surgery Patients: A Meta‐Analysis

AORN Journal ◽  
2020 ◽  
Vol 112 (6) ◽  
pp. 650-661
Author(s):  
Wonhee Baek ◽  
Young Man Kim ◽  
Hyangkyu Lee
Keyword(s):  
Risk Factors ◽  
Older Adult ◽  
Spine Surgery ◽  
Postoperative Delirium ◽  
Meta Analysis ◽  
Adult Spine

scholarly journals Incidence and Risk Factors for Postoperative Delirium in Patients Undergoing Spine Surgery: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 2019 ◽  
pp. 1-20 ◽  
Author(s):  
Xinjie Wu ◽  
Wei Sun ◽  
Mingsheng Tan
Keyword(s):  
Risk Factors ◽  
Spine Surgery ◽  
Postoperative Delirium ◽  
Meta Analysis ◽  
Final Analysis ◽  
Pooled Analysis ◽  
Cochrane Library ◽  
Opioid Use ◽  
Preoperative Pain ◽  
Factors Associated

Background. The present study aims to investigate the incidence and risk factors associated with postoperative delirium in patients undergoing spine surgery. Methods. PubMed, EMBASE, Cochrane Library, and Science Citation Index were searched up to August 2019 for studies examining postoperative delirium following spine surgery. Incidence and risk factors associated with delirium were extracted. Odds ratios (OR) and 95% confidence intervals (CI) were calculated for outcomes. The Newcastle–Ottawa Scale (NOS) was used for the study quality evaluation. Results. The final analysis includes a total of 40 studies. The pooled analysis reveals that incidence of delirium is 8%, and there are significant differences for developing delirium in age (OR 1.07; 95% CI 1.04–1.09), age more than 65 (OR 4.77; 95% CI 4.37–5.16), age more than 70 (OR 15.87; 95% CI 6.03–41.73), and age more than 80 (OR 1.91; 95% CI 1.78–2.03) years, male (OR 0.81; 95% CI 0.76–0.86), a history of alcohol abuse (OR 2.11; 95% CI 1.67–2.56), anxiety (OR 1.74; 95% CI 1.04–2.44), congestive heart failure (OR 1.4; 95% CI 1.21–1.6), depression (OR 2.5; 95% CI 1.52–3.49), hypertension (OR 1.12; 95% CI 1.04–1.2), kidney disease (OR 1.41; 95% CI 1.16–1.66), neurological disorder (OR 4.66; 95% CI 4.22–5.11), opioid use (OR 1.86; 95% CI 1.18–2.54), psychoses (OR 2.77; 95% CI 2.29–3.25), pulmonary disease (OR 1.81; 95% CI 1.27–2.35), higher mini-mental state examination (OR 0.7; 95% CI 0.5–0.89), preoperative pain (OR 1.88; 95% CI 1.11–2.64), and postoperative urinary tract infection (OR 5.68; 95% CI 2.41–13.39). Conclusions. A comprehensive understanding of incidence and risk factors of delirium can improve prevention, diagnosis, and management. Risk of postoperative delirium can be reduced based upon identifiable risk factors.

scholarly journals Incidence of and risk factors for postoperative delirium in older adult patients undergoing noncardiac surgery: a prospective study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Arissara Iamaroon ◽  
Titima Wongviriyawong ◽  
Patumporn Sura-arunsumrit ◽  
Nattikan Wiwatnodom ◽  
Nichakarn Rewuri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Older Adult ◽  
Postoperative Delirium ◽  
Noncardiac Surgery ◽  
Adult Patients ◽  
A Prospective Study

Risk factors of postoperative delirium after liver transplantation: a systematic review and meta-analysis

2021 ◽  
Vol 87 (6) ◽  
Author(s):  
Jian ZHOU ◽  
Xiaolin XU ◽  
Yongxin LIANG ◽  
Xueying ZHANG ◽  
Houan TU ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Liver Transplantation ◽  
Postoperative Delirium ◽  
Meta Analysis

Long-Term Opioid Prescriptions After Spine Surgery: A Meta-Analysis of Prevalence and Risk Factors

2020 ◽  
Vol 141 ◽  
pp. e894-e920
Author(s):  
Yu Tung Lo ◽  
Michelle Lim-Watson ◽  
Yookyung Seo ◽  
Noemi Fluetsch ◽  
Moudi M. Alasmari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Spine Surgery ◽  
Meta Analysis

Incidence and Risk Factors for Postoperative Delirium After Lumbar Spine Surgery

Spine ◽  
2013 ◽  
Vol 38 (20) ◽  
pp. 1790-1796 ◽  
Author(s):  
Steven J. Fineberg ◽  
Sreeharsha V. Nandyala ◽  
Alejandro Marquez-Lara ◽  
Matthew Oglesby ◽  
Alpesh A. Patel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Postoperative Delirium ◽  
Lumbar Spine Surgery

scholarly journals Systematic review and meta-analysis of risk factor for postoperative delirium following spinal surgery

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Hao Jie Zhang ◽  
Xue Hai Ma ◽  
Jin Biao Ye ◽  
Cong Zhi Liu ◽  
Zhi Yang Zhou
Keyword(s):  
Risk Factors ◽  
Spinal Surgery ◽  
Postoperative Delirium ◽  
Meta Analysis ◽  
Operating Time ◽  
Economic Costs ◽  
Total Blood ◽  
Low Sodium ◽  
Low Potassium ◽  
History Of

Abstract Background Postoperative delirium is a common psychiatric disorder among patients who undergo spinal surgery. The purpose of current meta-analysis was to assess the potential risk factors related to delirium in spinal surgery. Methods We searched the following databases: PubMed, EMBASE, the Cochrane Library, and Web of Science, from inception to July 2020. Two reviewers independently assessed the quality of the included studies using the previously described Newcastle-Ottawa Scale (NOS). We included spinal surgery patients who suffered with delirium or not. Stata 12.0 was used for meta-analysis. Results Thirteen trial studies that met our inclusion criteria were incorporated into the meta-analysis. Postoperative delirium was associated with an increase of the duration of hospital stay (P = 0.044) and increased perioperative readmission rate (P = 0.013) and economic costs (P = 0.002). This meta-analysis demonstrates that there were twenty-two risk factors: general characteristic: old age, female patients, history of surgery, diabetes mellitus, hypertension; preoperative data: low hematocrit, low hemoglobin, low albumin, low sodium, depression; operative data: operating time, total blood loss; postoperative data: low sodium, low hemoglobin, low hematocrit, low albumin, fever, low potassium, blood sugar, and visual analog scale (VAS). Conclusions Delirium not only prolongs the length of hospital stay, but also increases readmission rate and the economic costs. Several risk factors including old age, female patients, history of surgery, diabetes mellitus, low hematocrit, low hemoglobin, low albumin, low sodium, depression; operative data: operating time, total blood loss, low sodium, low hemoglobin, low hematocrit, low albumin, fever, low potassium, blood sugar, and VAS were significant predictors for postoperative delirium after spinal surgery.

scholarly journals Risk factors for postoperative delirium in patients undergoing major head and neck cancer surgery: a meta-analysis

2017 ◽  
Vol 47 (6) ◽  
pp. 505-511 ◽  
Author(s):  
Yun Zhu ◽  
Gangpu Wang ◽  
Shengwen Liu ◽  
Shanghui Zhou ◽  
Ying Lian ◽  
...  
Keyword(s):  
Risk Factors ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Postoperative Delirium ◽  
Meta Analysis ◽  
Cancer Surgery
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